Virtual School Application
Applications for first semester 2017-2018 are now closed. Applications for second semester are due by December 1, 2018.
Email address *
Student last name *
Your answer
Student first name *
Your answer
Student middle name *
Your answer
Student birth date *
MM
/
DD
/
YYYY
2017-2018 Grade level *
School currently attending (or last attended) *
Your answer
Student street address *
Your answer
City *
Your answer
State *
Your answer
zip code *
Your answer
Student email address *
Your answer
Student phone number *
Your answer
Parent first and last name *
Your answer
Parent email *
Your answer
Parent phone number *
Your answer
How did you hear about GBC Virtual School? *
What is your current estimated grade point average (GPA)? *
My reading skills are *
My math skills are *
My writing skills are *
I would describe myself as someone who.. *
My time management skills are *
I expect to devote the following amount of time each day to online coursework and studying: *
I know that I can be a motivated and self-directed learner because..... *
Your answer
Why are you interested in attending a virtual school? (Answer in 200 words or less) *
Your answer
Describe your plan for becoming a successful virtual learner. Items to address may include daily schedule, academic assistance, study habits, learning strategies, social interactions, transportation to tutoring, etc. (200 words or less) *
Your answer
This form was completed by *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms