HSD K-12 Virtual Academy Request Form
Please make sure you have read the HSD Virtual Academy Student Handbook in its entirety to ensure that HSDVA is a good fit for your student before proceeding with filling out this form.
You must fill out an application for each student requesting to be enrolled in the Virtual Academy.
* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student's Current School
*
Campus Student will be attending starting in the 2020-2021 school year
Choose
Watson Primary School
Huntsville Intermediate School
Huntsville Middle School
Huntsville High School
Saint Paul Schools
Student's Grade in 2020-2021
*
Choose
PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Physical Address
*
Your answer
Parent/Guardian Mailing Address
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Internet Connectivity
*
Select the statement that most accurately describes your internet access. Your answer does not determine your eligibility to participate in HSD Virtual Academy, it helps HSD plan for your success.
Unlimited internet access at home that allows online learning with no difficulty
Internet service with speed and download limits - is difficult to access videos, content, etc.
Hotspot internet access that allows online learning with no issues
No internet and no hotspot at home; but can access the internet at a location other than home
No access to the internet at all
Other:
Discuss the reason(s) you would like your child to participate in the full-time HSD K-12 Virtual Academy.
*
Your answer
I understand it is highly recommended that enrollment in HSDVA is a commitment for a minimum of one semester. At the end of the Fall semester, my student may: 1) Return to HSD on-site instruction for the Spring semester or 2) Remain enrolled in HSDVA for the Spring semester.
*
Yes I understand
No I Do Not Understand
By selecting "Yes" below I hereby certify that the information given by me on this application and any supplement is true and correct to the best of my knowledge. I understand that a false statement on this application may result in denial of services.
*
Yes
No
Submit
Never submit passwords through Google Forms.
This form was created inside of Huntsville Public Schools.
Report Abuse
Forms
