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.

Student First Name *
Student Last Name *
Student's Current School *
Campus Student will be attending starting in the 2020-2021 school year
Student's Grade in 2020-2021 *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Parent/Guardian Physical Address *
Parent/Guardian Mailing Address *
Parent/Guardian Phone Number *
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.
Discuss the reason(s) you would like your child to participate in the full-time HSD K-12 Virtual Academy. *
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. *
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. *
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