VIRTUAL LEARNING ENROLLMENT FORM
Please refer to the Meeker Education Center Handbook found on the Meeker School website under Documents for specific online attendance requirements. After we receive the form below we will contact you for more detailed information on class requests and provide you with log in information.
Email *
Student Name *
Grade Student will be in School for 2020/2021 school year *
Required
Demographics
Virtual Learning is a team approach between the parents, school staff and the student. We need good contact information for both parents and student so that school staff may communicate with you and your student to assist them with the learning process and to ensure academic progress. Please provide the information below. Phone numbers should be ones that we may leave a message at or you check frequently for missed calls.
Parent Guardian Name *
Parent Guardian Phone # *
Parent Email
Do you have a laptop or other electronic device available? If not one will be provided to the student. *
Required
Does the student have internet connectivity? *
Required
What other questions if any do you have of us that we can answer for you when we contact you?
I understand that this is a semester commitment. *
Required
I have read the Meeker Education Handbook pages regarding attendance, proctored exams and required adequate progress for eligibility and agree to the requirements. *
Required
Name of Parent/Guardian completing this form. *
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