Virtual Online Instruction Enrollment Form
Student First Name
Student Last Name
Student Phone Number (notification purposes only)
Student GCS email
School you would attend in 20-21
Bean Station Elementary School
Joppa Elementary School
Rutledge Primary School
Rutledge Elementary School
Rutledge Middle School
Grainger High School
New/Transfer Student (must officially enroll at home base school)
Grade Level for 20-21
Preschool- Special Education Services
Parent 1 Full Name
Parent 1 address if different from student
Parent 1 phone number
Parent 1 email address
Parent 2 Full Name
Parent 2 address if different than student
Parent 2 phone number
Parent 2 email address
I already have home internet in place
I will be adding internet before the start of school
I do not have access to internet
I already have and will be using my own computer
I will need to pick up and use a Grainger County School's Chromebook
Assurances: please read the statements below, check that you are acknowledging these conditions.
I understand that my child will engage in virtual instruction for SY 20-21. Any changes to enrollment between virtual and in-person instruction will take place only at the end of the semester in December 2020.
I understand that is it my responsibility to secure the appropriate technology and internet prior to the start of the school year.
I understand that attendance will be taken daily, and students must log onto the virtual platform and complete work everyday, Monday through Friday. District policies on attendance will be enforced.
I understand that my child's online work will be graded and assigned an official grade for all work completed.
If using a district issued chromebook, I will abide to proper usage agreement.
By typing your name it will serve as your signature that you acknowledge the above conditions required for virtual enrollment. Please sign your name below.
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This form was created inside of Grainger County Schools.