Wausau Area Virtual Education (WAVE) Enrollment Application
Wausau School District
Attention: Thom Hahn - Director of Secondary Education & WAVE Principal
415 Seymour Street, PO Box 359
Wausau, WI 54402-0359
thahn@wausauschools.org
715-261-0527
Date of application
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Student name (first, middle, and last)
Your answer
Student date of birth (MM/DD/YYYY)
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Student email address
Your answer
Gender
Current grade in school
Semester of requested enrollment
Provide the name of your current school and school district.
Your answer
Expected year of graduation
Your answer
Home address including city, state and zip code
Your answer
Home phone number
Your answer
Parent/Guardian name(s) (first and last)
Your answer
Parent/Guardian main phone number
Your answer
Parent/Guardian email address
Your answer
Do you currently receive special education services through an IEP (Individual Education Plan) or did you ever in the past?
If you currently have an IEP or 504, who is your case manager?
Your answer
Do you currently have a 504 plan?
Have you ever taken an online course before, or are you currently enrolled in one?
If you have taken online classes before, did you take the classes independently or through a virtual school?
If you have taken online classes previously, please provide details including the name of the educational agency, the name of the course and the date of the course.
Your answer
Are you currently living within the boundaries of the Wausau School District?
Do you currently have dependable, regular internet access at home?
Would you need a computer?
What type of enrollment are you interested in?
What classes would you like to take? (Refer to "Course descriptions" found on our website: www.wsdwave.org). Please list your top 6 class choices.
Your answer
Select the category that best describes you for each question. Your responses will help us understand you as a student.
Strongly Agree
Agree
Disagree
Strongly Disagree
I am self-motivated and self disciplined
I am a good "time manager"
I am comfortable with email and word processing
I can read analytically and critically
If I set my sights on an end result, I usually achieve it
I am confident in my academic abilities
I do not give up easily, even when confronted with obstacles
I believe I am responsible for my own education
I have convenient and frequent access to a computer with internet connection outside of school
I am willing to try something new
I am willing to express my thoughts and opinions in writing
I am willing to work in a loosely structured environment
In a short essay (250-300 words) please explain why you believe you should be accepted to participate in the Wausau Area Virtual Education program. In other words, why do you wish to enroll and why do you think you will be successful? Please use complete sentences with correct spelling, grammar, and punctuation. *
Your answer
Where or how did you hear about WAVE?
Your answer
Please share any questions that you have at this time
Your answer
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