Distance Learning at Parkville High Interest Form
Admission into the Distance Learning Program is not guaranteed.  After you complete this form, the School Counseling Department and your student's Administrator will evaluate whether DLP is an appropriate option.  Students enrolled in DLP for the 24-25 school year will be automatically enrolled for the coming school year, unless otherwise instructed by the family or counseling department.  
The decision for new enrollments will be based on multiple factors, including the classes being offered in the program, and your student's individual educational needs.  You will be notified if your student's participation in the program for the 2025-2026 school year is approved.

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Email *
Student's Last Name *
Student's First Name *
Grade for 2025-2026 school year *
Is your student currently enrolled in the Distance Learning Program for 2024-2025? *
Last name of Parent *
First Name of Parent *
Relationship to student *
Parent's email address *
Parent's phone number *
Are you looking for full-time Distance Learning or Hybrid (one day in the building, one day virtual) *
Why do you think the Distance Learning Program is the best option for your student's learning?  Please select all that apply. *
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