POTEAU 2026 VIRTUAL ACADEMY 
Thank you for your interest in the 2025-2026 Poteau Virtual Academy.  Please complete this form for each student to be considered for our virtual learning program. 

We will respond via a phone call for further details once this form has been submitted.
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Student's Full Name *
Student's Date of Birth *
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Student's Previous School (School Name, City, State) *
Student's Grade in 2026 School Year: *
Student's Full Physical Address *
Is the address listed above within Poteau Public School District (Yes/No)? 
If not, which District is it in?
 *
To help provide the best support for your child, please indicate below if they have an Individualized Education Program (IEP). The response will be kept confidential according to state and federal privacy laws.  *
Parent/Legal Guardian's Full Name: *
Parent/Legal Guardian's Date of Birth: *
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Parent/Legal Guardian's Phone Number: *
Parent/Legal Guardian's Email: *
Why are you interested in attending Poteau's Virtual Academy?  *
Best time to contact you regarding your Virtual Academy inquiry. *
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