2020-2021 Chestnut Ridge Virtual Academy Student Application 5-7
Student First Name *
Student Last Name *
Are you currently enrolled in the Chestnut Ridge School District
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If you answered no to the previous question, what school district are you currently enrolled in
Student ID#
This is also you lunch #
Date of Birth *
MM
/
DD
/
YYYY
Grade Level for 2020-2021 School Year *
Does the student have an IEP (Individualized Education Program)
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Please indicate your registration status
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Do you have high speed internet access at home?
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Would you be in need of a district issued laptop?
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Is a parent or guardian at home throughout the school day?
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