2023-2024 SY Remote Virtual Program Application

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Remote Virtual Program Application for the 2023-2024 School Year

***The High School Remote Virtual Program (grades 9-12) is no longer accepting applications.***

Student's Full Name*

First Name

Last Name

Parent/Guardian's Full Name*

First Name

Last Name

Parent/Guardian's Email*

Student's Current Grade*

Student's Current Home School*

Reason for Enrollment: (Check al that apply)*

Academic Physical (explanation required) Social/Emotional Other HS Only: Flexible Schedule

Describe the specific details for reason of enrollment (required)*

How will enrollment help you meet your educational goals and/or support your learning needs?*