Virtual School Application Form
Student Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
Student Email
example@example.com
Student Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade/Level
Student Hobbies
Interests
Upload supporting documents here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload the picture of the student here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Virtual Equipment Checklist
Available
Not Available
Will Purchase
Desktop PC
1
2
3
Laptop
4
5
6
Tablet
7
8
9
Headset
10
11
12
Webcam
13
14
15
What are the courses you would like to enroll to?
Parent/Guardian/Partner Details
Parent/Guardian Name
First Name
Last Name
Relationship
(Father, Mother, Guardian, etc.)
Phone Number
Please enter a valid phone number.
Coaching partner in case help is needed
First Name
Last Name
Relationship
(Father, Mother, Guardian, etc.)
Phone Number
Please enter a valid phone number.
Acknowledgment
I acknowledge that my child will be participating in a virtual or distance learning.
I understand that I will read the portable student handbook in PDF format given by the school administrators and abide by it.
I confirm that I will attend the online school orientation.
I confirm that we (parents/guardians) will be responsible for providing the equipment needed for virtual or distance learning.
I accept that all activities, works, and exams will be graded.
Date Signed
-
Month
-
Day
Year
Date
Parent Signature
Date Signed
-
Month
-
Day
Year
Date
Student Signature
Apply
Should be Empty: