Distance Learning Enrollment Form

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Distance Learning Enrollment Form

Complete this form in conjunction with your parent/guardian if you are planning on taking online classes via NCVPS in our distance learning program.

Name*

First Name

Last Name

Student ID#*

Current Grade Level*

Student WCS Email*

Distance Learning - Required Information

Distance learning students have to communicate with NCVPS (our online course vendor) which requires additional information.

Student Current Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Student Current Phone #*

Student Personal Email*

DO NOT USE SCHOOL EMAIL ADDRESS!

Check if Applicable:

IEP 504 Plan

Parent or Guardian Name*

First Name

Last Name

Parent Email*

Parent Phone #*

Counselor Email*

A-E: Ms Turner, F-L: Mr. Crail, M-R: Mrs Edwards, S-Z: Ms. Welch

Distance Learning - NCVPS Student & Parent Agreement

Students enrolled in NCVPS through WHS/WIA are expected to approach their course with the same level of seriousness and work ethic as for any WHS/WIA course. Online courses also place additional responsibilities with the student to maintain a course of study and communicate with online teachers. Please review the following expectations and check them each off before signing below:

Distance Learning Enrollment Form

Distance Learning - Required Information

Distance Learning - Course Selection

Distance Learning - NCVPS Student & Parent Agreement

Signatures