Park #1 Virtual Academy ApplicationSpring 2023 enrollment period is open November 28, 2022, through January 11, 2023. Parent Information *Parent's First Name *Parent's Last Name *Email Address *Phone Number *Mailing Address *City *State *Zip Code *Are you a resident of the state of Wyoming? Yes No *Why are you enrolling your child in Park #1 Virtual Academy? *How do you plan to be involved in your student’s education? Student Information *Student's Legal First Name *Student's Legal Last Name *Date of Birth *Age *Current Grade Level *Gender *Student currently expelled or recommended for expulsion? Yes No *Has your student been diagnosed with disability or on 504/IEP? Yes No If yes, please attach the 504 plan and/or IEP to the application. 504 Plan / IEP Application Attachment If currently in school: If your student is in HS, what grade will they be in this fall? Please attach the current HS transcript to the application. Technology Information *Does your student need a Chromebook and charger for classes? Yes No *Does your student have internet to access all the classes? Yes No Student Response *Why are you applying and why do you think you’d be a great fit? *How do you like to be taught and how do you prefer to study? Have you taken any online classes in the past? If so, what was the virtual program and were you successful? Disclosures Please read through all the disclosures and check the box below to complete your application. I understand that I need to register my child in Infinite Campus as a student of Park County School District #1. I understand that if my child would like to return to in-person instruction, I must make that decision within the first week of their Virtual Academy Orientation start date or wait until the start of the next semester. Elementary students may decide at the start of each trimester. I understand that my student will still have to take the state test (WY-TOPP in grades 3–10 or ACT in grade 11). *By checking this box you agree you are aware of the above. I agree
