Continuing Virtual Student Course Application

Continuing Virtual Student Course Application

Today's Date

Term of Requested Enrollment

Student Name

Date of Birth

Contact Phone Number

Current Grade/Year in School

Parent/Guardian Name

Parent/Guardian Contact Phone Number

Parent/Guardian Email Address

Number of courses requested

Name(s) of course(s) being requested

If you are applying as a  part-time student for a course that is also offered in a traditional setting, are there any extenuating circumstances?

If denied, parents and guardians may appeal the decision of the review team to the District Administrator at 215 Pine Ave NE, Menomonie, WI 54751.


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