Scott County School District:                           At Home/Virtual Learning Plan Application:  Lake High School
Parent/Guardian,
Please complete the following application if you wish for your child to be considered for the SCSD "At-Home/Virtual Learning Plan." This application consists of two parts to be completed by the parent or guardian. If you have any questions, please contact Mr. Victor Gilstrap at vgilstrap@scott.k12.ms.us or 601-775-3248.

NOTE: Please answer all questions in section 1 of this two-part form. If you respond "yes" to all three questions in section 1, please proceed to section 2 of the questionnaire.
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Can you provide documentation that your child, or anyone in the household, has an underlying health condition which identifies them as "at-risk" according to CDC Guidelines? *
My home has sufficient Internet capacity for my child to participate in classroom instruction through the use of communication platforms such as Google Meet, Google Classroom, Canvas Conferences, etc. *
I understand if my child remains a virtual student, he/she will not be allowed to participate in extracurricular activities such as sports, band, choir, show choir, etc. *
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