LCA Virtual Academy Registration Form
This form will be used for online registration of students in the LCA Virtual Academy for 2021-2022. Please complete by May 14, 2021.
Sign in to Google to save your progress. Learn more
Email *
First name *
Last Name *
Admission Status *
Required
Grade Level for 2020-2021 *
Required
Date of Birth *
MM
/
DD
/
YYYY
Name of Person Completing this Form *
Why are you interested is becoming a student in the Lincoln Co. Virtual Academy? *
What are your goals for high school and plans after graduation? *
Student (school) email *
Student Phone Number *
Parent/Guardian Names *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Preferred Method of Contact *
Required
Mailing Address *
City *
Zip Code *
Parent agrees to receive weekly progress report by email *
Required
Please check all that apply regarding your child's needs
English Language Arts ( one per year required) *
Required
Math ( one per year required) *
Required
Science *
Required
Social Studies *
Required
Foreign Language ( 2 required in high school unless waived) *
Required
Fine Art ( 1 required in high school unless waived) *
Required
Wellness / P.E. ( 1 wellness and 1/2 P.E. required in high school) *
Required
Online Electives (High School) *
Required
In- person Elective courses at LCHS
In- person Elective courses at Motlow or TCAT (Dual Enrollment)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lincoln County Schools. Report Abuse