Rocklin Virtual Campus (RVC) Waitlist/Interest Form 2021/22 School Year (1st-6th grade only)

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This interest form is for Rocklin Unified School District families who wish to place their child(ren) on the Wait List for Rocklin Virtual Campus (RVC) for the 2021-22 school year. This independent study program is for 1st-6th only and has limited space. Rocklin Alternative Education Center is accepting students for K-12 independent study.

Complete this form multiple times if you wish to enroll more than one child.

Please see the attached flyers for the proposal for the RVC models for next school year:
Elementary School: http://bit.ly/RVCelementaryschool

RVC is Rocklin Unified's 100% online 1st-6th grade program, which allows students to receive instruction online with the support of an RUSD teacher. Elementary students enrolled in RVC will be transferred from their current school to the virtual RVC site (hosted at Sierra Elementary) for the 2021-22 school year. For additional information, please visit http://rvc.rocklinusd.org or email RVCinfo@rocklinusd.org if you have questions.

By filling out this form, families are expressing interest in participating in this program for the 2021-22 school year. Follow-up communication will be sent to families to finalize the registration process based on availability.

For students interested in a fully teacher-led instruction model, contact the front office of your traditional site. For students that would like a completely independent study model, contact RAEC (Rocklin Alternative Education Center).

Student's Legal First Name *

Student's Legal Last Name *

Student's Date of Birth *

YYYY

Student's Grade Level for 2021-22 School Year *

Student's School for the 2021-22 school year. (If currently in RVC, please select your student's traditional site) *

Please check what additional educational programs your child participates in or receives (if applicable): *

My child has an Individualized Education Plan (IEP).

My child has a 504 plan.

My child is an English Learner.

My child has been identified for Gifted and Talented Education (GATE).

Not Applicable

Required

First & Last Name of Parent/Guardian Completing this Form *

Phone Number of Parent/Guardian *

Phone numbers provided here will only be used for questions regarding registration.

Email of Parent/Guardian *

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