Jones Virtual Academy Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Our Mission: Whole Student. Whole Community: Creatively reaching each students’ unique needs to create a successful life plan after school.

School, Student, and Parent Expectations:
Prior to completing this application, please ENSURE you and your child have read, discussed, and agree with the Jones Virtual Options Parent and Student Handbook. Handbook can be located on the school website.

Full Name of Student *

Student's Grade for the 2020-2021 school year *

Kindergartgen

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Student is a Resident of Jones Public School District *

Yes

Student's Current Address *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Does the student qualify for any of the following programs?

Medical Alert

504

IEP/Special Education Services

Does the student need assistance with a Chromebook/electronic device? *

Yes

Does your household have an internet connection? *

Yes

I understand the following conditions (check all that you understand) *

This is a semester long commitment, if I choose this option for my child, we are committing to Jones Virtual Academy for at least ONE semester during the 20-21 school year.

I understand that students enrolled in Jones Virtual Academy are not eligible for participation in extracurricular activities. This includes athletics, vocational agriculture, band and choir.

I understand the student attending Jones Virtual Academy must be a resident of the Jones Public School district.

Required

Electronic Signature

BY SUBMITTING THIS APPLICATION YOU ARE EXPRESSING YOUR COMMITMENT TO THE EXPECTATIONS AND PROGRAM DESCRIPTION WRITTEN ABOVE. I have answered all questions in this readiness questionnaire to the best of my judgment with the understanding this questionnaire may assist with making a determination for my child’s best educational placement.

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of JONES PUBLIC SCHOOLS. Report Abuse

Forms