High School KIVA Application Fall 2022
Filling out this survey will submit your information to our Kentwood International Virtual Academy Staff.  Upon receiving your information we will begin your enrollment process.
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Email *
Student First Name *
Please enter the student's first name.
Student Last Name *
Please enter the student's first name.
Student Email Address *
Please enter an email address where the student is able to receive information.
Parent/Guardian Name *
Please enter the parent/guardian's first and last name
Parent/Guardian Email Address *
Please enter an email address where the parent/guardian is able to receive information.
Parent/Guardian Phone Number *
Please enter a phone number for the Parent/Guardian.
By clicking this box, the parent/guardian confirms that this application is valid and the student has permission to take online classes. *
Required
Have you taken any classes through KIVA before? *
Describe your experiences with any type of online learning. How did it go? *
Think back to COVID or previous classes. Were you able to log in each day? Did someone need to help you? Did you finish the course? How easy was it?
What grade will you be entering in the 2022-2023 School Year? *
Why is online learning the best fit for you? *
Schedule Preferences *
Kentwood International Virtual Academy operates on a 6 class semester.  Please indicate how many classes you are interested in taking in an online setting.
Required
Why did you select that number of classes? *
Do you have a preference of which classes you would like online? Or specific hours? See our course offerings here: https://drive.google.com/file/d/19tjotnqksHl4zr71i7yE_xWJS6VTGH2p/view?usp=sharing
Health *
Do you have an underlying health condition that makes attending in person instruction a challenge?  
Technology Access *
Do  you have internet access at your home?
Responsible Learning *
Online courses require you to be a self-motivated, independent learner.  You are responsible for your progress and pacing.  Select the statement that best describes you as a learner.
Do you have an IEP or receive EL services?
Clear selection
Communication Skills *
Successful online learners communicate often with instructors regarding pacing, content of courses, etc.  Please select the statement hat best describes you.
Availability *
In a given week, how much time do you expect to spend studying for one course
I think an online class: *
Terms and Conditions for Enrollment *
Please read and select all below that apply to demonstrate you understand what it takes to be a KIVA student
Required
Feedback *
How did you hear about KIVA?  Check as many boxes that apply.
Required
A copy of your responses will be emailed to the address you provided.
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