SUMMER SCHOOL Lake County Virtual School Course Request Form (Courses will be accessible on April 1st and need to be completed by July 31st, 2024)

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If at anytime you have questions while completing this form, please call the LCVS Main Office at 352-483-4260

I (along with my parent/guardian/guidance counselor) have requested a course through Lake County Virtual School. I acknowledge that my account and access to the course will be provided by Lake County Virtual School personnel. *

I acknowledge the statement above.

First Course Requested (Please list Course name and Segment - 1 or 2 - as well as honors or regular sections) *

Additional Course(s) Requested (Please list Course names and Segments - 1 or 2 - as well as honors or regular section)

2023-2024 Course Descriptions

For a full list of course descriptions, please visit: Lake County Virtual School's Website

Student First Name *

Student Last Name *

E-mail Address *

Student Date of Birth *

YYYY

Student Gender *

Female

Male

Current Grade of Student *

Physical School *

Other School (If chosen above)

School Counselor Name *

Street Address *

City *

Zip Code *

Phone Number *

Parent/Guardian LAST Name *

Parent/Guardian FIRST Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

***Please wait for email verification before attempting to enter Virtual School website for course access. Thank you for choosing LCVS!***

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