MVHS Mesa Distance Learning Enrollment Request
Please complete these two steps for MDLP enrollment.
1. Complete this form, which will go to your counselor for approval.
2. Complete MDLP's Online Enrollment Form. Go to https://www.mdlp.org and click Enroll/Enroll Now 5-12.

Once both steps are completed, MDLP will email you with your login information.
Sign in to Google to save your progress. Learn more
Email Address *
Student Last Name *
Student First Name *
Student ID# *
Grade Level *
How many credit-bearing classes do you have in your schedule for 1st semester? *
How many credit-bearing classes do you have in your schedule for 2nd semester? *
When do you want to start the class? *
MM
/
DD
/
YYYY
Please check off each statement after you have read it and understand it. *
Required
Who is your counselor? *
Please check any that may apply: *
Required
I would like to sign up for the following MDLP course/s - please refer to MDLP's course catalog: https://www.mdlp.org/index.php?page=course_catalog
Course Code and Title *
Course Code and Title
Course Code and Title
Course Code and Title
My parent/guardian approves of me taking MDLP classes.
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