ROC Application 2022/2023

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Email *

Name of the parent or guardian who is completing this form. *

Parent Email Address & Phone Number: *

Student Name: *

Student email address: *

Application for ___ Grade. *

7th

8th

9th

10th

11th

12th

My child has access to a reliable source of wi-fi. *

True

False, Please contact the school for additional information if your child will have Wi-Fi access problems.

My child had no D's or F's on his/her last report card. (Students with D's or F's on their last report card are not eligible for the virtual program.) *

True

False. My child will be attending school in person.

I understand that my child and I are required to attend the following ROC meetings. My child and I will attend the parent/student ROC meeting on: *

August 4th, 2022 at 5:30pm in the Riverside High School Cafeteria.

False. My child will be attending school in person.

I understand that my child's grades will be evaluated at every progress report and report card reporting period (twice per 9 weeks). If they fall below a C in any class on a report card my child will be required to return to in person instruction. *

Yes

No. My child will be attending school in person.

I understand that if my child misses deadlines for assignments or does not submit assignments his/her grade will be adversely affected. *

I understand

I do not understand. My child will be attending school in person.

I understand that if my child is discharged from the online program they will not be permitted to apply for the ROC program again until the next school year. *

Yes

No. My child will be attending school in person.

My child and I agree to complete any surveys sent to me by the school regarding the ROC program. *

I agree.

I do not agree. My child will be attending school in person.

I understand that my child must come to school to take state/district required tests such as ACT, ACT Aspire Interims, ACT Aspire Summative, Required Civics Exam, etc. on designated days. *

Yes

No. My child will be attending school in person.

I understand that all work submitted by my child will be done by himself/herself and not copied or plagiarized from another source. According to the RHS handbook, plagiarism is a violation of school policy and students will be sent to in person ISS for three days. If a virtual student is caught plagiarizing work, they will be asked to immediately return to in person instruction. *

I understand

I do not understand. My child will be attending school in person.

By agreeing to allow my child to participate in the online program, I understand that for my child to be successful it requires help from me. I will need to ensure they are using proper time management, staying on pace, watching grades, communicating with Riverside Faculty/Staff, and maintaining a positive attitude. I understand that enrolling my child in the ROC program means a big commitment of my time and energy to aid my child in being successful in his/her classes. I also agree to check my email weekly for progress reports and correspondence with my child’s teachers. *

I agree

I do not agree. My child will be attending school in person.

Type Parent Signature *

A copy of your responses will be emailed to the address you provided.

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