2021-2022 Selma City Schools                                   Saints Virtual Academy Registration
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The following items are required by the State of Alabama to be in each student's record. All items must be in place to complete the registration process. Required items should be submitted to your scholar's school by Sept. 1st. Required items include:    1. 2 Proofs of Residency***(New Student & Returning Student)2. Immunization Card***(New Student and 6th Grade Students)3. Parent/Guardian Driver’s License or Picture ID***(New Student)4. Social Security Card***(New Student)5. Birth Certificate***(New Student)6. Withdrawal Form from the school previously attended*** (New Student)*** While schools can request proof of residency, it is not a requirement in state law that parents/guardians provide an Alabama driver’s license or Alabama ID for the purpose of enrollment. The ALSDE has established that under no circumstances should schools deny enrollment to students because their parent/guardian do not produce an Alabama driver’s license or state-issued ID. Residency may be established through multiple means including a utility bill or a residential mortgage/lease.The Registration Process Includes the Completion of Multiple Forms
SVA SCHOLAR INFORMATION
Are you a new or returning scholar to Selma City Schools? *
Scholar's First Name *
Scholar's Last Name *
Last 4 of Social Security Number (SSN) *
Date of Birth (Month, Day, Year) *
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Select Grade Level for 2021-2022 School Year *
Previous School Attended (Name/Address) *
PARENT/GUARDIAN INFORMATION
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Home Address (Street, City, State, Zip Code) *
Phone Number *
Alternate Contact Phone Number *
Parental Email Address *
EXCEPTIONALITY SERVICES FOR SCHOLARS
Does your child have an Individualized Education Plan (IEP)? *
If your child received any individualized services during the 2020-2021 school year, please indicate which services your child received (mark all that apply): *
Required
Virtual Learning Preparedness Questions
Remote/virtual learning requires more self-motivation, family involvement and independent work than a traditional, in-person class does.  Parents/Guardians, as you complete the registration process and select your scholar’s most preferred learning options, please answer the five questions below to gauge if virtual/online learning is the best option for your child/children at this time.

*If you answered “Yes” to all of the Online Learning Readiness Survey questions, you and your child are well prepared to become a fully independent online scholar.  However, if you answered “NO” to any of the questions above, we recommend making adjustments to ensure your scholar is prepared to be successful in virtual learning.
Does our home have a quiet space that is distraction free to help my scholar focus during virtual learning or on daily schoolwork? *
Am I, or another responsible adult, available to ensure my scholar logs-in on time daily?   *
For Additional Information Contact: Mrs. Tamitha Rowden Email: sva@selmacityschools.org  ~ Call: 334-419-1299 or 334-874-1600
I hereby signify that this student actually resides at the above stated address; I understand that additional information may be requested; and, I recognize that the Selma City School district's Virtual Learning Academy will request previous school records to finalize this enrollment process.
Parent or Guardian (Type Name Below) *
Date Submitted
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