2023-2024 Chestnut Ridge Virtual Academy Student Application 8-12

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Students must attend school while their application is processed. It may take some time for your application to be processed and a meeting scheduled for the student and parent/guardian.

Email *

Student First Name *

Student Last Name *

Grade Level for 2023-24 School Year *

Please indicate your registration status

Full Time Cyber

Blended (traditional classes plus cyber at home)

Clear selection

Are you currently enrolled in the Chestnut Ridge School District

Yes

Clear selection

If you answered no to the previous question, what school district are you currently enrolled in

Student ID#

This is also you lunch #

Date of Birth *

YYYY

Does the student have an IEP (Individualized Education Program)

Yes

Clear selection

Do you have an idea of Cyber courses you would like to take? *

Do you attend Bedford County Technical Center?

Yes

Clear selection

Do you have high speed internet access at home?

Yes

Clear selection

Would you be in need of a district issued chromebook? *

Yes

Is a parent or guardian at home throughout the school day?

Yes

Clear selection

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