Online Learning Education: HVA Enrollment Form
Thank you for your interest in enrolling a resident student in Hempfield School District’s full-time online learning program. Upon verification and approval of eligibility, you will be contacted by the HVA coordinator via the email provided. We look forward to working together to complete Hempfield's vision of personal growth, achievement, and success for everyone!
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Correo *
Student First Name *
Student Last Name *
Date of Birth *
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MM
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AAAA
Incoming Grade Level for the  2020-21 School Year: *
Current Assigned School *
Student ID Number (optional)
Parent/Guardian Name *
Street Address *
City *
Zip Code *
Preferred Phone Number *
Alternate Phone Number *
Are Special Education services required? *
Name of Special Education Case Manager (if "Yes" is selected above.)
Level of Technology Skills *
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