Yukon Virtual School K-6 Application

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Please complete this application and entry survey to request full-time virtual enrollment for kindergarten-6th grade.
Students previously enrolled in Yukon Virtual School must have successfully completed math, ELA and 2 additional courses with a passing grade at at least 80% completion.

Student ID *

Student First Name *

Student Last Name *

School Year 22-23 Grade Level *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

School Year 22-23 Home School Site

Central Elementary

Myers Elementary

Parkland Elementary

Ranchwood Elementary

Shedeck Elementary

Skyview Elementary

Surrey Hills Elementary

Lakeview Intermediate

Independence Intermediate

Redstone Intermediate

Clear selection

Date of Birth *

YYYY

Home Address *

Have you ever been identified to receive special services? (check all that apply.) *

IEP

504

English Learner

I do not receive any of the services above.

Required

Primary Parent/Guardian Name *

Primary Parent/Guardian Phone Number *

Primary Parent/Guardian Email *

Parent/Guardian

Parent/Guardian Phone Number

Parent/Guardian Email *

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