Online Course Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the world of online learning. Students and parents should understand that online learning is designed for a self-motivated student. CHS does not provide tutoring or extra help for online courses. In addition, students who do not achieve a C or better in their previous online class may not be allowed to take another online course.

Please complete the registration form below. Requests for online courses (21F) must be made prior to the school year in which the course will be taken, or your request may not be granted. Complete information is required for registration.

NOTE: Parents will be responsible for any additional costs or fees associated with enrollment, including, but not limited to student service fees, application fees, texts and materials, transportation, etc. If the student fails to complete the course, the parents will reimburse the District for any expenses incurred by the District for the student’s participation in the program.

Email *

Last Name *

First Name *

Grad Year *

Address *

Address, City, State, Zip

Home Phone *

(xxx) xxx-xxxx

Date of Birth *

YYYY

Course

Please visit Michigan Virtual's website here to choose course(s).

Class(es) Requesting *

Semester *

Fall

Spring

Required

Requirement Class is Fulfilling *

Digital Signature

By signing this registration form, I am assuring my school that I:

*Have read the course description.
*Have read and agree to abide by the Michigan Virtual Learning Code.
*Understand that my online teacher grades my work and recommends my final grade.
*Understand that my school reserves the right to assign my final grade and credit for this course.
*Students who fail the final exam of an online course, regardless of the final grade, may be restricted from taking future online courses.

Student Signature *

Parent Signature *

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

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Caledonia Community Schools. Report Abuse

Forms