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Greenbush Virtual Academy Adult Learner Intake
Greenbush Virtual Academy (GVA) offers a personalized learning experience for adults to earn their high school diploma through a customizable blend of online classes. Our virtual learning program operates in partnership with local school districts and is open to adults who reside in Kansas. Please provide us with some information about yourself and complete this questionnaire to gauge potential success as an online learner.
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* Indicates required question
Email
*
Your email
Student First Name
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Your answer
Student Last Name
*
Your answer
Student preferred email address
*
The email address you would like us to use to contact you. Please make sure it is a working email address.
Your answer
Student's contact number
*
Your answer
Student address
*
Your answer
Students Birth date
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MM
/
DD
/
YYYY
Local school district where you live
*
Your answer
Were you enrolled in the GVA Adult program last year?
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Yes
No
Last Grade Completed: Check one
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Please indicate the last grade you completed
Choose
9th
10th
11th
12th
How many high school credits have you completed or believe that you have completed?
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Your answer
When in school previously, did you receive services outside of the classroom such as special education services, migrant services, or English as a Second Language services?
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Yes
No
If yes, what type of service and what grade(s)?
Your answer
Have you participated in virtual education in the past?
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Yes
No
Do you have access to reliable high speed internet?
*
Your answer
Are you employed?
Yes, I am employed full time (32-40 hrs a week)
Yes, I am employed part time (less than 32 hours a week)
No, I am currently not employed outside of the home
Clear selection
Considering your work and personal schedule, the amount of time you have to work on your course work is:
*
More than 20 hours a week.
Between 10 and 20 hours a week.
Less than 10 hours a week.
Additional Information: special circumstances, special needs?
Your answer
What is next?
A staff member from our Adult Diploma Completion program will be in contact with you soon to discuss the enrollment process. To get ready for the enrollment process, please contact your last high school and request a transcript of your completed courses. The transcript will be required to complete your enrollment process.
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