Maries R-I MOCAP Application

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

Maries R-I School District MOCAP Virtual Learning Application.

Please complete this application if you/your student would like to be considered for a MOCAP virtual learning course through the Maries R-I School District. (This application is NOT for students/parents requesting to become full-time virtual attendance - see the building principal for full-time virtual guidance.)

Once your application is received, the building team will review the application and will notify you of the decision.

All applications must be completed and submitted within 3 days of the start of the semester for the requested virtual course &/or within 3 days of a new student's enrollment.

Email *

Date of Registration *

YYYY

Semester *

1st Semester

2nd Semester

Student's First Name *

Student's Last Name *

Student's Date of Birth *

YYYY

Student's Grade Level *

Prerequisite Assurances. Please select all that apply for the student. *

Student was enrolled as a full-time student at a Maries R-I School District school during the semester immediately prior to this request.

Student and parents understand the eligibility limitations and requirements to participate in any school activitieson 2

Parents and/or legal guardians are aware of and support this request.

If enrolling in more than two (2) virtual courses, an Individual Learning Plan is on file with the building guidance office.

Parent and student have read and are aware of all MOCAP expectations and requirements posted within the MOCAP website.

Students and parents recognize administration will evaluate and monitor progress. Failure to make progress could result in alteration or termination of the course.

Students and parents understand that MOCAP participant are still required to participate in annual MAP and EOC Spring assessments on campus.

Students and parents understand limitations exist to eligibility and participation in extra-curricula and school activities.

In the event a program participant discontinues their enrollment or the district terminates the course offering, the district will also discontinue monthly payments made on the student's behalf to the virtual course provider.

Student and parents recognize the school does not provide computers or digital equipment for virtual access.

Required

Full name of person completing this form. *

MOCAP Provider requested. MOCAP provider must be on the approved list by DESE.

https://mocap.mo.gov/

Name of Courses Requested *

Which period(s) during the school day are you requesting to be enrolled in the above stated course(s)? *

If the course is offered onsite by the district, what are the extenuating circumstances that make it difficult or impossible for the student to take the onsite course already offered by the district?
*

If the course is offered onsite by the district and the student is able to take that course, what are the reasons the student wants to take the virtual course option?
*

How has the student demonstrated time-management skills that indicated the student is capable of submitting assignments and completing course requirements without reminders?
*

How has the student demonstrated persistence in overcoming obstacles and a willingness to seek assistance when needed?
*

How has the student demonstrated verbal and written communication skills that would allow the said student to succeed in a digital environment where access to the instructor can be limited?
*

Does the student have the necessary computer or technical skills to succeed in a virtual course? Please describe the identified skills.
*

How does the course meet or exceed district and state curriculum standards?
*

How does the course meet graduation requirements?
*

How does the course align with the student's career goals and four-year plan?
*

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 Maries R-1 School. Report Abuse

Forms