Cullman Innovation Academy Virtual School Application for Fall 2022
This form is to be completed by prospective students and their parent/guardian. We will be in contact soon to discuss available courses for your child(ren) based on grade level and availability. Courses will be ONLINE with support from a Cullman City School certified educator. At this time, registration is ONLY OPEN to incoming 6th-12th grade students. Registration for CURRENT CCS students ends April 15, 2022.
Sign in to Google to save your progress. Learn more
Student Information
Student Name (last, first)
Street Address
City, State, Zip
Student telephone number
Student email address
Student Primary Language
Do you have reliable access to a computer with internet access?
Clear selection
Are you willing to dedicate 30+ hours of active engagement to complete your learning activities and assignments each week?
Clear selection
Are there elective or extra-curricular classes in which you prefer to participate?
Will your coursework need to meet NCAA eligibility requirements? (high school students only)
Clear selection
Are you prepared to submit all coursework and assignments as original work completed by you? This means that all work will be completed by you, the student; collaboration will be approved by your instructor; you will not practice plagiarism; you will not allow others to copy your work; and you will not misuse content from the internet.
Clear selection
Do you understand that you will be required to attend on your school's campus any testing required by the Alabama State Department of Education?
Clear selection
Current School (2021-2022 School Year)
Current Grade Level (2021-2022 School Year)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cullman City Schools. Report Abuse
Google Forms