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9th - 12th Grade Galena Virtual School Application

Any 9th - 12th graders interested in attending Galena Virtual School (GVS) for the 2024-2025 school year first need to be enrolled with the Parent Portal if they are returning or by submitting a New Student Registration. Only when the enrollment forms have been submitted, will GVS applications be considered. All required fields are preceded with an *.

Student Demographic Information Please provide the following information so we can match this application with your enrollment form:
*Student Full Name	*Date of Birth (mm/dd/yyyy)	*Gender	*Enrollment Type


*Address	*City	*State	*Zip Code


*Phone Number	*Email Address	Preferred Method of Communication (select all that apply)
		Call Email Zoom
High School History Please provide the information of the school with your most recent records.
*School Name	*City	*State	*Phone Number


*Last Grade Level Completed	*Year of Completion


*Why do you want to enroll at Galena Virtual School?


*I give Galena Virtual School permission to request, transfer, or discuss my school records with other high schools or learning facilities.
I agree
Agreements
Student Handbook
Please refer to the Galena Virtual School Handbook for the most currnt information and answer the below question.
*I have read and agree to the terms in the handbook.


*I plan to pay the $25 enrollment fee by:


By submitting this form, I am providing my digital signature agreeing that the information given on this form is true, complete, and accurate.
*Parent/Guardian Full Name	*Initials	*Student Full Name	*Initials


*Date (mm/dd/yyyy)

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9th - 12th Grade Galena Virtual School Application