VIRTUAL HIGH SCHOOL APPLICATION
2016-2017
Student Name __________________________________
Grade in Sept ’16 ________
Guidance Counselor ______________________________
E-mail address which you can access daily; please write clearly. ______________________________________
Which VHS course would you like to take? (your 1st choice)
Course title: ___________________________________________________________________________
When would you like to take the course?
(circle one)
Fall ’16
Spring ‘17
either OK
Briefly, why are you interested in taking this class?
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Please list two alternate choices in case your first choice of a course should not be available.
2nd choice: ___________________________________
3rd choice: __________________________________
What makes you a good candidate for Virtual High School (VHS)?
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5. Please have two MHS teachers who can speak to your ability to work independently, budget your time well, and
complete assignments in a timely manner place their signatures below:
___________________________________________
6. Please sign below.
_______________________________________
These signatures indicate that you have read and agree to abide by the terms and policies specified in this packet.
___________________________________________
(Student Signature)
______________________
(Date)
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(Parent Signature)
______________________
(Date)