CCSD Virtual High School

Homepage Driving Directions to VHS

About Virtual High School Basic Computer Requirements Frequently Asked Questions Request Enrollment Info User Support Help Desk

Principal Essington Wade Asst Principal Jami Miller Curriculum Administrator Lynda Spann Technology Administrator Frankie Clark Blackboard Administrator Jamie Woodard

Counselors Facilitators Support Staff Teachers

Blackboard Centra Course Catalog Course Descriptions

Registration Driver Ed Registration

Free Software Library Partnership Subject Resources TI83 Graph Calc Virtual Library

FULL-TIME STUDENT INTEREST FORM

Interested in becoming a student at Virtual High School? Please fill out the following form to start the process. Please remember to consult your home school counselor before form submittal. DO NOT withdraw from your home school until you are OFFICIALLY registered at Virtual HS. Submittal of this form is just the first step in a process toward possible enrollment, but there is NO GUARANTEE of acceptance. You will be contacted shortly regarding schedules and availability.

First Name:		Middle Initial:
Last Name:		Student Number: (Must be 7 digits - use leading zeros)
Birthdate (mm/dd/year):		Phone xxx-xxx-xxxx:
Address:
City:		Zip Code:
Email Address:		Home School:

Current Grade:	8th 9th 10th 11th 12th
Do you have a computer? Yes No
Do you have internet access? Yes No

Letter of Intent Please write a letter below explaining why you think you will be
successful at the Virtual High School. Please include your reason for applying.

How did you hear about the CCSD Virtual High School?
	Counselor	The View Newspaper Ad
	Friend	Website
	Teacher	Other:

Core Classes: Place the name of the core courses you are currently enrolled in or the last classes you have taken in the following subjects. In addition, please indicate your current grade or the grade you received in each class.

English:		Grade:
Mathematics:		Grade:
Science:		Grade:
Social Studies:		Grade:
How many high school credits have you earned?

Please indicate your status on the following Nevada High School Proficiency Exams:

Mathematics:	Pass Fail Have not taken
Writing:	Pass Fail Have not taken
Reading:	Pass Fail Have not taken

If students are not on track for graduation, an alternative placement will be recommended to help students to be more successful.

Comments and/or Questions:

I hereby state ...

I have consulted with my home school counselor and have been advised that this is the correct course required for CCSD high school graduation Yes No

I agree that I am NOT TO WITHDRAW from my home school until I am officially enrolled at Virtual HS Yes No

My legal parent/guardian has granted me permission to attend Virtual HS for SPRING, 2009 Yes No

Parent/Guardian name email and phone

Please type your student number (type "CCSD NEW" if not sure) and full name below to certify the information entered herein.

CCSD Student Number ..... Full Name (Last, First)