Virtual Highschool of Excellence

Online Enrollment Application
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Better Yourself Today - Enroll Now - Immediate Access

VIRTUAL HIGH SCHOOL OF EXCELLENCE ONLINE APPLICATION

Name:
	Last	First	Middle

Email:

Permanent Address:

City:

State :

Zip Code :

Telephone #:

Cell Phone # or (other):

U.S. Citizen:

Sex:

DOB: (MM/DD/YYYY)

Ethnicity:


Last High School Attended:
City and State :
Grade Point Average:			Dual Enrollment

Parent/guardian Information Adult:
Living with child?:
Full Name: (First/MI/Last)
Email:
Phone Information:
Home Phone:
Work Phone:
Cell phone:



Signature: Parent signature if student is under 18-years of age. Printing your full name in this box constitutes an electronic signature. You agree that all information submitted to Virtual High School of Excellence is true and correct to the best of your knowledge.

Please read and check each box below.

I have read and agrees to the terms & conditions and the privacy policy of this site.

I understand by submitting this information, I will be contacted by a school representative.