Please fill this Student Application out completely.  All questions with an asterisks (*) are required.  Application will not be submitted with blanks.  If a question does not apply, enter N/A
  DO NOT PRINT APPLICATION.
 CLICK SUBMIT AT BOTTOM WHEN FINISHED.
 Thank you.

Student Application


Are You A Re-enrolling Vilas Online Student From The 2015/2016 School Year? *
 If You Answered NO above,
Have You EVER Attended Vilas Online School?

Student Information

Ethnicity
If 07-Other, please indicate in box
to right. *
 
Is this Student Currently Receiving
Special Education, Gifted and Talented or RTI Services?
If So, Please Indicate Which Is Being Received.
(CURRENT Copy Is Needed) *

Contact Information

Additional Information

0/250 words
How/Where did you hear about Vilas Online School *
 

Parent/Guardian Contact Information. Only Provide Names and Phone #'s of Parents to be contacted by our School and Staff. Otherwise N/A if needed.

If Parent's are Separated or Divorced, Who has Legal Guardianship of Student? (If Other Than Parent, Please Enter Contact Information Below.  Otherwise Enter "N/A")
 

Previous School Information

Technology Assistance Needed

Do You Have High Speed Internet In Your Home? *
Do You Need Vilas Online To Loan You Computer Equipment While Enrolled? *

Note: All applications for the 2016/2017 school year will be considered upon receipt of the student's 2015/2016 end of year report card and any available test scores.

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202 Collingwood Street    PO Box 727  Vilas, CO 81087    (Toll Free)866-539-4941 (Phone)719-523-4952