VIHS - Student Registration Form

Virginia
Internet High School

Student Registration Form

Items marked with a must be filled in or answered in order to register a student, When all items are completed press the "Register" button at the bottom of the page. If you want to start over, press the "Clear" button to clear your responses.

Please fill this section out completely. All fields must be completed.

School Division:  
Home School:      
Street Address:   
City:            , Virginia    Zip:

Student Name:    
ID Number:             Age:     Grade: 
E-Mail Address:

Will this student be working AT-SCHOOL or FROM-HOME.

The courses to be taken are 45-day single-credit courses.

Or 90-day single-credit courses.

Or 180-day single-credit courses.

Enroll the student in the VIHS classes marked below:

  English 9   English 10   English 11   English 12

  Algebra I   Geometry   Algebra II   Consumer Math

  Earth Science   Biology   Chemistry   Physics

  US History 11   US Government   World History   World Geography

  Spanish 1   Spanish 2   Spanish 3   Spanish 4

  French 1   French 2   French 3   French 4

  Latin 1   Latin 2   Latin 3   Latin 4

  Keyboarding

Other

When does this student wish to begin classes?

Comments and questions:

The Division must confirm this Request to complete registration.

Contact Person: 
Phone Number:    
E-Mail Address:  
Title:

Send comments to Virginia Internet High School

The courses to be taken are	45-day single-credit courses.
Or	90-day single-credit courses.
Or	180-day single-credit courses.

English 9	English 10	English 11	English 12
Algebra I	Geometry	Algebra II	Consumer Math
Earth Science	Biology	Chemistry	Physics
US History 11	US Government	World History	World Geography
Spanish 1	Spanish 2	Spanish 3	Spanish 4
French 1	French 2	French 3	French 4
Latin 1	Latin 2	Latin 3	Latin 4
Keyboarding
Other