Online Registration Form

CWVS Application:

1.
*

Date:
2.
*

Terms of requested enrollment:
Semester I   Semester 2   Full Year
3.
*

Student Name:
4.
*

Month of birth:
5.
*

Day of birth:
6.
*

Year of birth:
7.
*

Parent/Guardian Name:
8.
*

Current Street Address and City:
9.
*

Contact Phone Number:
10.

Email Address:
11.
*

Grade during 2011-2012 year:

IMPORTANT INFORMATION:

1)   Full-time Central Wisconsin Virtual student and YOU ARE NOT A RESIDENT of the Tomorrow River School District: 
       -Families must apply for Full-time open enrollment at the State  of Wisconsin DPI  website:  http://www.dpi.wi.gov/sms/psctoc.html between February 7 and April 30, 2012.                                       

2)  Part-time Central Wisconsin Virtual student and YOU ARE NOT A RESIDENT of the Tomorrow River School District: 
      -Families must apply for Part-time open enrollment with the State of Wisconsin:  
       http://www.dpi.wi.gov/sms/partime.html between February 7 and February 30, 2012. 
      -Students may take 2 courses at one time

3)  Home school students and YOU ARE A RESIDENT of the Tomorrow River School District:
      -Families must register with the Tomorrow River School District any time before August 1, 2012 
      -Students may take up to two courses per semester.

 
12.
*

Please check which online option the student will be applying to participate in:
Full time resident of the Tomorrow River School District
Part-time resident of the Tomorrow River School District
Home-schooled resident of the Tomorrow River School District
Full time--NOT a resident of the Tomorrow River School District, open enrollment
Part time--NOT a resident of the Tomorrow River School District, open enrollment
13.

Please list courses or curricula you are interested in:
14.
*

I am (or my child is) interested in participating in co-curricular activities
No   If yes, see next question
15.

If you answered yes to Question 14, please list the activities you wish to participate in
16.
*

Are you currently attending?
Public School   Home-Based School (requires DPI approval)   Private School
17.
*

Name of school currently attending?
18.
*

Have you ever been referred or for special education services or other accommodations through a 504 plan?
No   If yes, see next question
19.
*

If you answered yes to question 18, do you currently have an IEP, Service Plan, or other accommodations through a 504 Plan?
No   If yes, see next question
20.

If you answered yes to question 19, briefly describe what your learning disability is and what accommodations are provided.


Online Learning Readiness Checklist
 
21.
*

I am self-motivated and self-disciplined
Yes   No
22.
*

I am a good "time-manager."
Yes   No
23.
*

I am comfortable with email and word processing.
Yes   No
24.
*

I can read analytically and critically
Yes   No
25.
*

If I set my sights on an end result, I can usually achieve it
Yes   No
26.
*

I am confident in my academic abilities
Yes   No
27.
*

I do not give up easily, even when confronted with obstacles
Yes   No
28.
*

I believe I am responsible for my own education.
Yes   No
29.
*

I have conflicts with work, athletics or child care and school activities.
Yes   No
30.
*

I have convenient and frequent access to a computer with an Internet connection.
Yes   No
31.
*

I am willing to try something new.
Yes   No
32.
*

I am willing to work in a loosely structured environment.
Yes   No
33.
*

I am willing to express my thougths and opinions in writing.
Yes   No

Type in the text that you see above:

  

                                                 Tomorrow River School District
                                            357 North Main Street    l    Amherst, WI 54406   l   Phone: 715-824-5521   l   Fax: 715-824-7177

                                      
                                                   

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