Simplify Virtual Academy Enrollment and Device Requests

The K-12 Virtual Academy Student Enrollment and Learning Device Request Form combines enrollment and technology requests in one online form. Families provide the student's full legal name, date of birth, grade level entering, enrollment type, requested start date, and most recent school attended. They also indicate whether the student has an active IEP or 504 Plan. A dedicated parent/guardian section captures relationship to the student, email, phone number, and home address so your team can follow up quickly.

Built for online charter schools, district virtual programs, hybrid academies, and homeschool partnership programs, this template also handles the logistics of remote learning. Parents can request a school-issued learning device, describe their home internet access, ask for a mobile Wi-Fi hotspot, and provide a separate equipment shipping address if needed. Your IT and operations staff get the details they need to prepare and ship devices before the first day of class. Special education coordinators can identify students with IEP or 504 needs from the start.

Replace paper packets, scattered emails, and separate technology surveys with one organized workflow. The closing documents and agreement section gathers required enrollment records and the family's acknowledgment of your policies, so every submission arrives complete and ready for review. Customize the fields to match your school's requirements, embed the form on your website, and start enrolling students with the devices and internet access they need to learn from home.