Application for Full-Time Admission

Please complete all sections of this application.

Data Collection

Please select one of the following:

I have created an account and I have registered for a minimum of three VLACS courses because I am no longer enrolled at another school.I have created an account and I have registered for 1-3 courses with VLACS because I am still taking courses at another school.I have created an account but I have not registered for courses yet.I have not created an account yet.

If you do not have a student account set up yet, please create one before proceeding with this application.

Go to this page: Enroll New Student Then click "Enroll" and select "New Student"

Please select your residency status

New Hampshire resident.Non-New Hampshire resident.

New Hampshire residents may attend the Virtual Learning Academy Charter School free of charge. Non-resident students will be assessed a tuition fee based on credits completed. As per RSA 193:12, VLACS reserves the right to request proof of residency.

Which School Year are you applying for?

2023-20242024-2025

I am applying for the following program:

VLACS Elementary School (entering grades K-5)VLACS Middle School (grades 6, 7, 8)VLACS High School (grades 9, 10, 11, 12)For the 2023-2024 school year.

Have you ever applied/submitted a full-time application to VLACS previously?

YesNo

Why do you feel you are ready to reapply for full-time now? What tools or strategies do you currently use that will help you in meeting the pace requirement?

Is the student/applicant enrolled in the Children's Scholarship Fund (CSF)?

YesNoPlease note that students cannot be dual enrolled in CSF and the Full Time VLACS program. They may remain enrolled in VLACS courses as a part-time student.

Student Information

Student's Legal
First Name:

Student's Legal
Middle Name:

Student's Legal
Last Name:

Student's preferred name, if different then above:

Student's Date of Birth (mm/dd/yyyy):

Place of Birth:

Example: Town, State

Sex assigned at birth:

Female

Male

Gender:

Female

Male

Other

Street Address:

City:

State:

Zip:

Student Email Address:

Student's Phone Number:

Parent/Guardian, please confirm the following:

Confirm the student's residence information(1):

I certify that all of the information presented here is true and accurate.

Confirm the student's residence information(2):

I understand that if we move - whether in-state or to another state - it is my responsibility to inform VLACS and assure that my account is updated.

Confirm the student's residence information(3):

I verify that the student is a NH resident. The address listed on my application is our family's primary address.I verify that we reside outside of NH and understand that my enrollments will be subject to tuition.

Parent/Guardian First & Last Name:

Student Questions

This section of the application should be completed by the student. Please write as much or as little as necessary to sufficiently answer the questions.

1. What has fueled your desire to become a full-time student at VLACS?

2. Describe your strengths as a learner and any areas that you feel would benefit from improvement/growth.

3. Please share anything about you (academic or personal) that may be helpful for the Admissions Team to know.

Parent/Guardian Information

Parent/Guardian First Name (1)

Parent/Guardian Last Name (1)

Parent/Guardian (1) Email Address:

Parent/Guardian (1) Phone Number:

Parent/Guardian (1)
Street Address

City:

State:

Zip code:

Parent/Guardian First Name (2)

Parent/Guardian Last Name (2)

Parent/Guardian (2) Email Address:

Parent/Guardian (2)Phone Number:

Parent/Guardian (2)
Street Address:

City:

State:

Zip code:

Parent/Legal Guardian Questions

This section of the application should be completed by the student’s parent/guardian. Please write as much or as little as necessary to sufficiently answer the questions.

1. Please share any educational background about your child that you feel is pertinent to their application to the full-time program.

2. Describe your child’s strengths and challenges as an online learner, and in general.

3. What supports do you anticipate that your child may need at home and from VLACS in order to be successful as a full-time student?

Digital Signature of Parent/Guardian:

Date:

Email address of Parent/Guardian submitting form:

12th	8th	5th	2nd
11th	7th	4th	1st
10th	6th	3rd	K
9th