CVA Application Form

CVA Information Form

We strive to match students with the best programs. Please provide as much information as you can in the form below. This will assist in working with you to customize the right coursework for your student(s). We will keep this information in confidence and will not share it with any other agency.

BEGIN YOUR APPLICATION BY USING THE FORM BELOW

APPLICATION INFO

Resident School District

Student First Name:	Last Email:
Parent First Name:	Last Email:
Street:	City: State: Zip:
Phone	Grade:
Provide me information on: (check all that apply)	Home- Schooling Advanced Placement Credit Retrieval Other Curriculum Programs
What are your child's learning needs?	What do you see as your child's learning needs?
Tells us how your child learns best.	Tell us how your child learns best.
Are you interested in more traditional or on-line learning?	What educational opportunities are you interested in?
How did you hear about CVA?	Please tell us how you first learned of CVA.

“The right to choose a parent-directed education is powerful. You are making a commitment, an investment of time, energy and love. There is a reason you value above all the effort.”