Apply to Virtual School in Bay County

EXPECTED GRADE LEVEL FOR THE 2025 - 2026 SCHOOL YEAR:

Student's Grade:(Required)

Student's Name:(Required)

First Middle Last

ENROLLMENT TYPE:

Student Type:(Required)

New Student

Returning Student

Enrollment Type:(Required)

Part-Time

Full-Time

STUDENT INFORMATION:

Student's Gender:(Required)

Ethnicity: (Are you Hispanic or Latino?)(Required)

What is your race? Mark all that apply:(Required)

American Indian or Alaska Native*

Asian*

Black or African-American*

Native Hawaiian or Other Pacific Islander*

White*

Student's Birth Date:(Required)

Student's Nickname:(Required)

Student's Cell #:(Required)

Student's Email:(Required)

Student's Physical Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student's mailing address is the same as the physical address.(Required)

Student's mailing address is the same as the physical address.

Student's Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

LAST SCHOOL ATTENDED

District:(Required)

School:(Required)

District Name:(Required)

School:(Required)

City:(Required)

State:(Required)

MUST SELECT "YES" OR "NO" FOR EACH ITEM BELOW:

Will an adult be able to devote 30-40 hours per week as the students "Learning Coach"?(Required)

Are you going to be a 12th grader this school year?(Required)

Does the student have an active IEP or 504 plan?(Required)

Do you have a computer and high-speed Internet at home?(Required)

Has the student ever been suspended from school?(Required)

Has this student had any previous expulsions, felony arrests resulting in a charge, is pending expulsion, or any juvenile justice actions?(Required)

Is your parent/legal guardian a member of the military?(Required)

What is the student's first language?(Required)

What is the student's other home language?(Required)

Which language is most frequently spoken?(Required)

"Section 1006.07(1)(b), Florida Statutes and School Board Policy 7.103 require each student at initial registration for school enrollment in the district to report any previous school expulsions, arrests resulting in a charge, and juvenile justice actions the student has had."

PRIMARY PARENT/GUARDIAN 1:

Relationship:(Required)

Name(Required)

First Last

Address is the same as the student's address.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work #:(Required)

Home/Cell #:(Required)

Email(Required)

SECONDARY PARENT/GUARDIAN 2:

Relationship:

Name

First Last

Address is the same as the student's address.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home/Cell #:

Work #:

PLEASE READ BEFORE SIGNING

Success as a virtual student requires that you acknowledge the need for daily engagement within your courses by maintaining structured pacing that ensures that assignments are completed daily. Regular communication with teachers through email, texting, and/or phone calls, attending online classroom sessions, and parent/coach supervision of daily student progress is required. Meeting the conditions outlined in the Bay Virtual School Parent-Student Handbook is required for enrollment. Please click on this link to review this important information: Bay Virtual School Parent-Student Handbook.

Student Signature:(Required)

Parent/Guardian Signature:(Required)

This field is hidden when viewing the form

Today's Date:

I have read and understand the requirements of Bay Virtual School and the Student/Parent Handbook.(Required)

I have read and understand the requirements of Bay Virtual School and the Student/Parent Handbook.

I give permission to review my academic records or request records from a school outside of Bay District Schools.(Required)

I give permission to review my academic records or request records from a school outside of Bay District Schools.

Bay Virtual School

Panama City, Florida

Shelly Rouse, Project Coordinator

Bay Virtual School

Panama City, Florida

Shelly Rouse, Project Coordinator

BAY VIRTUAL SCHOOL APPLICATION

Welcome to the Bay Virtual School Application Portal! We are currently accepting applications for the 2025-2026 School Year.

PLEASE READ BEFORE SIGNING

ENROLLMENT FOR THE FIRST SEMESTER IS NOW CLOSED.

BAY VIRTUAL SCHOOL APPLICATION

Welcome to the Bay Virtual School Application Portal! We are currently accepting applications for the 2025-2026 School Year.

*PLEASE READ BEFORE SIGNING*

ENROLLMENT FOR THE FIRST SEMESTER IS NOW CLOSED.

PLEASE READ BEFORE SIGNING