Everett Public Schools - OnlineHS
Online Enrollment
Spring 2011-2012
    ONLY USE THIS FORM IF YOU ARE TAKING
AN ONLINE CLASS THAT IS IN ADDITION TO
YOUR 6-PERIOD DAY.

If you want to take an online course as
part of your regularly scheduled school day
(1 or more classes), stop now and contact
your school counselor directly.

    Note: All fields are required
Contact Information:
 
School:
 
First Name:
 
Last Name:
 
Student Number:
 
Email Address:
 
Year of Graduation:
 
Gender:
-Female    -Male
 
Home Address:
 
City:
 
Zip Code:
 
Home Phone Number:
(xxx) xxx-xxxx
     
Course Information:
 
Choose an online class:
  Alphabetical List:
 
Semester:
Spring
 
School year:
2011-2012
 
Counselor Name:
Have you taken an
OnlineHS course before?
-Yes     -No
     
OnlineHS Contract
 
 
:   « My check in the box at left signifies my acceptance and
  compliance with the OnlineHS Contract above.