Registration Form

1Introduction

2Student Information

3Current School Information

4Student Questions

5Parent Questions

6Course Map

7Student Schedule

8Transcripts

Getting Started

Select your residency status. Non New Hampshire residents must pay $20 fee to cover registration costs
Resident of*
- New Hampshire Resident
- Non-New Hampshire Resident
Choose Your Program

Select the program you're interested in.
Enrolling as*
- Middle School
- High School Enrollment
New Hampshire residents can attend the Virtual Learning Academy Charter School free of charge. As per RSA 193:12, VLACS reserves the right to request proof of residency.

New Hampshire residents can attend the Virtual Learning Academy Charter School without cost for middle or high school credit. New Hampshire residents will pay early college administrative fees. As per RSA 193:12, VLACS reserves the right to request proof of residency.
Please make check payable to: Virtual Learning Academy Charter School. Non-resident students who are admitted to the school will be assessed a tuition fee of $6,846 per academic year for up to seven credits.
New Hampshire residents can attend the Virtual Learning Academy Charter School without cost for middle or high school credit. New Hampshire residents will pay early college administrative fees. As per RSA 193:12, VLACS reserves the right to request proof of residency.
Please make check payable to: Virtual Learning Academy Charter School. Non-resident students who are admitted to the school will be assessed a tuition fee of $587 per early college course. Additionally, non-resident students will pay early college administrative fees.
Early College Administrative Fees
- An administrative fee of $100 for UStart and $150 for eStart will be charged for each early college course. Administrative fees are paid before beginning a course and may not be refundable.
Enrollment Requirements*
I have completed a freshman and sophomore level English course, or equivalent. I understand that additional high school English courses may be required before enrolling in certain college level courses.
I have completed algebra I or equivalent. I understand that additional high school math courses may be required before enrollingin certain college level courses.
I understand the LTCollege program is designed to provide high school students with the opportunity to enroll in college courses in place of high school courses. Extending a high school program for a fifth year for the purpose of completing a year of college coursework is not allowed. Doing so is outside of the scope of the program, and could jeopardize our agreement with SNHU and result in a loss of state funding for our school.
Please Select Desired Program (you can change this as needed once admitted)*

Associates / 60 Credit / 20 Courses

1 year / 30 credits / 10 courses

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Student Information
Last Name*

Middle Name*

First Name*

Date of Birth*
MM slash DD slash YYYY

Mailing Address
Street Address*

City*

State*
Zip*

Home Phone Number*
Cell Phone Number*
Email Address*

Parent / Guardian 1
Last Name*

Middle Name*

First Name*

Street Address*

City*

State*
Zip

Home Phone Number*
Cell Phone Number*
Email Address*

Custody*
Legal Custody
Parent / Guardian 2
Last Name

First Name

Middle Name

Street Address

City

State
Zip

Home Phone Number
Cell Phone Number
Email Address

Custody
Legal Custody

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Current School Information
School Name*

School Address*

City*

State*
Zip*

School Phone Number*
Fax Number*
Guidance Counselor*

Email Address*

Current Grade Level*
Current Grade Level*
Current Grade Level*
Years at Current School*

Is the Student Currently Attending This School?*

Yes

No
If no, when did the student withdraw?*
MM slash DD slash YYYY

Have you filed an "intent to home-school" letter?*

Yes

No
If the student is under the age of 18 and you choose to withdraw him or her from your local school prior to their acceptance to the full-time program at VLACS, you must submit an "intent to home-school" letter to your local superintendent, principal of a nonpublic school, or the Commissioner of the Department of Education within 5 business days of the official withdrawal from the local public school. Please contact your local SAU if you have any questions.
Name of previous school(s) (if student has attended current school less than one year)
Previous School(s)

School Name School Address City State Zip Actions

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It is required that you create an account and register for course(s) with VLACS before submitting your application, please select one of the following:
I have registered for 3-5 courses with VLACS*

Yes

No
I have registered for 1-3 courses with VLACS because I am still taking courses at another school*

Yes

No
Do you have a sibling that is a current full-time student with VLACS?*

Yes

No
Sibling Name*

Please answer all questions
If yes, please e-mail these documents to [email protected] or fax them to the VLACS office at 866-651-5038.

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Student Questions
1. Why would you like to become a full-time VLACS student?*
1. Why would you like to enroll in the VLACS early college program?*
2. Describe your strengths as an online learner?*
2. Based on your knowledge about yourself as a student, what do you anticipate will be challenging about completing college level work?*
3. What do you anticipate will be challenging about learning online versus what you were used to at your previous school?*

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Parent Questions
Please answer the questions below.
1. Why would you like your child to become a full-time VLACS student?*
1. Why would you like your child to enroll in the early college program?*
2. Describe your child's academic strengths and weaknesses.*
2. What types of academic supports will your child need in order to be successful in this program?*
3. What supports do you anticipate that your child will need from you in order to be successful in an online learning environment?*

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This step applies to students enrolling for Middle & High School classes. Students enrolling for Early College Courses are exempt from this step.
Below is a summary of the courses that are required to earn a VLACS high school diploma. Please review the courses you have completed at your school and the courses you have completed at VLACS. Do your best to place them in the area you feel the course best meets in the chart below. You can reference your local school's program of studies to determine which New Hampshire graduation requirements your courses meet. There is a space below the chart to write any questions you may have about courses you have completed to date. The admissions counselor will address these questions during the Admissions Plan Meeting.

Required Subjects Credits Required Enter an “x” if you met this graduation requirement at your previous school or VLACS Write the name of the course you completed to meet this graduation requirement Write the name of the course(s) you are currently taking next to the corresponding graduation requirement

Below is a summary of the courses that are required during middle school. Please review the courses you have completed at your local school and the courses you have completed at VLACS. Do your best to place them in the area you feel the course best meets in the chart below. Please refer to the course descriptions in our course catalog to help determine which of the courses you have taken meet your subject area requirements.

These is a space below the chart to write any questions you may have about the courses you have completed to date. The admissions counselor will address these questions during your Admissions Plan Meeting.

Required Subjects Credits Required Enter an “x” if you met this graduation requirement at your previous school or VLACS Write the name of the course you completed to meet this graduation requirement Write the name of the course(s) you are currently taking next to the corresponding graduation requirement

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Student Schedule
Student Schedule

You can work on your VLACS courses anytime, anywhere, though most students find it helpful to schedule time to work on their VLACS courses during the week. What will a typical week look like for you? Feel free to add in other commitments as well!

Morning Afternoon Evening

Sunday*
Morning Afternoon Evening
Monday*
Morning Afternoon Evening
Tuesday*
Morning Afternoon Evening
Wednesday*
Morning Afternoon Evening
Thursday*
Morning Afternoon Evening
Friday*
Morning Afternoon Evening
Saturday*
Morning Afternoon Evening

Next Steps

Once your application is received and uploaded into our system, you will be emailed an invitation to schedule and admissions information session. After you attend an information session you will be emailed an invitation to schedule an admissions plan review meeting with an admissions counselor. You will finalize this page during your meeting.

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Transcript Release Form
The following student is applying for full-time admission to the Virtual Learning Academy Charter School. This student should remain enrolled in his or her current school program until your school is notified of an admissions decision.

The Virtual Learning Academy Charter School is required to obtain written consent from the parent or eligible student before personally identifiable information from a student's education records is disclosed to any party other than those who are permitted access by law. Consent is also required before personally identifiable information is used for any other purpose than to aid in the planning for and provision of appropriate educational services to the student.
The following student is applying for admission to the Early College program at the Virtual Learning Academy Charter School. The Early College program is available to parttime students and does not require that the student withdraw from their current school.

The Virtual Learning Academy Charter School is required to obtain written consent from the parent or eligible student before personally identifiable information from a student's education records is disclosed to any party other than those who are permitted access by law. Consent is also required before personally identifiable information is used for any other purpose than to aid in the planning for and provision of appropriate educational services to the student.
Parents/Guardian*

Student*

Address*

Records to be disclosed*
Official academic transcripts
Standardized test scores
Is the above named student currently expelled from school?*

Yes

No
Transcripts

School Fax # City & State Actions

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PARENTS: Please indicate your response to this request by checking the box, which reflects your decision, and then sign the document in the space provided. A copy of the records to be release will be provided to you upon request. Thank you.
Consent*

I CONSENT to the disclosure of the information as described above within one year of date below.

I DO NOT CONSENT to the disclosure of the information as described above.
Parent/Guardian Signature*
Date*
MM slash DD slash YYYY

Parent/Guardian Name*

Comments
This field is for validation purposes and should be left unchanged.

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Application for Full-Time Admission

Getting Started

Choose Your Program

Student Information

Mailing Address

Parent / Guardian 1

Parent / Guardian 2

Current School Information

Name of previous school(s) (if student has attended current school less than one year)

Please answer all questions

Student Questions

Parent Questions

Student Schedule

Transcript Release Form