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Application for QSI Schools

The application form below is for QSI school administrators, counselors, or QVS monitors. QSI students wishing to enroll in a course with QSI Virtual School are encouraged to discuss this with their local school administration. 

Required

 

Thank you for registering for a QSI Virtual School course. Please submit a separate form for every course you are registering for. 

PERSON SUBMITTING THIS FORM ON BEHALF OF A QSI STUDENT
Namerequired
First Name
Last Name

STUDENT INFORMATION

Student Namerequired
First Name
Last Name
Must contain a date in D/M/YYYY format
Genderrequired
Grade Levelrequired
I confirm the student has met all the course prerequisites as listed in the course catalogue.
Desired creditrequired
Term registering forrequired
Reason for taking this course online with QSI Virtual School.required

PARENT/GUARDIAN INFORMATION

Parent/Guardian #1's Namerequired
First Name
Last Name
Parent/Guardian #1's Relationship to Studentrequired
Parent #2's Name
First Name
Last Name
Parent/Guardian #2's Relationship to Student

QVS MONITOR INFORMATION

Namerequired
First Name
Last Name

OTHER RELEVANT STUDENT INFORMATION

(Must contain only numbers)
Must contain only numbers
Must contain only numbers
Is English the primary language spoken at home?required
Approximate Level of English Proficiency
Is the student on a Learning Support Plan?required
NCAA scholarship candidate?