2024-2025 C.I.T.Y. Virtual Program Application
For New Students
Student's Full Legal Name:
*
First Name
Middle Name
Last Name
Suffix
Student's Date of Birth:
*
/
Month
/
Day
Year
Date
Student's Age:
*
Gender:
*
Home Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Home Phone Number:
*
Format: (000) 000-0000.
Schedule Preerence:
*
Full-time Virtual
Hybrid (1/2 virtual, 1/2 in-person)
Interested in Participating in:
*
Does your child receive educational accommodations?
*
Yes
No
Enrollment Status:
*
Currently enrolled in Thomasville City Schools
Not enrolled in Thomasville City Schools
Student's Grade for the 2024-2025 School Year:
*
6th
7th
8th
9th
10th
11th
12th
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Email Address:
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Relationship:
*
Have you taken classes online before?
*
Yes
No
Do you think taking classes online is easier than brick and mortar classes?
*
Yes
No
Why do you want to enroll with the C.I.T.Y. Virtual Program?
Do you have reliable, working internet?
*
Yes
No
Student's computer skill level is:
*
Beginning
Intermediate
Advanced
How many hours a week do you spend on the computer?
*
I agree to provide TCS any required test scores, grades, work samples or any other documents upon request to enroll in the C.I.T.Y. Virtual program.
*
Yes
No
I verify all the information above is correct to the best of my knowledge.
Please Select
Yes
No
Parent Signature:
*
Date:
/
Month
/
Day
Year
Date
Submit
Should be Empty: