Student Enrolment Form - Admission Open (2025-2026)
Welcome to Pagoda Virtual Academy — a fully online, future-forward secondary school. Please complete this enrolment form carefully and provide accurate information. All fields marked with * are mandatory.
SECTION A: Student Information
Full Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Student Gender
*
Male
Female
Previous School Attended
*
SECTION B: Parent/Guardian Information
Full Name of Parent or Guardian
*
First Name
Last Name
Relationship to Student
*
Father
Mother
Guardian
Others
Parent Email Address
*
example@example.com
Phone Number
*
-
Country Code
Phone Number
Home Address
*
Street Address wth PostCode
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
*
SECTION C: Academic Information
Grade/Class Applying For:
*
JSS1/7th Grade
JSS2/8th Grade
JSS3/9th Grade
SSS1/10th Grade
SSS2/11th Grade
SSS2/11th Grade
SSS3/12th Grade
Sixth Form
Other
Preferred Curriculum:
*
Nigerian Curriculum Only
British Curriculum Only
Other
Preferred School Schedule:
*
Day School Only
Evening School Only
Weekend School Only
What goals would you like to focus on in your studies?
*
Critical Thinking and Problem Solving
Academic Excellence
Digital Skills Development
Self-Discipline and Responsibility
Career Exploration and Personal Growth
Improving Communication Skills
Time Management and Organization
Cultural Awareness and Sensitivity
Vocabulary Expansion
Grammar Mastery
Reading Comprehension
Leadership & Entrepreneurial Skills
Other
SECTION D: Technical Readiness
Does the student have regular access to the following?
Laptop/Desktop Computer
Smartphone
Tablet
No Laptop/Desktop Computer/Smartphone/Tablet
Reliable Internet Connection
Quiet Study Space
Other
Digital Skills Level:
Beginner
Intermediate
Advanced
Other
SECTION E: Supporting Documents (To Upload or Email Separately).
Please email clear scanned copies of the following documents separately to admissions@pagodavirtualacademy.com:
Birth Certificate or National ID
Last School Report or Transcript
Passport Photograph
Proof of Address (Utility bill or similar)
Other
Is there anything else you’d like PVA to know?
How did you hear about PVA?
*
PVA BDM
Family and Friends
Social Media channels
Corporate Partners
Local and Community Schools
Google Search
Educational Agents
Parenting Forums and Communities
Other
SECTION F: Declaration & Consent
I declare that all information provided in this form is accurate to the best of my knowledge. I understand that Pagoda Virtual Academy reserves the right to verify all details and may deny enrolment if any information is found to be false or misleading.
*
I consent to my child’s participation in virtual learning at Pagoda Virtual Academy. I agree to abide by the academy's code of conduct, data privacy, and academic integrity policies.
Submit Registration Form
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