PRE-REGISRATION FORM

PRE-REGISRATION FORM
PERSONAL INFORMATION
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Gender*

MaleFemale
Facebook Name/link*
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Employment Status
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
EDUCATIONAL BACKGROUND
Last School Attended*
Last School Year Attainment*
ex.2016-2020
Highest Education Attainment*
EVALUATION REQUIREMENTS
Course you want to Enroll*
Birth Certificate

Feel free to upload it now or at a later time
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Copy of Grades (TOR, Form 137/Form 138)from last School Attended

Feel free to upload it now or at a later time
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Valid ID

Feel free to upload it now or at a later time
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CWEVE Application form

for CWEVE applicants only
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STUDENT CERTIFICATION

I certify that I have read and understood that I give my full consent to Avatar Virtual Academy in providing and/or verifying the necessary relevant information pertaining to my academic records as may be deemed necessary for the office of the registrar's processing of the information for purposes relevant to the office's operations. I am aware of the admission and retention policies of the school and hereby undertake in abiding the same. I submit that any false or misleading information provided herein may constitute the forfeiture of the benefits attached for which I or my child may obtain following the approval of herewith. Should I make any change in the information provided herein after the submission of this form, I shall promptly submit an email to the school registrar with the request.

Signature * Date*
Should be Empty: