Cobb Virtual Academy and Georgia Virtual School Verification Form

ONLY a CCSD guidance counselor, magnet coordinator, graduation coach or school administrator may complete this form.

 

The form is for the purpose of approving FTE enrollment (including 5th year seniors) in online courses delivered by Cobb Virtual Academy and verifying ALL CCSD students (tuition and FTE) enrolling with the Georgia Virtual School.

 

Counselor Responsibilities :

1.  Complete this form.  Note that * means the information is required. 

2.  Print the form for your records.

3.  Click the Submit button at the bottom of the page. 

 

Student Responsibilities:

Complete the registration process with the correct program (Cobb Virtual Academy  www.cobbvirtualacademy.org  or Georgia Virtual School www.gavirtualschool.org during the registration period.


I.  Student Information:
* First Name:    
* Last Name:    
* Grade Level:     
* Graduation Year:  
* School:    
* CCSD Student No:    
* School Term:
Special Education / 504 Plan:
Hospital / Homebound:
ESL Services:
   

II.  Cobb Virtual Academy Course Verification:
Directions: Complete this section for students who will be taking a Cobb Virtual Academy course as part of their state reported school schedule (FTE student). Fall and Spring registrations need to be entered as two verifications.

A=.5 unit     B=.5 unit     Y=1 unit
Select the approved FTE course(s) that the student will take with the CVA:
CVA Course One:
CVA Course Two:

III.  Georgia Virtual School Verification:
Directions: Complete this sections ONLY for students who will be taking an online course with the Georgia Virtual School.  The course names entered should be exactly as designated by the GaVS.  If applicable, indicate whether the course required is an A course (.5 unit), B course (.5 unit) or A/B course (Y course 1 unit).  Fall and Spring registrations need to be entered as two verifications.

Tuition or FTE Student:
GaVS Course One:
GaVS Course Two:

IV.  Counselor or Other Administrator Approval:
* Approver Name:     
* Approver Phone Number and Extension:     
* Approver Email:     
Comment:


Submit     Cancel

Due to changes on the district web server some form features (including a confirmation page) are not currently available.  The Cobb Virtual Academy has received the student verification if the form fields become blank after clicking the Submit link.