Step 1 of the Registration Process

Step 1 of the Registration Process

Arizona Virtual Academy and Insight Academy of Arizona
Thank you for enrolling with K12 Arizona Schools (AZVA & ISAZ)!

You’ve completed the enrollment process, which reserves your student’s seat. The next step is to finish registration, which is required before your student can officially start school.

Step 1: Includes legal guardian signatures for standard school requirements.

Step 2: Upload state-required documentation to officially begin school:

⚠ Important Deadline

If all required documents are not uploaded by 12pm on the Friday before your student’s start date, their start will be delayed to the next available date (usually about two weeks later).

Student Information
Student Name

First NameLast Name
Student ID
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Birth STATE of student (Arizona, Michigan, Colorado, Florida.....) *Why? Because it is one additional identifier to assist us when we have students with same name and birthdate. (Happens more than we would think.)
School

Legal Guardian Information

(You will be asked to submit a picture of your license or valid ID at the end of the form)
Legal Guardian Name

First NameLast Name
Relation
Legal Guardian Phone Number
Format: (000) 000-0000.
Legal Guardian Email
example@example.com
Please sign indicating that you are truly the Legal Guardian and can legally enroll your student into our public school.

Race and Ethnicity Data
School districts have some Federal and state obligations to report race and ethnicity data about the students in their schools. A school district may request that you provide your child’s race or ethnicity for this purpose.

We are hopeful you will answer the questions so we can update the student's file. We use this information to submit our Civil Rights Data Collection and also submit it to the Arizona Department of Education.
Student Name:

First NameLast Name
Please select one of the following State and Federal questions so we can update your student's files. Is the student Hispanic or Latino?
What is the student's race/ethnicity? (Options from enrollment forms adhering to State and Federal Guidelines are listed below in no particular order.) Please select any that apply.
Why do schools ask for ethnicity?

This information is used by the federal government for a variety of purposes, including monitoring job discrimination and school segregation and determining how to allocate large amounts of federal aid. The Census Bureau has included a question on race in each census since 1790.

If you want to learn more about your rights and the rights of your child when enrolling in public school, or if you believe that a school district is violating Federal law, you may contact the following government agencies:
Department of Justice, Civil Rights Division, Educational Opportunities Section
Telephone: (877) 292-3804 (toll-free)
Fax: (202) 514-8337
Email: education@usdoj.gov

Department of Education, Office for Civil Rights
Telephone: (800) 421-3481
Email: ocr@ed.gov

Release of Student Records
Student Name

First NameLast Name
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Check below if applicable:
Name of prior school
Prior School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Legal Guardian Name

First NameLast Name
Legal Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Is your household at or below the guidelines listed above? (Please select only 1 answer)
If you answered YES on the question above, please list each student attending our school: Name and Grade
I hereby certify that all the above information is true and correct:
Typed Parent/ Guardian Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature

Text Messages
• AZVA/ISAZ will use this tool for outreach purposes.

• Message and data rates may apply.

• You may receive on average 4-7 text messages per month from AZVA/ISAZ.

• If you would like to opt out of receiving text messages at any time, please email infochange@azva.org.
Would you also like to opt your student into receiving text messages?
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Arizona Department of Education

Office of English Language Acquisition Services
Home Language Survey

The responses to this Home Language Survey (HLS) are used by the school to provide the most appropriate instructional programs and services for the student. The answers below will determine if a student will take the Arizona English Language Learner Assessment (AZELLA). Please respond to each of the three questions as accurately as possible. If you need to correct any of your responses, this must be done before the student takes the AZELLA Placement Test.
What language do people speak in the home most of the time?
What language does the student speak most of the time?
What language did the student first speak or understand?
What language do people speak in the home most of the time?
What language does the student speak most of the time?
What language did the student first speak or understand?
Student Name

First NameLast Name
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Legal Guardian Signature
District or Charter: PPEP, INC

School: Arizona Virtual Academy or Insight Academy of Arizona

These HLS questions are in compliance with Arizona Administrative Code (R7-2-306(B)(1),(2)(a-c). (Revised 01-2020)

Office of English Language Acquisition Services
1535 West Jefferson Street • Phoenix, Arizona 85007 • (602) 542-0753 • www.azed.gov/oelas

Acknowledgement of Expectations and School Policies

*Key points from Handbook*
Full Time/Dual Enrollment
Arizona Virtual Academy (AZVA) and Insight Academy of Arizona (ISAZ) are a full-time public charter school program and upon acceptance students may not be enrolled in any other full- or part-time public school. We do not offer part time enrollments.

School Policies
I will review and adhere to all school guidelines outlined in the student handbook.

PROGRESS

Progress is measured by completion of the online curriculum, offline assignments, and submission of work samples.

Attendance
Attendance and progress on non-school days is permitted but not required. Our school is required to track attendance according to state law. Students should plan to spend the following minimum hours per day on course work:

K-3rd grade= 4 hours ~~ 4th-5th grade= 5 hours ~~ 6th-12th grade= 6 hours

Teacher Support
Families are expected to maintain communication with the school and teachers on a regular basis.

Family Contact Information
A working phone number, email address, and current physical, mailing and shipping addresses must be provided throughout school year.

Testing
All students will be required to participate in State Testing according to their grade level. Additional required testing for English Language Learners may occur upon enrollment and in the spring, for qualifying students. State testing is completed in person and it is the family’s responsibility to provide transportation to the testing location. The specific dates, times and locations of the test will be provided in advance. Please note failure to attend may result in your student not being able to attend our school in future years.
Student Name

First NameLast Name
Legal Guardian Name

First NameLast Name
Legal Guardian Signature

Hearing/Vision Screening
The school will be providing screenings at the District Office in Glendale and/or Tempe. (Our offices are moving to Tempe in the middle of the year.)

We will add in other dates/locations throughout the school year.

Each screening takes about 5 minutes and is not required to be completed with us.
Please select one option that you think works best for your family for this school year:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Legal Guardian Signature

Photo Release Form
Legal Guardian Name

First NameLast Name
Photograph, Testimonial and Interview Release

In exchange for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby grant to K12 Inc. its legal representatives, successors and assigns, and those acting with their authority and permission (collectively, "K12") the right and permission to use, re-use, publish, re-publish, and copyright (in K12's own name and otherwise) testimonials (written by me or attributed to me), interviews (written by me or attributed to me), and photographic portraits, pictures, images and/or likenesses of me or in which I may be included (in whole or in part, or composite, or distorted in character or form, without restriction as to changes or alterations), in conjunction with my own or a fictitious name, made through any medium, and in any and all media now or hereafter known throughout the world in perpetuity. All rights, licenses and privileges herein granted to K12 are irrevocable and not subject to rescission, restraint or injunction under any circumstances. I hereby waive any right that I may have to inspect or approve the finished product, or products and the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.

I hereby release, discharge and agree to save harmless K12 from and against any claims, damages or liability arising from or related to the use of any of the aforementioned material, including but not limited to any liability by virtue of any editing, blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking, recording, editing, processing, publishing or distribution of said testimonials, interviews, pictures, portraits, images and/or likenesses including, without limitation, any claims for defamation, invasion of privacy, right of publicity or violation of any other right.

I hereby acknowledge that the compensation provided does not include any monetary compensation or tangible goods or services and that none are due to me for granting this release.

I hereby warrant that I am of full age and have the right to contract in my own name. I have read this release prior to its execution, and I am fully familiar with the contents thereof. This release shall be binding upon me and my heirs, legal representatives, and assigns.
If signing as parent or guardian, I hereby warrant and represent I am the parent or legal guardian of the named minor and have authority to and do hereby consent to this release on his/her behalf and will be responsible for any damages incurred by K12 resulting from the minor's breach or renunciation of this release.
Student Name

First NameLast Name
Legal Guardian Signature
Legal Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Legal Guardian Email
example@example.com

Thank you for completing Step 1 of the Registration Process.

Please click the Submit button below.

Once submitted, it will prompt you to start Step 2 of the Registration Process
Should be Empty:

Step 1 of the Registration Process

Thank you for enrolling with K12 Arizona Schools (AZVA & ISAZ)!

Student Information

Legal Guardian Information

Race and Ethnicity Data

Release of Student Records

Arizona Department of Education Arizona Residency Documentation Form

Text Messages

Arizona Department of Education

Arizona Student Residency Questionnaire

Section A

Note: If you checked "No" to the temporary living arrangement, you may STOP here. If you checked "Yes", please continue to the next section.

Section B

Acknowledgement of Expectations and School Policies

Hearing/Vision Screening

Photo Release Form