Conroe Independent School District

Application for Conroe Virtual School

School Year

Student Information

Please include legal name of student.

Last Name: Required	First Name: Required	Middle Name:

Student ID Number (Lunch Number):	Student's Date of Birth:	Age: Required Student Age Numeric Only
Required
Is your child currently enrolled in CISD?
YesNo

Current School Attending Required		Current Grade for the 2024-2025 School Year Required

Gender: Required
Male Female

Present Address/Phone Number Where Student Resides

Street: Required		City: Required

Zip: Required	Phone Number: Required

Present Address/Phone Number of Parent or Legal Guardian Same as above

Street:		City:

Zip:	Phone Number:

With whom does the student live as a permanent resident? Required
Parents/GuardiansFatherMotherOther

Legal Guardian/Parent Last Name:	Legal Guardian/Parent First Name:	Telephone:

Legal Guardian/Parent Last Name:	Legal Guardian/Parent First Name:	Telephone:

Email Address: Required *	Enter your email address again

Reason for Transfer

Transfer Schools

Which campus are you currently zoned to? (Not Sure? Click Here)	Which school would you like to transfer to? Required
Required
Grade Requested Required

Briefly explain why you want your child to attend the Conroe ISD Virtual Program:

No more than 8,000 characters allowed. (Including empty lines)

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