Thank you for your interest in Virtual Learning Academy Charter School. Please fill out the application below with your information.

Once you click on "Submit", your student and parent/guardian account(s) will be created, and you will then be taken to a page where you can select the courses you would like to be enrolled in. Emails with account information and additional instructions will be sent to the student and parent/guardian. If you do not see these emails within 30 minutes, please check your SPAM folders.
If you have any questions, you can contact us at 6037782500 or via email at no-reply@vlacs.org.

Student Information
First Name: Preferred Name:
Middle Name: Date of Birth:
Last Name: Sex:
Race:
Notes:    
 

Address
Street: Address (Mailing):
State: State (Mailing):
City: City (Mailing):
ZIP: ZIP (Mailing):
NH Town of Residence (only if different from above): Country (Mailing):
Email: State of Birth:
Town of Birth:
Phone: Primary Language:
Second Phone:    
   

Academic
School: Physical School Affiliation:
Grade Level:
Year of 8th Grade Graduation:
District: Guidance Counselor:
Expected Graduation: English student learner:

Guardians
Guardian 1 Guardian 2
Last Name: Last Name:
First Name: First Name:
Email: Email:
Phone: Phone:
2nd Phone: 2nd Phone:

Additional Information
IEP: Section 504: