IG40521W2 Mail In Form
User Manual: IG40521W2
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Enrollment Forms Packet (EFP)
Please review the information below. Based on your student(s) grade and applicable circumstances, you are required to submit documenta-
tion in order to complete this step in the enrollment process. You can fax, scan and email, or mail the required paperwork .
Important Note: Please send copies, do not mail the original documents
Fax (preferred): Scan and Email: Mail:
1-405-212-4014 OVCAfax@k12.com Oklahoma Virtual Academy
Enrollment Processing Center
2300 Corporate Park Drive
Suite 200
Herndon, VA 20171
Required For? Item Description Provided by?
Authorization for
Use of Electronic
Signatures
Once this document has been completed and signed by the Legal Guardian, you
will be presented with the following digital documents below.
Provided in this
packet
Oklahoma Transfer
Application Please complete this form and submit.
Digitally Signed
Home Language
Survey Please complete and sign this form.
Title VII Student
Eligibility Certica-
tion 506 form
This form must be signed and submitted. If it does not apply to your student, only
include your student’s name and your signature and write “N/A” on the form. If it
is applicable to your student, please complete all sections of the form.
Enrollment Ques-
tionnaire/McKin-
ney-Vento Act
Please complete and sign this form.
Release of Records
By lling out this form, you are giving our school permission to request your
student’s ofcial records from their previous school after the approval process. If
your child was Homeschooled please indicate it on the form, ll out the top por-
tion and sign it.
Proof of Age Ofcial Birth Certicate (not the hospital issued certicate) .
Provided by you
Proof of Residency
Current Utility bill (dated within the past 6 months) OR Tax statement OR Mort-
gage/Rental Agreement statement showing physical address, not post ofce box
OR Voter Registration.
Report Card The most recent Report Card.
Immunization
Record Current Immunization Record.
1st and 3rd Grade
Only
Proof of Vision
Screening This form is required within 30 days of your student’s approval date.
Required for all
10th-11th graders Transcripts
You will need to request a copy of your student’s transcript from your student’s
current school, which will allow your student’s academic standing. This is re-
quired in order to place all 10th and 11th graders.
Required for Stu-
dents that have an
IEP or other Special
Education needs
IEP A copy of your student’s current IEP (Individualized Education Plan). Because the
IEP expires yearly, please submit the current IEP.
Evaluation Team
Report
The Evaluation Team Report is valid for 3 years. If you do not have a copy of
your student’s ETR, please obtain a copy from your student’s current school.
Required for
students that have a
504 plan
504 Accommoda-
tion Plan
A copy of your student’s current 504 Accommodation Plan. Because the 504
expires yearly, please submit the current 504.
Oklahoma Virtual Charter Academy
Enrollment Processing Center
2300 Corporate Park Drive
Suite 200
Herndon, VA 20171
Ph. 866.991.3012
Fx. 405.212.4014
www.k12.com/ovca
AUTHORIZATION FOR USE OF ELECTRONIC SIGNATURE
An electronic signature is recognized as a valid signature under the Uniform Electronic
Transactions Act, 12A O.S. § 15-101 et seq.
By signing this document, I _______________________________ hereby authorize Oklahoma
Virtual Charter Academy, hereinafter “school” to accept all correspondence transmitted by me via
electronic mail from the e-mail address submitted herein, as a valid electronic message from me and I
agree that until I notify school in writing that my e-mail address is changed, all communications sent
out from this address shall be upon my digital signature represented by the following:
/s/ _____________________________ shall be acceptable as a replacement for my written signature.
Parent/Legal Guardian Signature
I understand that I am responsible for notifying the school in the event that my email changes by
mailing an updated signed “Authorization for Use of Electronic Signature” form to the school.
I will not allow another person to utilize my e-mail signature and I am aware that school assumes no
liability for the event or the consequences of another party gaining access to my e-mail account, and
electronically impersonating me.
I understand that I am not guaranteed confidentiality of information that is transmitted electronically
(by e-mail or by FAX), by myself, the school or others. In the event that I request, either by
electronic signature or in writing, that confidential information be transmitted, I release school from
all liability related to the release of the requested information. School will do its utmost to insure
confidentiality of all communication between me and the school.
By signing below, I release school from any responsibility or liability for consequences pertaining to
this request.
__________________________________ ______________________________
Student’s Name Date of Birth
__________________________________ ______________________________
Parent or Legal Guardian’s Name Today’s Date
__________________________________ ______________________________
Street Address Primary E-Mail Address
__________________________________ ______________________________
City State Zip Code Signature
By signing this Authorization for Use of Electronic Signature, all other previous submissions of
this form received by school is invalid.
