Virtual Education Application & Renewal Virtual Education Application & Renewal Form 2020-21 Virtual Education Program Application & Renewal Form This form serves as the “letter of intent” for Wyoming school districts to seek approval to become virtual education providers as well as the renewal application for districts with programs approved in the previous school year. The form should be completed and submitted by the school district Virtual Education Coordinator. School District * Albany County School District #1 Big Horn County School District #1 Big Horn County School District #2 Big Horn County School District #3 Big Horn County School District #4 Campbell County School District #1 Carbon County School District #1 Carbon County School District #2 Converse County School District #1 Converse County School District #2 Crook County School District #1 Fremont County School District #1 Fremont County School District #2 Fremont County School District #6 Fremont County School District #14 Fremont County School District #21 Fremont County School District #24 Fremont County School District #25 Fremont County School District #38 Goshen County School District #1 Hot Springs County School District #1 Johnson County School District #1 Laramie County School District #1 Laramie County School District #2 Lincoln County School District #1 Lincoln County School District #2 Natrona County School District #1 Niobrara County School District #1 Park County School District #1 Park County School District #6 Park County School District #16 Platte County School District #1 Platte County School District #2 Sheridan County School District #1 Sheridan County School District #2 Sheridan County School District #3 Sublette County School District #1 Sublette County School District #9 Sweetwater County School District #1 Sweetwater County School District #2 Teton County School District #1 Uinta County School District #1 Uinta County School District #4 Uinta County School District #6 Washakie County School District #1 Washakie County School District #2 Weston County School District #1 Weston County School District #7 Virtual Education Program Name (School District may be used if no specific program name) * Brief description of the Virtual Education Program being proposed or renewed. Please include the main purpose for the program and the main method of course delivery. This description will be used on the Virtual 307 website and may be edited by the WDE as needed. * Virtual Education Program Type (select all that apply) * Full-time (more than 50% of a student’s education program) Part-time (less than 50% of a student's education program) Statewide (students may participate in the program regardless of where they live in the state) District Level (only students who live in the district can take the virtual education courses being proposed or offered) Other (regional area or other configurations besides district only or statewide)Other (regional area or other configurations besides district only or statewide) Describe the program configuration Virtual Education Program Grade Levels (select all that apply) * Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Link to Virtual Education Program website (if one exists) Virtual Education Program Contact Name (This would be the person contacted for program information including course registration, completing an application for participation, etc. Typically this would be the same person identified as the Virtual Education Coordinator for the school district but it doesn’t have to be.) * Virtual Education Program Contact Title * Virtual Education Program Contact Email Address * Virtual Education Program Contact Phone Number * If different than the Virtual Education Program contact listed above, provide the contact information for the individual within the school district who assumes primary responsibility for the program (first and last name, position/title, email address and telephone number) Tell Us About the Virtual Education Program Details Program start date (first day of classes for the 2020-21 school year) * Estimated number of part-time students * Estimated number of full-time students * The above estimate(s) are based on * A needs assessment Prior enrollment statistics Estimated number of part-time teachers * Estimated number full-time teachers * Maximum allowed student to teacher ratios * Teacher’s course load * Teachers will be * Employed by the school district Employed by the vendor courses are purchased from Employed by a combination of the school district and the vendor(s) Proposed number of course offerings * Curriculum Type * Courses will be purchased from a vendor Courses will be developed within the district Combination of both purchased and district-developed Name of virtual education course vendor(s) and accreditation information (name of accrediting agency and date of accreditation). * Description of course completion requirements, including for early completion prior to the end of the term. If course completion requirements vary by grade level or content area, provide that information. * This is a * Letter of intent to apply for a virtual program for the first time Annual renewal application Please upload the Virtual Education Statement of Assurance (if available) Drop a file here or click to upload Choose File Maximum upload size: 52.43MB Optional space for questions, comments or additional information. Submit If you are human, leave this field blank.