To complete the selection form in Spanish please select Spanish from the language box to the right.
Para completar esta forma en español, seleccione Español en el cuadro a la derecha.
 
Thank you for your interest in virtual online learning for the 2021-2022 school year.  Virtual classes will be offered through PXU Digital Academy, our online high school.  You will need to complete a brief two-step process to finish your selection. 

Please answer the questions below and click submit to complete Step 1 of selecting virtual online learning, whether temporarily for the school year or longer.  A campus team member will then contact you to provide information on completing Step 2 of the process.

We understand the importance of our students being on campus, engaged in person with their teachers, friends, clubs and other activities. When supply becomes available, Phoenix Union (PXU) will continue to host vaccination events for students, families, and the general community. We will provide an update on vaccinations in May.

*Required information:

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Would you change your selection to in-person learning if your child had access to the COVID-19 vaccine?

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Student's PXU Student ID Number (optional, this will help us identify your student)

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* Parent or Guardian First Name

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* Parent or Guardian Last Name

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* Parent or Guardian Telephone (xxx-xxx-xxxx)

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Parent or Guardian Email Address.
We will send an email to this email address confirming your selection request has been received.

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* Student First Name

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Student Middle Name / Initial

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* Student Last Name

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* Student Date of Birth (mm/dd/yyyy).

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* Grade Level This School Year 20-21

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* By clicking below you are confirming your selection for virtual online classes only offered through PXU Digital Academy for the 2021-2022 school year (as a reminder this is the first step of the process). Selecting this option means the student will not attend classes on campus. You may transition your student back to in-person learning by contacting your student’s school which will provide guidance on the best time academically to make the change. *If your student is a senior this coming school year, your student may choose whether he, she, or they graduate and receive a diploma from the home school or PXU Digital Academy.

You also acknowledge that you are a parent (per birth certificate) or legal guardian (per court order) and have educational rights to make this choice for your child.

After clicking Yes, please click Submit at the bottom of this form.

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For Staff Use Only:

If this selection request was completed by a Phoenix Union staff member on behalf of a parent or guardian based on their verbal or written request, please enter your information:

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