Kentucky Department of Education Kentucky Virtual High School Spring 2010 Registration **Registration for KET KVHS Courses** If you are registering for AP Physics B, AP Latin Literature, Honors Physics, Physics I, German I, II, III or Latin I, II, III, IV please go to the KET /KVHS Registration Only complete the form below if you are registering for one of our many other KVHS Course offerings. Student Name First MI Last 10 Digit SSID Number (For security reasons, do not enter social security numbers) What's This? Home Address City State Zip Home Phone (including area code) E-mail Address District Adair County Allen County Anchorage Independent Anderson County Ashland Independent Augusta Independent Ballard County Barbourville Independent Bardstown Independent Barren County Bath County Beechwood Independent Bell County Bellevue Independent Berea Independent Boone County Bourbon County Bowling Green Independent Boyd County Boyle County Bracken County Breathitt County Breckinridge County Bullitt County Burgin Independent Butler County Caldwell County Calloway County Campbell County Campbellsville Independent Carlisle County Carroll County Carter County Casey County Caverna Independent Christian County Clark County Clay County Clinton County Cloverport Independent Corbin Independent Covington Independent Crittenden County Cumberland County Danville Independent Daviess County Dawson Springs Independent Dayton Independent East Bernstadt Independent Edmonson County Elizabethtown Independent Elliott County Eminence Independent Erlanger-Elsmere Independent Estill County Fairview Independent Fayette County Fleming County Floyd County Fort Thomas Independent Frankfort Independent Franklin County Fulton County Fulton Independent Gallatin County Garrard County Glasgow Independent Grant County Graves County Grayson County Green County Greenup County Hancock County Hardin County Harlan County Harlan Independent Harrison County Hart County Hazard Independent Henderson County Henry County Hickman County Hopkins County Jackson County Jackson Independent Jefferson County Jenkins Independent Jessamine County Johnson County Kenton County Knott County Knox County LaRue County Laurel County Lawrence County Lee County Leslie County Letcher County Lewis County Lincoln County Livingston County Logan County Ludlow Independent Lyon County Madison County Magoffin County Marion County Marshall County Martin County Mason County Mayfield Independent McCracken County McCreary County McLean County Meade County Menifee County Mercer County Metcalfe County Middlesboro Independent Monroe County Montgomery County Monticello Independent Morgan County Muhlenberg County Murray Independent Nelson County Newport Independent Nicholas County Ohio County Oldham County Owen County Owensboro Independent Owsley County Paducah Independent Paintsville Independent Paris Independent Pendleton County Perry County Pike County Pikeville Independent Pineville Independent Powell County Pulaski County Raceland Independent Robertson County Rockcastle County Rowan County Russell County Russell Independent Russellville Independent Science Hill Independent Scott County Shelby County Silver Grove Independent Simpson County Somerset Independent Southgate Independent Spencer County Taylor County Todd County Trigg County Trimble County Union County Walton-Verona Independent Warren County Washington County Wayne County Webster County West Point Independent Whitley County Williamsburg Independent Williamstown Independent Wolfe County Woodford County Kentucky School for the Blind Kentucky School for the Deaf Other: Private School Other: Home School School Name Have you taken a KVHS course before? Yes No Parent/Guardian Information Parent Name (First and Last) Parent Phone (including area code) Parent e-mail address School Counselor/KVHS School Contact Information Counselor/School Contact Name (First and Last) Counselor/School Contact Phone (including area code) Counselor/School Contact e-mail address Person completing this form is Student Parent/Guardian Counselor/School Contact Other PO Number (Please type in "Student Pay" if student is responsible for the cost of the course) *Please verify that all fields are complete and correct before submitting registration information. Click Continue to select KVHS courses
Spring 2010 Registration
Student Name
First MI Last
10 Digit SSID Number (For security reasons, do not enter social security numbers)
What's This?
Home Address
City State Zip
Home Phone (including area code)
E-mail Address
District
Adair County Allen County Anchorage Independent Anderson County Ashland Independent Augusta Independent Ballard County Barbourville Independent Bardstown Independent Barren County Bath County Beechwood Independent Bell County Bellevue Independent Berea Independent Boone County Bourbon County Bowling Green Independent Boyd County Boyle County Bracken County Breathitt County Breckinridge County Bullitt County Burgin Independent Butler County Caldwell County Calloway County Campbell County Campbellsville Independent Carlisle County Carroll County Carter County Casey County Caverna Independent Christian County Clark County Clay County Clinton County Cloverport Independent Corbin Independent Covington Independent Crittenden County Cumberland County Danville Independent Daviess County Dawson Springs Independent Dayton Independent East Bernstadt Independent Edmonson County Elizabethtown Independent Elliott County Eminence Independent Erlanger-Elsmere Independent Estill County Fairview Independent Fayette County Fleming County Floyd County Fort Thomas Independent Frankfort Independent Franklin County Fulton County Fulton Independent Gallatin County Garrard County Glasgow Independent Grant County Graves County Grayson County Green County Greenup County Hancock County Hardin County Harlan County Harlan Independent Harrison County Hart County Hazard Independent Henderson County Henry County Hickman County Hopkins County Jackson County Jackson Independent Jefferson County Jenkins Independent Jessamine County Johnson County Kenton County Knott County Knox County LaRue County Laurel County Lawrence County Lee County Leslie County Letcher County Lewis County Lincoln County Livingston County Logan County Ludlow Independent Lyon County Madison County Magoffin County Marion County Marshall County Martin County Mason County Mayfield Independent McCracken County McCreary County McLean County Meade County Menifee County Mercer County Metcalfe County Middlesboro Independent Monroe County Montgomery County Monticello Independent Morgan County Muhlenberg County Murray Independent Nelson County Newport Independent Nicholas County Ohio County Oldham County Owen County Owensboro Independent Owsley County Paducah Independent Paintsville Independent Paris Independent Pendleton County Perry County Pike County Pikeville Independent Pineville Independent Powell County Pulaski County Raceland Independent Robertson County Rockcastle County Rowan County Russell County Russell Independent Russellville Independent Science Hill Independent Scott County Shelby County Silver Grove Independent Simpson County Somerset Independent Southgate Independent Spencer County Taylor County Todd County Trigg County Trimble County Union County Walton-Verona Independent Warren County Washington County Wayne County Webster County West Point Independent Whitley County Williamsburg Independent Williamstown Independent Wolfe County Woodford County Kentucky School for the Blind Kentucky School for the Deaf Other: Private School Other: Home School
School Name
Have you taken a KVHS course before?
Yes No
Parent Name (First and Last)
Parent Phone (including area code)
Parent e-mail address
School Counselor/KVHS School Contact Information
Counselor/School Contact Name (First and Last)
Counselor/School Contact Phone (including area code)
Counselor/School Contact e-mail address
Person completing this form is
Student Parent/Guardian Counselor/School Contact Other
*Please verify that all fields are complete and correct before submitting registration information. Click Continue to select KVHS courses