All forms are in PDF format unless otherwise noted.
1st Year Regional Academy Application Forms
- Parent/Guardian and Student Commitment Form
- Teacher Recommendation Form聽(online form)
- Community Leader Recommendation Form聽(online form)
- Under 18 Parent Signature Form
- Dual Enrollment- HB1184 Declaration of Intent Form
- Information Release Form (FERPA)听(辞辫迟颈辞苍补濒)
2nd Year Regional Academy Application Forms
Contact Us
Dr. Kathryn H. Beard
Dual Enrollment Coordinator
kbeard@virginiawestern.edu
聽Fishburn Hall F125C
听540-857-7235
Fax:听540-857-6478
Mailing Address:
3093 Colonial Ave SW
Roanoke, VA 24015
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