Curriculum Form

Curriculum Platform Information
Please complete this form to help the Ordering Team collect required information for Curriculum Platforms.
Select your platform*
Student Name*

First NameLast Name
Student Local ID*
Student DOB*

MonthDayYear
Date
Student Email *
example@example.com
Is the student new or returning to platform?*
If returning, please list the student's USERNAME or NET ID from the platform. >> For SVHS, a username is required even if student is new to platform*
Course Start Date*

MonthDayYear
Date
May the platform share student work?*
Courses being requested (please list A/B sections as needed)*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Your Homeschool Teacher*

First NameLast Name
Please select your HSTs email address from the dropdown (please ensure it matches the name you typed above)*
Any other information you would like to include?
Required forms have been signed for this vendor & student 2025/2026: https://heartland.jotform.com/213065313367047*

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Should be Empty:

Curriculum Platform Information