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
2 digit month, 2 digit day, 4 digit yearDate
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
2 digit month, 2 digit day, 4 digit yearDate
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.Format: (000) 000-0000.
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
Should be Empty:

Curriculum Platform Information