Symptom Screener

1900 New Castle Street
Charlotte, NC 28216
Courier #: 499
P: 980-343-3066  |  F: 980-343-3069 
Principal: John Cline
LC: Central 2
Bell Schedule: 7:15 AM - 2:15 PM
Grades: 9-12
Email School
Show School Information
CMVHS Prospective Student Information Form

​​This NOT an enrollment form.  Once you complete this form, we require that you attend an information session on our campus where you will be informed of the next steps in the enrollment process.  Information Session dates are published on our school calendar located on the main page of this website. 

Attach FileAttach File

Term student applying for *

Student Last Name *

Student First Name

Entering Grade *

Enrollment Status *

Previous School *

Student ID Number

Home School *

Student Email Address *

Student Phone

Parent/Guardian Name(s) *

Parent/Guardian Phone(s) *

Parent/Guardian Email *

Are you willing and excited to learn new things? *

Are you self-motivated and self-disciplined? *

Do you manage your time well? *

Are you able to learn without the face-to-face interactions found in a traditional classroom? *

Do you communicate well through writing? *

Are you able to think ideas through before you write/respond? *

Do you ask for help when you need it? *

Do you set goals and take responsibility for your own learning? *

Do you have the technical skills required for online learning? *

Are you willing to invest time and effort to succeed in the online environment? *

Do you organize your time and space in order to optimize your chances for success? *

Have you ever successfully completed an online class?

Please briefly describe why you would like to enroll in the Charlotte-Mecklenburg Virtual High School.


Charlotte-Mecklenburg Schools
P.O. Box 30035
Charlotte, NC 28230-0035
Phone: 980-343-3000
The Charlotte-Mecklenburg Schools website ( is in compliance with Section 504 of the Rehabilitation Act and Title II of the Americans with Disabilities Act. Any website accessibility concerns may be brought via the following, Email the Web Accessibility Team at WebAccessibility or Call: 980.343.0115. In compliance with Federal Law, Charlotte-Mecklenburg Schools administers all education programs, employment activities and admissions without discrimination against any person on the basis of gender, race, color, religion, national origin, age, or disability. Inquiries regarding compliance with Title IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex in education programs or activities, may be referred to the District's Title IX Coordinator at titleixcoordinator or to the Office for Civil Rights, United States Department of Education.