VIRGINIA STANDARD HIGH SCHOOL DIPLOMA PROGRAM
Name _____________________________________________________ Date _______________________
Address _______________________________________________________________________________
Phone Number _____________________Place of Birth ______________________ D.O.B. _____________
Employment Information ___________________________________________________________________
Social Security Number ____________________________________________________________________
Previous High School Attended ______________________________________________________________
Credits Needed ___________________________________________________________________________
(I understand I will be required to furnish a transcript from my previous high school.)
I would like my Standard Virginia High School Diploma issued from
_____ Galax High School SOL Date Passed
_____ Grayson County High School (Eng.)______________
_____ Carroll County High School (Eng.)______________
_____ Computer Competencies Complete ___________________
___________________
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I wish to register for the following courses:
English - Tuesday Social Studies - Thursday
_____English 9 _____ English 10 _____ World History _____ World Geography
_____English 11 _____ English 12 _____ U.S. History _____ U.S. Government
_____Creative Writing _____ Psychology
Math - Friday Science - Wednesday
_____ Algebra I/Part 1 _____ Earth Science
_____ Algebra I/Part 2 _____ Biology I
_____ Algebra I _____ Biology II (Anantomy / Physiology)
_____ Geometry/Part 1 _____ Biology II (Ecology)
_____ Geometry/Part 2
_____ Geometry
_____ Algebra II/Trigonometry
Patricia Sebens, Guidance Director
Galax High School
Adult Education Program
200 Maroon Tide Drive,
Galax, VA 24333
Phone: (276) 236-2991
Fax:( 276) 236-8011