The Beverly Institute

E/Learning Center for Florida Virtual School

1236 McDuff Ave. South, Suite # 201

Jacksonville, FL 32205

Office: 904.647.6892             Student Line: 904.647.6894

Fax: 904.647.6896

admin@thebeverlyinstitute.com

www.thebeverlyinstitute.com

 

 


Text Box: Mommy and Me Program

G.E.D. Assistance

Before and After School Program

Summer School Program

Counseling

Tutoring

Home-Schooling Assistance

Community Service Hours Available

Request of Records

Text Box: Date: ____________________________

School Name: _____________________________________

Attention: ________________________________________
	
Fax Number: _____________________________________

From: 	Mrs. Dewberry

Fax: 	904-647-4896

The following student is enrolling into our school for the school year 2008-2009.  Please mail or fax their records. 

Student Information

Student Name: ______________________________________
D.O.B.: ____________________________________________
Student Number: ____________________________________
Parent Name: _______________________________________
School Year Student Attended: ________________________


o	Current Transcript
o	Current Report Card
o	Test Scores (SAT/FCAT)
o	Immunization Records
o	Birth Certificate