Family Interest form (Pre-Application)Interested in joining our program? Fill out some info and we will be in touch! Parent Name * First Name Last Name Parent Email * Parent Phone * (###) ### #### What programs are you interested in? * Enrichment Core Support Student #1 Name * Student #1 DOB * MM DD YYYY Student #2 Name Student #2 DOB MM DD YYYY What are your reasons for seeking a homeschool hybrid or enrichment program? * Describe your child’s personality, strengths, and challenges. * How does your family support social-emotional learning at home? * What are your expectations from this program? * Have there been any previous concerns from educators about your child’s behavior or academics? * Yes No Has your child ever had difficulty in a group learning environment? If so, what helped? * Does your child currently have any support plans (IEP, 504, therapy, accommodations)? * Yes No Can your child use the restroom fully independently? * Yes No Thank you!
