APPLICATION FOR ADMISSION
EDELWEISS PRIVATE ACADEMY "Reaching for the Top"
Student's Full Name
Sex:
Male
Female
Non - Binary
Students Date Of Birth (D/M/Y)
Student's Primary Residence
Parent/Guardian # 1 (Full Name)
Relation To The Student
Mother
Father
Adoptive Parent/Guardian
Foster Parent/Guardian
Other
Parent/Guardian #1 (Home Address)
Home Phone Number
Cell Phone Number
Work Phone Number
Parent/Guardian # 1 - Email Address
Parent/Guardian # 2 (Full Name)
Relation To The Student
Mother
Father
Adoptive Parent/Guardian
Foster Poster/Guardian
Other
If other, please explain.
Parent/Guardian #2 ( Home Address)
Home Phone Number
Cell Phone Number
Work Phone Number
Parent/Guardian # 2 ( Email Address)
Legal Custody of Child
Parents/Guardians Together
Mother
Father
Joint
Other
If other, please explain.
Family Marital Status
Married/Together
Divorced
Seperated
Single
Other
If other, please explain.
Student's Language Spoken At Home
Student's Primary Understood Language
Has your student previously been enrolled in school/preschool?
YES
NO
Please state your child's previous school.
Please outline any unique behaviours your child exhibits
What are your main concerns academically?
What grade level is your learner currently at?
What are your main concerns socially?
What areas would you like us to focus most on while in school?
Please state your preferred date for enrollment?
Are there any other concerns or comments you would like to mention?
Do you have funding? If so, please select the option below?
OAP Core Funding
OAP Legacy Funding
Other ( If other, please explain below)
If other, please explain.
How did you hear about us?
Friends
Social Media
Google Search
Other
If other, please specify.
Please include any additional information you would like us to know.
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