1st-8th Grade Screening Form

Student's Full Name *

Date of Birth *

Gender *

Current Grade *

Grade at Entrance *

Add Another ChildAdd Another Child

Student's Full Name *

Date of Birth *

Gender *

Current Grade *

Grade at Entrance *

Add Another ChildAdd Another Child

Student's Full Name *

Date of Birth *

Gender *

Current Grade *

Grade at Entrance *

Add Another ChildAdd Another Child

Student's Full Name *

Date of Birth *

Gender *

Current Grade *

Grade at Entrance *

Anticipated Enrollment Date *

Mother's Full Name *

Father's Full Name *

Email Address *

Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Previous School *

Your child's previous school may be contacted to confirm academic and conduct records.

Add Another Child's Previous SchoolAdd Another Child's Previous School

Previous School *

Add Another Child's Previous SchoolAdd Another Child's Previous School

Previous School *

Add Another Child's Previous SchoolAdd Another Child's Previous School

Previous School *

Add Another Child's Previous SchoolAdd Another Child's Previous School

Previous School *

Does your child(ren) have any special needs? If yes, please explain.0 / 180

Student Records

Please upload a copy of your student's most recent report card, academic evaluation and/or SAT scores.

Is there anything else you'd like us to know?

1st-8th Screening Form