Tour Application for Inspired Learning Academy

To be completed by parent or guardian

Please fill out the following form to the best of your knowledge. We appreciate your honesty. It helps us to discuss potential issues up front and make sure we're all on the same page in finding the best fit for your family and for the center.

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* 1. What is your child's name, birthdate and current grade?

Name

Birthdate

Current Grade

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* 2. How did you find out about Inspired Learning Academy?

Referral from a friend

Internet Search Engine

Drove by

Other

Please specify.
If Internet search, what keywords did you search on? If referred, who referred you?

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* 3. When would your child like to start?

January 11th, 2022 (2nd Semester 2021-2022 School Year)

First Day of 2022-2023 School Year (August)

Other (please specify)

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* 4. What attracts you most to Inspired Learning Academy?

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* 5. Describe your child's prior schooling/homeschooling. What worked? What didn't work?

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* 6. Tell us about your child. Personality? Challenges? Interests? Ambition?

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* 7. Has your child ever been suspended or expelled from any school or facility?

Yes

If yes, please elaborate.

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* 8. Why do you think Inspired would be a good fit for your child's needs? What do you most want your child to get from his/her experience here?

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* 9. Families pay a $350 enrollment fee upon enrollment and a yearly tuition of $9470, which can be paid in full or in 10 monthly installments (and is pro-rated if joining during the academic year). Please indicate your acknowledgment of our fees.

Don't acknowledge

Acknowledge

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* 10. Please provide your contact information and we will follow up with you to discuss next steps.

Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number