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?

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

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* 3. When would your child like to start?

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

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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?

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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. Members pay a $747 enrollment fee upon enrollment and a yearly membership fee of $8470, which can be paid in full or in 10 monthly installments (and is pro-rated if joining during the academic year).  We do offer a limited number of partial scholarships for special cases.  Would you like to request to be considered for one of the partial scholarships?

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

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