Quantum Academy

Thank you for considering Quantum Academy for your child. This application gives us an opportunity to learn more about your child, your family, and the educational experience you are seeking. Please complete each applicable section thoughtfully and accurately.

Student Information

First Name *

Middle Name

Last Name *

Preferred Name (if different)

Date of Birth *

Grade Applying For *KindergartenFirst Grade

School Year Applying For *

Student’s Current School or Preschool (if applicable)

Current Grade or Program (if applicable)

Has your child previously attended another school or preschool? *YesNo

Previous School or Preschool Name(s)

Parent/Guardian Information

Parent/Guardian 1 — Full Name *

Relationship to Student *

Parent/Guardian 1 — Email Address *

Parent/Guardian 1 — Primary Phone *

Street Address

City

State/Province

ZIP / Postal code

Parent/Guardian 2 — Full Name

Parent/Guardian 2 — Relationship to Student

Parent/Guardian 2 — Email Address

Parent/Guardian 2 — Primary Phone

Street Address

City

State/Province

ZIP / Postal code

Who should receive admissions-related communication? *Parent/Guardian 1Parent/Guardian 2Both

Does the student live with both parents/guardians listed above? *YesNo

If no, please briefly describe the student’s household arrangement and any information we should know regarding parent/guardian communication.

Educational Background

Please briefly describe your child’s previous school, preschool, or learning experience.

What areas of learning does your child enjoy most? *

Are there areas of learning that have been challenging for your child?

Has your child received academic support, intervention, enrichment, or advanced learning opportunities?

Current or Previous School/Preschool Name

Teacher or School Contact (if known)

School/Preschool Phone Number

School/Preschool Email Address (if known)

Getting to Know Your Child

What three words best describe your child? *

What does your child get excited or curious about? *

What do you consider your child’s greatest strengths? *

How does your child typically respond when something is difficult or doesn’t work the first time? *

What is something about your child you wish teachers understood sooner when getting to know them? *

Learning & Support

Has your child received educational supports, services, accommodations, interventions, or therapies? If yes, please briefly explain.

Does your child currently have an IEP, IFSP, 504 Plan, accommodation plan, or similar educational support plan? *YesNo

Is there anything we should know about how your child learns best or what helps them be successful?

Your Family & Quantum Academy

What interested your family in Quantum Academy? *

What do you hope your child will gain from their experience at Quantum Academy? *

What does a strong partnership between your family and your child’s school look like to you? *

Documents, Authorization & Signature

Most Recent Report Card or Progress Report (if available)

No file chosen

Most Recent Academic or Developmental Assessment (if available)

No file chosen

Current IEP, IFSP, 504 Plan, or Accommodation Plan (if applicable)

No file chosen

Other Relevant Educational Evaluations or Reports (if applicable)

Parent/Guardian Electronic Signature *

Date *

Application for Admission

Student Information

Parent/Guardian Information

Educational Background

Getting to Know Your Child

Learning & Support

Your Family & Quantum Academy

Documents, Authorization & Signature