Family Info

Applicant's Name

Address

City

State Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Country (If not USA)

Applicant's Date of Birth

Applicant's Email Address

Applicant's Current Grade

What grade level is the applicant applying for?

Applicant's Current School

Parent 1 Name

Parent 1 Email

Parent 1 Phone

Parent 1 Work Organization, Title

Parent 1 Work Email

Parent 1 Work Phone

Parent 2 Name

Parent 2 Email

Parent 2 Phone

Parent 2 Work Organization, Title

Parent 2 Work Email

Parent 2 Work Phone

Parent Questionnaire

How did you first learn of Renaissance School?

Names of other children, ages, and schools currently attending.

Has your child been accelerated, repeated a grade level, or missed a significant amount of school? If so, please describe the grade or grades and circumstances.

Describe any tutoring and/or counseling your child has received.

Has your child been tested for educational strengths and weaknesses? If so, what tests were administered, when, and by whom?

What do you see as your child's strengths and weaknesses?

Please share with us any thoughts about your child that might further our understanding.

Renaissance School requires an English teacher recommendation from the student's current English teacher. Please provide the contact information, including name and email address, for this recommendation.

English Teacher Name

English Teacher Email

Renaissance School requires a math or science teacher recommendation from the student's current Math or Science teacher. Please provide the contact information, including name and email address, for this recommendation.

Math/Science Teacher Name

Math/Science Teacher Email