Silicon STEM Academy Study Hall Application

Thank you for your interest in the Silicon STEM Academy's Study Hall, a safe, supervised, co-learning space for remote students. Applications are now being accepted for the current Fall 2020 session ending December 18th. Registrations can be made on a 2-week, 3-week or monthly basis depending on the calendar and school schedule. All student applications are received and reviewed on a first-come, first-serve basis.

Safety is our #1 concern. Due to the need for physical-distancing, space will be strictly limited to no more than 8 students per Pod. When space is full, all additional submissions will be placed on a waitlist. Your application does not obligate you to complete your registration, nor does it guarantee a space, but does secure your place in line.

This application is non-binding. Your application to STUDY HALL must be approved by Silicon STEM Academy staff prior to registration in order to allow us time to confirm Pod availability. Once approved, you will receive details on how to register accordingly.

Thanks for your interest in Silicon STEM Academy's Study Hall.
Silicon STEM Academy Study Hall Application

A Safe, Supervised Co-Learning Space for Remote Students
Application

By submitting your student/family information you are indicating your interest in reserving a space in Silicon STEM Academy's Study Hall. Once you submit your application, we will review our availability for the most appropriate Pod and notify you regarding next steps.
Indicate the first week that you may like to reserve.

MonthDayYear
Student 1 Information
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Current School *
Current Grade*
Student 2 Information
Student Name

First NameLast Name
Birth Date

MonthDayYear
Current School
Current Grade
Student 3 Information
Student Name

First NameLast Name
Birth Date

MonthDayYear
Current School
Current Grade
Parent/Guardian Information 1
Full Name*

First NameLast Name
Home*

Area CodePhone Number
Cell*

Area CodePhone Number
Work

Area CodePhone Number
E-mail*
Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Information
Which Study Hall option is of most interest to you and your student?*

5 Days a week, 8am - 4pm5 Half-days a week3 Days a week, 8am - 4pm3 Half-days a weekOther
Comments & Questions
Thank you for your interest in the Silicon STEM Academy Study Hall. We will follow up with you shortly regarding your application and any questions.

By submitting this form, you confirm that this information is true and accurate to the best of your knowledge.
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Silicon STEM Academy Study Hall Application

Application

Student 1 Information

Student 2 Information

Student 3 Information

Parent/Guardian Information 1

Other Information