SPA Application

Thank you for your interest in Stem Prep Academy!

Please visit our website at www.letsgostem.com for complete information on the admissions process. Parents and guardians are free to contact us at info@stempreparatory.org with any questions, you may have prior to or after submitting an application.

If you are interested in touring the school prior to submitting an application you may sign up on our mailing list to be informed of our open houses by visiting our website at www.letsgostem.com by entering your email address and clicking sign up.

Complete the following application in order to officially place your scholar on our enrollment list. You may apply for any year and if your scholar does not get a seat for that year, the application will remain active and eligible to enter once a seat opens up any time in the future. Scholars must be 2.7-5 years old at the time of enrollment. There is a nonrefundable application fee of $50 for each student due upon submission of this application.

For applicants to the school years starting in 2022, 2023, etc... thank you for your early application, you will be contacted at least a year early to attend an open house. Attending an open house and interviewing is a required step in the admissions process.

We look forward to meeting you soon!

Stem Prep Academy Admissions

Childs Name *

First Name Last Name

Childs Name

First Name Last Name

Birth Date *

Month Day Year

Birth Date

Month Day Year

How old will your scholar be on September 1st of the year for which your are applying? *

2.7 3 4 5

How old will your scholar be on September 1st of the year for which your are applying?

2.7 3 4 5

Your Scholars Gender *

Male Female

Your Scholars Gender

Male Female

You are applying for

School Year Only School Year + Summer Camp Afterschool Only Early Drop Off Only Stem Summer Camp Only (6/28-8/20) Pre-k Readiness Camp Only (8/21-8/25) Science Saturday (Oct 2021-May 2022) Every 2nd Saturday 3-4pm Kindergarten, FULL TIME ONLY (Sep 2022, must be 5 by September 1, 2022)

Will you be using state subsidy (CCIS/ELRC) or interested in applying for it? Up to 1/2 of tuition may be covered for financially eligible families *

Yes No

Are you interested in enrolling your scholar in early drop off 7:30-8:30am? *

Yes No

Are you interested in enrolling your scholar in our after-school program until 3:30-6pm? *

Yes No

Select the program(s) you are interested in: *

Full time (830am-3:30 pm) Part time (8:30am-3:30 pm) 2 days/week Part time (8:30am-3:30 pm) 3 days/week Morning 1/2 Day (9-11:30 am) Morning Extended 1/2 Day (9am-12 pm: stay for lunch) Afternoon 1/2 Day (1-3:30 pm) Early Drop off (7:30-8:30 am) After School (3:30-6pm)

Academic School Year *

2021-2022 2022-2023 2023-2024

Has your child ever attended a childcare center or preschool? *

Yes No

If yes, please provide the childcare or preschool name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Area Code Phone Number

Name of Parent or Guardian *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What is the best way to contact you regarding enrollment *

Email Phone Snail Mail

How did you hear about Stem Prep Academy? *

Would you be interested in joining our Parent Association? *

Yes No

Would you be interested in being a SPA Ambassador? *

Yes No

Second Parent? *

Yes No

Name of Parent or Guardian

First Name Last Name

Email

example@example.com

Phone Number

Area Code Phone Number

Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What is the best way to contact you regarding enrollment

Email Phone Snail Mail

Privacy Policy: The information you share on this form is for internal use only and will not be shared with any third parties.

It is the policy of Stem Prep Academy to ensure equal opportunity to services without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, genetic information, illnesses that is not transmitted by casual contact, or any other characteristic protected by law.

Disclaimer
· I understand that the $50 nonrefundable application fee is not a guarantee for enrollment but a request for my application to be considered for enrollment.
· Once my application is submitted I will be placed in line until a seat for my scholar’s age and gender is available. I do not have to reapply each year.
· If I am notified via email or postal mail (as indicated on the above application) when a space is available for my scholar I can then proceed with the enrollment process if I wish to do so at that time. If I choose to decline an invitation to enroll my application may be discarded and I may lose my place in line.
· I understand that once invited to proceed with the enrollment process, enrollment is not guaranteed until the non-refundable deposit is requested and paid along with any other annual fees.

I agree to the proceeding disclaimer *

Yes, I agree No, I do not agree

Admissions

Admissions Application Fee $ 51.80

Our application fee is non-refundable.

Quantity

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Stem Prep Academy Admissions Application