HAA - Enroll Now (Student Application)

Student Application

Application for admission to HA Academy
Number of Students applying*
Student 1 Information
Student Name*

First NameLast Name
For School Term*

FallWinterSpring
Grade Applying For*

Pre-school4th GradeKindergarten5th Grade1st Grade6th Grade2nd Grade7th Grade3rd Grade8th Grade
Are you applying for full-time enrollment?*

YesNo, I want to attend only for specific class(es)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
Shirt size

Youth LSML
Headshot for a school ID photo

Browse Files
Student should be facing the camera, smiling, with a white or neutral background. Please name (save) the photo with your child's first and last name. Cancelof
Mailing Address (packages)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are your child's gifts and strengths?
What brings joy and excitement to your child's life?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student Academic Information

Academic information will help us determine if our services and environment will help your student achieve success. The information will not be used to make automatic admission decisions.

These questions are helpful in making sure HA Academy has the services to meet and support your individual needs. These are not used to disqualify or limit your enrollment.
Last School Attended (Name)
Last School Physical Address
Last School Phone Number
Last School Registrar or Administrator Email
example@example.com
Please attach a picture or copy of an unofficial transcript or most recent report card.

Browse Files

Cancelof
Has your child ever been

SuspendedExpelledAsked to withdrawUnable to complete a grading period due to extended absences
Has your child ever been identified for any of the following

ADD/ADHDGifted/ TalentedBehavioral disorderSpeech/language processingEmotional impairmentPhysical impairmentLearning disorderOther
Does your child have a present IEP?

YesNo
Has your child been arrested, placed on probation, or otherwise charged with a crime (major or minor)?

YesNo
Please explain and provide additional details.
Month-to-month
Do you intend to return to your previous school?

After one monthAfter this school yearOther
Student Information (Month-to-month)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
What are your child's gifts and strengths?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student 2 Information
Student 2 Name*

First NameLast Name
For School Term*

FallWinterSpring
Grade Applying For*

Pre-School4th GradeKindergarten5th Grade1st Grade6th Grade2nd Grade7th Grade3rd Grade8th Grade
Are you applying for full-time enrollment?*

YesNo, I want to attend only for specific class(es)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
Shirt size

Youth LSML
Headshot for a school ID photo

Browse Files
Student should be facing the camera, smiling, with a white or neutral background. Please name (save) the photo with your child's first and last name. Cancelof
Mailing Address (packages)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are your child's gifts and strengths?
What brings joy and excitement to your child's life?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Last School Attended (Name)
Last School Physical Address
Last School Phone Number
Last School Registrar or Administrator Email
example@example.com
Please attach a picture or copy of an unofficial transcript or most recent report card.

Browse Files

Cancelof
Has your child ever been

SuspendedExpelledAsked to withdrawUnable to complete a grading period due to extended absences
Has your child ever been identified for any of the following

ADD/ADHDGifted/ TalentedBehavioral disorderSpeech/language processingEmotional impairmentPhysical impairmentLearning disorderOther
Does your child have a present IEP?

YesNo
Has your child been arrested, placed on probation, or otherwise charged with a crime (major or minor)?

YesNo
Please explain and provide additional details.
Month-to-month
Do you intend to return to your previous school?

After one monthAfter this school yearOther
Student Information (Month-to-month)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
What are your child's gifts and strengths?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student 3 Information
Student 3 Name*

First NameLast Name
For School Term*

FallWinterSpring
Grade Applying For*

Pre-School4th GradeKindergarten5th Grade1st Grade6th Grade2nd Grade7th Grade3rd Grade8th Grade
Are you applying for full-time enrollment?*

YesNo, I want to attend only for specific class(es)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
Shirt size

Youth LSML
Headshot for a school ID photo

Browse Files
Student should be facing the camera, smiling, with a white or neutral background. Please name (save) the photo with your child's first and last name. Cancelof
Mailing Address (packages)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are your child's gifts and strengths?
What brings joy and excitement to your child's life?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student Academic Information

Academic information will help us determine if our services and environment will help your student achieve success. The information will not be used to make automatic admission decisions.

These questions are helpful in making sure HA Academy has the services to meet and support your individual needs. These are not used to disqualify or limit your enrollment.
Last School Attended (Name)
Last School Physical Address
Last School Phone Number
Last School Registrar or Administrator Email
example@example.com
Please attach a picture or copy of an unofficial transcript or most recent report card.

Browse Files

Cancelof
Has your child ever been

SuspendedExpelledAsked to withdrawUnable to complete a grading period due to extended absences
Has your child ever been identified for any of the following

ADD/ADHDGifted/ TalentedBehavioral disorderSpeech/language processingEmotional impairmentPhysical impairmentLearning disorderOther
Does your child have a present IEP?

YesNo
Has your child been arrested, placed on probation, or otherwise charged with a crime (major or minor)?

YesNo
Please explain and provide additional details.
Month-to-month
Do you intend to return to your previous school?

After one monthAfter this school yearOther
Student Information (Month-to-month)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
What are your child's gifts and strengths?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student 4 Information
Student 4 Name*

First NameLast Name
For School Term*

FallWinterSpring
Grade Applying For (7th and 8th: Full)*

Pre-School4th GradeKindergarten5th Grade1st Grade6th Grade2nd Grade7th Grade3rd Grade8th Grade
Are you applying for full-time enrollment?*

YesNo, I want to attend only for specific class(es)
Student Email
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
Shirt size

Youth LSML
Headshot for a school ID photo

Browse Files
Student should be facing the camera, smiling, with a white or neutral background. Please name (save) the photo with your child's first and last name. Cancelof
Mailing Address (packages)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are your child's gifts and strengths?
What brings joy and excitement to your child's life?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Student Academic Information

Academic information will help us determine if our services and environment will help your student achieve success. The information will not be used to make automatic admission decisions.

These questions are helpful in making sure HA Academy has the services to meet and support your individual needs. These are not used to disqualify or limit your enrollment.
Last School Attended (Name)
Last School Physical Address
Last School Phone Number
Last School Registrar or Administrator Email
example@example.com
Please attach a picture or copy of an unofficial transcript or most recent report card.

Browse Files

Cancelof
Has your child ever been

SuspendedExpelledAsked to withdrawUnable to complete a grading period due to extended absences
Has your child ever been identified for any of the following

ADD/ADHDGifted/ TalentedBehavioral disorderSpeech/language processingEmotional impairmentPhysical impairmentLearning disorderOther
Does your child have a present IEP?

YesNo
Has your child been arrested, placed on probation, or otherwise charged with a crime (major or minor)?

YesNo
Please explain and provide additional details.
Month-to-month
Do you intend to return to your previous school?

After one monthAfter this school yearOther
Student Information (Month-to-month)
Student Email*
example@example.com
Birthday*

MonthDayYear
Date
Gender*

FemaleMale
What are your child's gifts and strengths?
Please share anything else that is important to the life and well-being of your child so that we might promote their success.
Family Information
Parent/Guardian 1 Information
Parent/ Guardian 1 Name*

First NameLast Name
Legal Custody*

YesNo
Parent Email*
example@example.com
Phone Number*
Occupation
Parent/Guardian 2 Information
Parent/ Guardian 2 Name

First NameLast Name
Legal Custody

YesNo
Parent Email
example@example.com
Phone Number
Occupation
School Referral Source
How did you hear about HA Academy?*
What attracted you to HA Academy?
Why are you seeking a new school for your child?
What is your family looking for in their school community?
Thank you for entrusting us with your student.
You will not be able to edit the application information after pressing submit.
Your application will be complete upon receipt of your enrollment fee of $140 per pre-school student and $570 per K-8 student.
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Should be Empty:

Student Application

Student 1 Information

Student Academic Information

Month-to-month

Student Information (Month-to-month)

Student 2 Information

Month-to-month

Student Information (Month-to-month)

Student 3 Information

Student Academic Information

Month-to-month

Student Information (Month-to-month)

Student 4 Information

Student Academic Information

Month-to-month

Student Information (Month-to-month)

Family Information

Parent/Guardian 1 Information

Parent/Guardian 2 Information

School Referral Source