Multi-Course Application Form

1
Thank you for your interest in our FREE STEAM courses!

It is our mission to make STEAM training accessible for all students. Due to high demand, this application does not guarentee a space on the course.

As a grant funded Non-Profit we are required to collect certain demographic information. In order to process your application we will need:

1. Your Home Address

2. Your Annual Household Income

3. Your Household Size
2
What type of courses are you interested in?
K-8 Courses
Adult Courses (16+)
3
What Grade is Your Child in?* This field is required.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
4
Grade Band
5
Note to Kindergarten Students

Please only complete this application if your student has completed Kindergarten and is now in 1st Grade. It is important they are familiar and comfortable with the expectations of a classroom environment.

We will be offering classes for Kindergarten students in the New Year.

Thank you,

The APS Team
6
Which Location would you like your child to attend?* This field is required.APS Training Academy - K-8th Grade Main Baptist Church and Sacred Heart School - 1st-5th Grade
APS Training Academy - 105 E Galena Blvd, 2nd Floor
Main Baptist Church - 814 E Galena Blvd, Door 3
Sacred Heart School - Fulton St, Aurora
7
Location
8
1st-5th Grade Students ONLY

Currently we are only able to offer 1st-5th grade courses at the location you selected.

The APS Training Academy location may have more grade options.
Click "Previous" to change your location.
9
Kindergarten Courses at APS Training Academy
10
K-2nd Grade Courses at APS Training Academy
11
3rd-5th Grade Courses at APS Training Academy
12
6th-8th Grade Courses at APS Training Academy.
13
1st-5th Grade Courses at Main Baptist Church
14
1st-5th Grade Courses at Sacred Heart School
15
Adult CoursesAll adult courses take place at APS Training Academy (105 E Galena Blvd, 4th Floor)
16
Chosen Course and Date
17
Course
18
Course Month
19
Course Start Date
20
What is the Name of the Student taking the course?* This field is required.
First Name
Last Name
21
What is their Gender?* This field is required.
Male
Female
22
What is their Date of Birth?* This field is required.
Month
Day
Year
Date of Brith
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
Date of Brith
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
23
What is their Race/Ethnicity* This field is required.
African American/Black
American Indian/Alaska Native
Asian
Hispanic/Latino
Native Hawaiian/Other Pacific Islander
White Caucasian
Other Multi Racial
Prefer not to answer
24
Girls Only Course

This class is for girls only.

Please only apply if your student is female.

Thank you.

The APS Team
25
What School District Does Your Child Attend?
Please Select
Please Select
D129
D131
D204
D308
Homeschooled
Aurora Private School
My Child's School District is not listed
26
What School Do they Attend? (D129)
Please Select
Please Select
Early Learning Academy
Freeman Elementary School
Greenman Elementary School
Hall Elementary School
Hill Elementary School
McCleery Elementary School
Smith Elementary School
Herget Middle School
Jefferson Middle School
Washington Middle School
West Aurora High School
Blackhawk Academy
Hope D. Wall
My child's school is not listed
27
What School Do they Attend? (D131)
Please Select
Please Select
Aries "Jaybird" Gonzalez Child Center
Early Childhood Center
Allen Elementary
Bardwell Elementary
Beaupre Elementary
Brady Elementary
Dieterich Elementary
Gates Elementary
Hermes Elementary
Johnson Elementary
Krug Elementary
O'Donnell Elementary
Oak Park Elementary
Rollins Elementary
Cowherd Middle School
Simmons Middle School
Waldo Middle School
East Aurora Extension
East Aurora High School
Benavides STEAM Academy
Fred Rodgers Magnet Academy
Hope D. Wall School
Dunham STEM Partnership School
My child's school is not listed
28
What School Do they Attend? (D204)
Please Select
Please Select
Georgetown Elementary School
Combert Elementary School
Gwendolyn Brooks Elementary
McCarty Elementary
Steck Elementary
Young Elementary
Granger Middle School
Still Middle School
Fischer Middle School
Metea Valley High School
Waubonsie Valley High School
My child's school is not listed
29
What School Do They Attend? (D308)
Please Select
Please Select
Homestead Elementary School
The Wheatlands Elementary School
Wolf's Crossing Elementary School
Bedmarcik Jr High School
My child's school is not listed
30
What School Do They Attend? (Aurora Private School)
Please Select
Please Select
Illinois Mathematics and Science Academy
Aurora Central Catholic High School
Aurora Christian Schools
Covenant Christian School
Fox Valley Montessori School
Holy Angels Catholic School
Marmion Academy
Rosary High School
St. Rita of Cascia School
Pope St. John Paul II Catholic Academy
My Child's School is not listed
31
School Name
32
What is the Name of the School they attend?
33
Do they have any food allergies or medical conditions we should be aware of?* This field is required.
YESNO
34
Please explain any food allergies or medical conditions
Huge
Large
Normal
Small
Ok
Ok
35
Is your child an ELL (English Language Learner)?* This field is required.We will try to place them in a class with a bilingual instructor.
YESNO
36
Does your child require any other accomodations that we should be aware of?* This field is required.e.g. noise sensitivity, flexible seating, IEP
YESNO
37
Please explain any additional accomodations.
Huge
Large
Normal
Small
Ok
Ok
38
What is your (PARENT) Full Name?* This field is required.
First Name
Last Name
39
What is your Cell Number?* This field is required.This will be used as your child's emergency contact number.
Please enter a valid phone number.
40
What is your Email Address?* This field is required.
example@example.com
41
What is your Home Address?* This field is required.
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
42
How many individuals are in your household?* This field is required.Choose from drop down
1
2
3
4
5
6
7
8 or more
43
What is your ANNUAL (Yearly) Household Income?* This field is required.e.g. ($) 25,000
44
You entered ${whatIs143} as your ANNUAL (Yearly) household income. Is this correct?* This field is required.
YESNO
45
Confirm Annual Household Income
46
Income Per Person
47
Do any of the following apply to your household?
Head of Household/Spouse is 62 years or older
Head of Household/Spouse is disabled
Head of Household is female
None of the above
48
What is your language preference for emails and texts?* This field is required.
ENGLISHESPAÑOL
49
Covid-19 Safety Acknowledgement - Liability Waiver and Release of Claims* This field is required.
50
Photo Consent and Release Agreement* This field is required.From time to time APS may take and share photographs of your child participating in our program. Please read and agree to the following terms.
51
How did you hear about this course?* This field is required.
Text
Social Media
APS Website
Google
City of Aurora Website
Flyer
Friends/Family
Event
Newsletter
52
E-SIGNATURE* This field is required.I certify that this information is complete and accurate. I agree to provide, upon request, documentation on all income sources as part of the application process.
53
Course Payment* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Course Payment - All Paid Courses are $75
$75.00+Edit
Back
Total cost $0.00
Credit Card
First Name
Last Name
Should be Empty: