Hoops and Homework Student Application 2024-2025

Hoops and Homework Student Application

2024-2025
Hoops and Homework is a safe and nurturing neighborhood-based after-school program which expands opportunities for youth in Framingham.
Student Information

Important Notice: Consent & Permissions Required: Before you begin, please note that you will find a link at the end of this application to complete our required Consent and Permissions Forms. These forms are essential for your child’s participation in our programs. Please be sure to follow the link and submit the forms after completing this application.
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Address (Street)
City/Town
Zip Code
Is the student homeschooled?estion

YesNo
School*
Teacher's Name*
Grade level

Pre-K ProgramKindegarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Parent Information
First Name*
Last Name
Date of Birth*

MonthDayYear
Date
Address (Street)
City/Town*
Zip Code*
Cell Phone*

Area CodePhone Number
Home Phone*

Area CodePhone Number
Email*
example@example.com
Place of Employment
Work Email * If non type in "N/A"
example@example.com
Primary Language spoken at Home
Hours of Employment
In order to provide the best care for your child, please complete the following information.
Is your child receiving any special education or other specialized instructional services?
Mark only one.

YesNo
If yes, please specify (check all that apply) *
Check all that apply.

Individualized Education Plan/Program504 planSheltered English InstructionBilingual ClassroomSpeech TherapyCounselingOther
Should be Empty:

Hoops and Homework Student Application

Student Information

Parent Information