Pillar & Oak Academy
Application
Parent or Guardian's Name(s):
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently a member of a local church? If yes, where?
Number of Children
Please Select
1
2
3
4
5
6
7
8
Child 1
Child 1
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know?
Child 2
Child 2
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know?
Child 3
Name
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know?
Child 4
Child 4
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know?
Child 5
Child 5
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Type a question
Any special information you would like us to know?
Child 6
Name
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know?
Child 7
Name
First Name
Last Name
Age by August 1st 2024
Birthday
Current School
Projected grade for 2024/2025
Any special information you would like us to know.
Thank you for your application
I understand that as a participant in Pillar & Oak Academy, I am committing to participate in the teacher training opportunities as much as I am able.
Please Select
yes
no
I have read the Pillar & Oak Statement of Faith, and can confirm that our family upholds these beliefs as well.
Please Select
yes
no
Pillar & Oak Academy does not currently provide classes for students who will be dropped off. At least one parent or guardian must remain on campus, and be willing to help teach or assist in one of the forms or help with the children in the Early Years. Please share below in what ways you would be willing to serve for the upcoming year:
How did you hear about us?
*
Submit
Should be Empty: