Gap Year Interest Form

Gap Year Program @ Engage the Brain

Interest Form for 2025-2026 School Year
Open to students that will repeat (gap) grades 1 - 8.

Engage the Brain limits this program to only 2 students per year.
The Gap Year Program is a 1:1 program for students that have academic and learning related gaps that have been selected to be retained or are not ready for the next school year. This programming would provide students 24 hours/week (Monday - Thursday, 6 hours/day), with 1:1 instruction specifically focused on identified gaps. Direct instruction will include literacy-related deficiencies, problem solving struggles, working memory and processing related difficulties, as well as comprehension and expression focus.

Our student profile may include students with identification of struggles/diagnosis in reading, writing, math, executive functioning, anxiety, ADHD, high functioning ASD, expressive/receptive language, and general school-related struggles. We are not equipped to take students with moderate to severe social/emotional or behavioral difficulties. The student will spend a gap (retained) year with us to really focus on their areas of need with the intention of returning back to a group setting the following year. Students that will be repeating (gap) grades 1 - 8 are eligible for our programming.

Besides academic foundational work (such as Orton-Gillingham, multi sensory math focused instruction, and explicit writing and grammar instruction), our programming will include focus on strategies to improve processing, cognition, and executive functioning. Specific individualized instruction will embed practices that incorporate memory, comprehension, attention, quantitative reasoning, cognitive flexibility, and academic skills.

Once we receive this Interest Form, our Gap Leadership Team will reach out to you for a more indepth Zoom converstaion.

If you have immediate questions, or prefer to discuss more with our team prior to filling out this form, please feel free to click HERE for a free 20-minute Discovery Call.

We look forward to working with your family.
Student Name

First NameMiddle Initial Last Name
Birthdate
Age
Current School ('24-'25)
Current School Grade ('24-'25)
Parent/Guardian #1

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Why are you interested in the Gap Year Program?
Please describe your child's strengths. What does your child like to do for fun? (This does not need to be "school" related.)
Please describe your child's areas of need (weaknesses).
Dyslexia/Specific Learning Disability in ReadingDysgraphia/Specific Learning in WritingDyscalculia/Specific Learning in MathAutism (high functioning)Auditory Processing DisorderExpressive or Receptive Language DisorderSpeech DisorderExecutive DysfunctionEpilepsyIntellectual DisabilityIdentified GiftedADD (Inattentive, Hyperactive, or Combination)Other
Speech/Language TherapyOccupational TherapyVision TherapyEducational TherapyOrton-Gillingham InterventionAcademic Support (Math, Reading, Written Expression)Counseling/Psycho-TherapyGeneral TutoringOther
How would you describe your child's ability in Reading?
In more detail, tell us about your child's interaction with reading. Does your child enjoy reading or listening to stories? Would you describe your child's reading as fluent? Does your child resist reading because reading is too difficult?
Is there a family history of struggling to learn to read?
How would you describe your child's ability in Spelling?
In more detail, tell us about your child's interaction with spelling. Does your child struggle to spell expected words? Can your child spell phonetically? Does your child do okay on spelling tests, but struggles to remember later?
How would you describe your child's ability in Mathematics?
In more detail, tell us about your child's interaction with mathematics. Does your child enjoy doing mathematics? Is your child fluent with basic mathematic operations, such as addition, subtraction, multiplication, or division? Does your child understand the "value" of numbers? Does your child significantly rely on manipulatives, charts, or fingers to find answers? Is your child able to tell whether or not an answer is "reasonable"?
Is there a family history of struggling to learn math?
How would you describe your child's ability in written expression (ability to express thoughts on paper)? (This does not include penmanship.)
How would you describe your child's penmanship (handwriting)?
Tell us about your child's interaction with written expression. Does your child enjoy writing (with writing utensil)? Describe your child's penmanship. Can your child write in both print and cursive? Does your child resist writing? Does your child enjoy writing stories or putting thoughts on paper? Does your child struggle with expressing his/her thoughts on paper, however, can accurately state his/her thoughts verbally. Does your child use assistive technology such as Grammarly, spell check or typing?
Speech/Language TherapyOccupational TherapyVision TherapyEducational TherapyOrton-Gillingham InterventionAcademic Support (Math, Reading, Written Expression)Counseling/Psycho-TherapyGeneral TutoringOther
How would you describe your child's learning habits? Does your child seem to take longer than expected to learn new concepts, remember taught concepts, recall concepts that seemed to have been learned?
Describe your child's disposition. Does your child enjoy school/learning? Does your child's mindset interfere with his/her ability to learn? Does there seem to be a mental block that prevents him/her from learning? Is your child resistant or stubborn when it comes to learning? Does your child have perfectionistic tendencies? Is he/she afraid of failure? Has your child experienced school trauma?
What short term and long term goals do you have for your child?
Please upload any comprehensive testing, IEPs, report cards, or other academically related documents that we can use to assist to creating an understanding of your child's profile.

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Please share any other thoughts that you'd like us to know about your child.
Tuition: The tuition of the Gap Year Program for the 2025-2026 $65,500. This covers all instruction, materials, initial and on-going assessments and progress monitoring, communication and conferences.

Engage the Brain is an approved provider for Step Up for Students-UA or PEP if a family is eligible to use these funds. Please note, that Engage the Brain is a private learning center, and not a school. All programming is considered homeschooling.

Tuition payment may be broken into monthly payments as follows:

Non-refundable deposit: $2,500 put towards tuition

Option One: 10-monthly payments (July - April) due no later than the 15th of the month.

10-month Payment Plan Fee = $100/school year

$62,900/10 = $6,290

Option Two: 2 payments (July 15 and December 15) = $50/school year

2 payments (July 15 and December 15) = $62,950/2 = $31,475/payment

Option Three: 1 payment (July 15) = $63,000 - $3,150 (pay in 5% full discount) = $57,350

Credit Card payments will be assessed an additional 3.5%.
Engage the Brain's Gap Year Program will follow Orange County Public School Calendar for the 2025-2026 school year.

Hours are typically 9:00 AM - 3:00 PM, Monday - Thursday

Customization is available.
Next Steps

This forms serves as an indication that you are interested in learning more about Engage the Brain's Gap Year program. This does not guarantee placement in the Gap Year Program.

Once your interest form is received, you will be contacted by our team to schedule a more in-depth phone or zoom call.
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Gap Year Program @ Engage the Brain

Open to students that will repeat (gap) grades 1 - 8.