Portico - Aquinas Learning Houston Campus
Introductory Inquiry
Full Name of Parent (filling out this form)
*
Mr.
Mrs.
Prefix
First Name
Last Name
Age of Child 1
*
Sex of Child 1
*
Please Select
Male
Female
Age of Child 2
Sex of Child 2
Please Select
Male
Female
Age of Child 3
Sex of Child 3
Please Select
Male
Female
Age of Child 4
Sex of Child 4
Please Select
Male
Female
Sex of Child 5
Please Select
Male
Female
Age of Child 5
Address
*
Street Address
Street Address Line 2
City
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Questions and Details
Are you currently homeschooling?
*
Yes
No
If yes, what are you using to homeschool? (i.e., curriculum, online classes, etc.) If no, type "N/A".
*
Describe in a few sentences WHY you homeschool or want to start homeschooling.
*
List the last three books your children have read and/ or you've read to them.
*
How often does your child(ren) write formal compositions and if you use a specific writing curriculum, please specify? (i.e., essays, paragraphs)
*
In a few words, why are you interested in joining Portico- Aquinas Learning Houston Campus?
Please feel free to add any additional notes you would like to share below.
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