Pre-Application Form 2023-2024

Pre-Application Form

As part of PROUD Academy’s founding community, you will have taken an enormous leap of faith to not only entrust us with the care and education of your children but also to join us on a daring journey to shape the educational culture and community of our new school. Please complete this pre-application form to show your interest in the school.
Yes! We intend to apply for admission and, if accepted, enroll.No. We do not intend to apply for admission at this time.*Undecided*
*If you decide to apply for admission and submit this pre-application after May 15, 2023, you will be considered for admission after June 30, 2023 as space allows.

Parent/Guardian Information

The following question are to be complete by the parent(s)/guardian(s) of the student applicant. Only one parent/guardian is required to fill out this section. Please note that if you wish to apply for more than one student, you must submit a form for each child.
Parent/Guardian Name (1)*

First NameLast Name
Relationship to Student*
Parent/Guardian Address (1)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Email (1) *
example@example.com
Parent/Guardian Phone Number (1)*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Name (2)

First NameLast Name
Relationship to Student
Parent/Guardian Address (2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Email (2)
example@example.com
Parent/Guardian Phone Number (2)
Please enter a valid phone number.Format: (000) 000-0000.
Why do you believe PROUD Academy would be a good fit for your child?*
What are your child's biggest strengths?*
What, if any, challenges has your child faced at school?*
What after-school activities (if any) is your child involved in?*
YesNo
Please complete the following sentences:
My child is happiest when*
My child learns best by*
I want my child to*
How did you hear about PROUD Academy?*
If you would like to provide us with more information, please do so below.

Student Applicant Information

The following questions are to be completed by the student applicant.
Name Student Wants To Use For School Records*

First NameMiddle NameLast Name
Name Student Wants To Be Called At School*
Race/Ethnicity*
Pronouns*
(ex: they/them, he/him, she/her, she/they, xe/xem, xe/xir, any, none, ask me etc.)
Date of Birth*

MonthDayYear
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your first/native language?*
Are you fluent/proficient in other languages? If so, please specify.*
What grade are you in?*
Where do you currently attend school?*
What city/state is your current school located?*
Why are you interested in PROUD Academy?*
What are three things you like most about yourself?*
What do you do when you are having a hard day?*
Thank you for completing the pre-application!

Before signing and submitting this form, please take a moment to review your answers. For more information, please visit www.proudacademyct.org/enrollment
Thank you for completing the pre-application!

Please click "Submit" to continue.
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Pre-Application Form