Microschooling Interest Form
Christian Microschooling by Gilmer's Learning Solutions offers affordable core academic support for families who desire freedom for their homeschooled Kindergarten through 8th grade children to express and learn Christian values based on scripture from the Holy Bible. We are open to families who homeschool their children but would like professional support. We provide professional educator support to parents and families who need the right kind of assistance in building solid academic foundations and sustaining academic prowess for their children. We are: Christian. Student-focused. Innovative. Inspiring. Creative. Collaborative.
Parent/Guardian:
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First Name
Last Name
Parent/Guardian Phone Number:
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Please enter a valid phone number.
Preferred Contact Email:
*
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What are you looking for in a microschooling setting for your child/ren? Select all that apply.
Flexible Schedule
Student-Focused Education
Christian Values in Education
Small Group Setting
Personalized Approach to Education
Affordable Homeschool Support
21st Century Skills
Community
Student Name:
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First Name
Last Name
Student Birth Date:
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/
Month
/
Day
Year
Date
Student Age:
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Student Grade
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Current grade for the 23-24 school year
Allergies/Medical Conditions:
List the allergy/condition and any special needs or instructions the co-op director and teachers need to be aware of.
Does the student have any special needs (i.e. IEP, 504, BIP, etc)? If so, please detail below.
Is the student currently homeschooled?
Yes
No
Intent to Homeschool 24-25 School Year
If you are currently homeschooling, what curriculum do you use?
Detail the name and publisher of the curriculum
Are you seeking homeschool support (microschooling) or a private school option?
Homeschool Support
Private School
Which scheduling option best fits your family's needs?
In-person, half day, 4 days/week (8am-11am)
In-person, full day 3 days/week (8am-2pm)
Hybrid: In-person, half day 3 days/week; virtual half day, 1 day/week
How do you plan to fund this student's microschooling? Select all that apply.
Personal Funding
State of Arkansas Scholarship
Private Scholarships
Would you like this form to serve as part of your official registration for Christian Microschooling by Gilmer's Learning Solutions.
Yes
No
Parent Signature:
*
Please verify that you are human
*
Submit
Should be Empty: