• Application Form

    2026-2027 Academic Year

  • Family Information

  •  -
  • Mother's employer and position (if applicable)
  •  -
  • Father's employer and position (if applicable)
  • Marital status*
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  • Student Information

  • Please list each student applicant to HLS Northeast Wisconsin.*
  • Please describe each student's education history (schools or co/ops attended, curriculum, classes, etc.). Add a line and specify each student as applicable.*
  • Please describe each student's extracurricular interests and/or achievements. Add a line and specify each student as applicable.*
  • Have one or more of the students:*
  • Do you have student applicants applying to the Simply Classical (special needs) track?*

  • Additional Student Information (Simply Classical)

    We would like to get to know your child more to best serve them in the Simply Classical program.
  • Please describe the student's interests and strengths. If you have more than one applicant to Simply Classical, please add a line and specify each child as applicable.*
  • Please describe your child's biggest obstacles as they pertain to socialization and learning. If you have more than one applicant to Simply Classical, please add a line and specify each child as applicable.*
  • Please describe your child's possible triggers and/or behaviors. If you have more than one applicant to Simply Classical, please add a line and specify each child as applicable.*
  • Please list any formal diagnoses and/or evaluations your child has received and include date(s). If you have more than one diagnosis/child, please add a line and specify each diagnosis/child as applicable.*
  • Does your child have a history of elopement and/or self-harm? If so, please describe. If you have more than one applicant to Simply Classical, please add a line and specify each child as applicable.*
  • Does your child currently receive any therapies (e.g., ABA, OT, SP, PT, etc.)? How often (i.e., times per week/month/etc.)? How long has your child received therapy? If you have more than one applicant to Simply Classical, please add a line and specify each therapy/child as applicable.*
  • Do you desire for your child(ren) to have an ABA therapist or Personal Care Assistant (PCA) in the classroom? Please know that a desire does not obligate us to provide one.*
  • Please list the name of the provider, phone number of the facility/clinic, and the name of the therapist or PCA. If you have more than one provider and/or child, please add a line and specify each provider/child as applicable.*
  • Do we have your permission to contact your service facility/clinic and discuss the needs and recommendations for your child(ren)?*
  • Is your child able to remain in a classroom setting for extended periods of time? If you have more than one applicant to Simply Classical, please add a line for each child.*
  • Is your child responsive to and respectful of adults? If you have more than one applicant to Simply Classical, please add a line for each child.*
  • Is your child disruptive and resistant to correction? If you have more than one applicant to Simply Classical, please add a line for each child.*
  • Does your child have a history of significant behavioral difficulties in other educational settings? If you have more than one applicant to Simply Classical, please add a line for each child.*
  • Is your child(ren) supported at home with parents or guardians who are willing to teach and conduct lessons, practice, and/or assignments from the Simply Classical curriculum?*

  • Curriculum Experience

  • Please list the curriculum you have used for composition/writing and the highest level your student has completed, if applicable. If you have additional students, please add a line.
  • Please list the curriculum you have used for Latin and the highest level your student has completed, if applicable. If you have additional students, please add a line.
  • Please list the curriculum you have used for math and the highest level your student has completed, if applicable. If you have additional students, please add a line.

  • Additional Documents

    We have a few more things we need from you to complete your application form.

  • We ask that you please submit the following for all students, as applicable:

    1. Report card

    2. A teacher contact from the past year that we may contact for more information. You may also provide the contact information of a coach, Sunday School teacher, music teacher, dance instructor, etc.

    You may upload the documents or email them to: 

    information@highlandslatin.org

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  • Please list teacher reference information below, if applicable. To list another student and reference, please add a line.
  • Do you have questions about any of the curriculum or school policies?

  • There is a non-refundable application fee of $50 per student for the traditional program and $75 per student for the Simply Classical program. If you are paying by check, please make it out to: Northeast Wisconsin Latin Cottage School.

    Please submit your application fee to:

    HLS Northeast Wisconsin

    P.O. Box 4

    Greenville, WI 54942

  • If you would like to submit your application fee online, please fill out the information below. Note that there is a transaction fee (2.9% + $0.30) to complete your payment online, which is reflected in the pricing below.

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        • Highlands Latin Northeast Wisconsin admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national, or ethnic origin in any employment practice, hiring, educational program, or any other school-administered program, activity, or service, nor does it discriminate on the basis of race, color, national, or ethnic origin in administration of its educational policies, admissions policies, and other school-administered programs.

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