Independent Education Program Interest Form 2025-2026
We're excited to get to know you! Submitting this form will put you on our email list to receive class and registration information for the 2025-2026 school year. If you are already receiving our emails you DO NOT need to fill out this form. Filling out this from DOES NOT put you on a waiting list or guarantee you a spot in any particular class. Registration is done on a first come, first serve basis after registration opens. Feel free to reach out to us with questions any time at admin@ieprogram.org.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What is your preferred method of contact?
Email
Text
Phone Call
Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age(s) of the child(ren) for whom you are interested in classes?
*
Program(s) in which you are interested?
*
Speech and Debate
English
Leadership and Entrepreneurship
Constitution and Moot Court
Robotics
ACT Prep
Which would you prefer?
*
In Person
Online
Either
How did you hear about us?
Student in the program
From a friend
Commonwealth or School
Conference
Social media
Internet Search/Website
Newsletter
Blog or Publication
Other
Who told you about the IEProgram?
Has anyone in your immediate family participated in the IEProgram before?
Anything you want us to know?
Submit
Should be Empty: