Teach Smart CA2i Registration Form

Teach Smart CA2i Application Form

HEIP APPLICATION FORM / ONLINE HYBRID APPLICATION FORM / SPECIALIZED AFTER-SCHOOL FORM
For Scholarship payment, log into the Education Market Assistant (EMA).
- HEIP program: Must pay the APPLICATION FEE, REGISTRATION FEE and the yearly TUITION FEE to enroll. A deposit is required for the 3 hour Initial HEIP Session. The deposit will be credited towards the Tuition Fee. The Initial Session is required. When a family enrolls later in the year, the payment will be prorated. This program is offered to Scholarship and Non-Scholarship.
- Online Hybrid School: Pay the APPLICATION FEE, REGISTRATION FEE, the yearly TUITION FEE and OTHER FEE. This program is offered to Scholarship and Non-Scholarship.
- Specialized After-School Program: Pay by hour. The program provides up to 3 hours. This program is offered to Scholarship and Non-Scholarship.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Which Program are you registering for?*
Are you a Scholarship recipient*
ONLY FOR HEIP: Provide in a brief description what you prefer your "HEIP" program to "look like":
Questions/Comments? A Teach Smart CA2i educator will reach out to answer any questions.
How many children will be enrolled?*

OneTwoThree of More

Please fill out the following information on the children enrolled.*

Teach Smart CA2i Application Form