Oakridge Academy Student Application

Oakridge Academy Student Application
✦ General Student Information ✦
Date of Application

MonthDayYear
Date
School Year
Entering Grade Level
Student Name

First NameLast Name
Student Middle Initial/Name
Preferred Name (if applicable)
Student Birth Date

MonthDayYear
Date
Sex
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Parent/Guardian

First NameLast Name
Primary Parent/Guardian Occupation
Primary Parent/Guardian Place of Employment
Primary Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Parent/Guardian Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Parent/Guardian Email
example@example.com
Primary Parent/Guardian Home Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Parent/Guardian

First NameLast Name
Secondary Parent/Guardian Occupation
Secondary Parent/Guardian Place of Employment
Secondary Parent/Guardian Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent/Guardian Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent/Guardian Email Address
example@example.com
Secondary Parent/Guardian Home Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Siblings: Please list the names and ages of any siblings currently living in the home.
✦ Health & Safety ✦
All enrolled students are required to provide proof of current vaccinations by submitting a valid Florida Department of Health (DOH) immunization form, completed and signed by the child’s pediatrician.

Exemption requests will be reviewed on a case-by-case basis. Please note that Oakridge Academy maintains a limited number of allowable religious exemptions.

Please note: This form will be required upon enrollment.
Are your child’s vaccinations up to date?
If No, please explain:
Have you discussed any modifications or restrictions related to vaccines with the Head of School?
Does your child wear glasses or contacts?
Does your child have any allergies or sensitivities?
Please list any known allergies or sensitivities. For students with severe allergies, an EpiPen or appropriate allergy medication must be provided for use at school.
Does your child have any chronic medical conditions?
Please list any chronic medical conditions?
Does your child take medication daily?
If yes, please list the types, names, dosage and schedule.
Emergency Contact: Who should we contact if neither parent can be reached?

First NameLast Name
Relationship to Student:
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
✦ Educational Background & Support Services ✦
At Oakridge Academy, we believe in transparency to ensure the best possible fit for each child and family. Our program is designed for advanced learners who thrive in a small-group, collaborative environment with a strong emphasis on independence, curiosity, and active engagement in learning.

Students at Oakridge are encouraged to think deeply, participate in discussion, and grow at an individualized pace within a rigorous, thoughtfully designed academic environment. Because of the nature of our model, it is important that students are able to engage with increasing independence and participate in a learner-driven setting.

We encourage families to carefully consider whether this environment aligns with their child’s needs, as our goal is to create a successful and sustainable experience without the need for transitions mid-year.
Please list previous schools or homeschool programs and dates attended:
Reason for leaving previous school/program:
Has your child ever been formally identified as gifted or talented through an evaluation conducted by a licensed psychologist or school-based assessment?
Has your child received any developmental therapies (e.g., speech, OT, ABA)?
If yes, please specify time period below (MM/YYYY).
Are there any learning, behavioral, medical, or social-emotional support needs we should be aware of to determine whether Oakridge is an appropriate fit for your child?
Does your child have an IEP, 504 Plan, or any plans that require specialized educational services or modifications?
Does your child require any assistance and/or modifications to the school's programs and services in order to fully participate?
Has student been expelled or asked to withdraw from a school?
If so, why?
What would you like us to know about your child? What are their strengths, interests, or qualities that make them shine?
In what ways might we best support your child’s growth, especially in areas that have felt challenging in the past?
What do you hope your child gains from their experience this school year?
I understand that Oakridge Academy is a small, general education microschool designed for advanced independent learners and does not provide specialized education services, significant curriculum modifications, or therapeutic supports.
I acknowledge that the program may not be an appropriate fit for students who require a higher level of individualized academic, behavioral, or emotional support than is typical in a general education setting.
I believe this program is an appropriate fit for my child’s needs and agree to communicate openly with the school regarding my child’s progress. I understand that continued enrollment is contingent upon the program remaining a good fit for both the student and the school.
✦ Required Documents & Information ✦
Please attach a copy of your child's birth certificate or passport.

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Please attach the most recent report card or progress report for learners entering 1st-2nd grade.

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If your child has been identified as Gifted and Talented by a Licensed Psychologist, please attach a copy of the report or provide a copy to Oakridge Academy.

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✦ Tuition Information ✦
Oakridge Academy accepts the Step Up For Students (SUFS) PEP (Personalized Education Program) and UA (Unique Abilities) scholarships. As a home education enrichment program, we do not accept the Private School Scholarship.

Tuition is thoughtfully structured with SUFS funding in mind. For families who apply but are not approved and demonstrate financial need, a limited number of need-based tuition scholarships may be available. These opportunities may include a parent volunteer component. Please connect with our Head of School for more information.
Please select the option that best describes how you intend to pay for tuition:
Please check this box if you would like to be considered for a tuition scholarship. A limited number of scholarships are available and may be awarded based on financial need and/or a parent volunteer commitment. All scholarship opportunities include a parent volunteer component.
✦ Trial Day Acknowledgment ✦
I understand that my child will participate in a Trial Day as part of the Oakridge Academy admissions process. This experience includes engaging, play-based activities, a brief academic assessment, social-emotional and behavioral observations, and consideration of parent input provided in the Oakridge Student Application.

These components allow the Oakridge team to develop a well-rounded understanding of each child’s creativity, problem-solving, critical thinking, communication, and social development.

Oakridge Academy is designed for learners who demonstrate readiness for a learner-driven environment, typically reflecting skills and abilities at or above approximately the 60th percentile across multiple domains. We recognize that children develop at different rates, and no single task or score determines eligibility.

Admissions decisions are based on a combination of observations, rubrics, and assessments to ensure a thoughtful and holistic review process.

All information gathered during the Trial Day will be used solely for admissions consideration and to support initial planning for accepted students. All records and observations will remain confidential.
Please review the information below regarding the Oakridge Trial Day and indicate your agreement. All boxes must be checked in order for your application to be accepted.
✦ Application Fee ✦

By submitting this application, I authorize Oakridge Academy to charge a non-refundable $100 application fee. I understand that this fee covers the processing and review of my child’s application and does not guarantee admission.

Non-Refundable Application Fee

$100.00 Quantity

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

✦ Parent/Guardian Acknowledgment & Agreement ✦
Please read the following statements carefully. All boxes must be checked in order for your application to be accepted. By checking the boxes below, you acknowledge and agree to the terms outlined for enrollment at Oakridge Academy:
✦ Parent/Guardian Electronic Signatures✦

Both parents/guardians are required to sign this application, unless legal documentation is provided showing that only one parent has the authority to make educational decisions.
By typing your name below and submitting this form electronically, you affirm that this signature has the same force and effect as a handwritten signature. Pursuant to Florida Statutes § 668.004, electronic signatures are legally binding and enforceable in the State of Florida.
Parent/Guardian 1 : I have read, understood, and agree to the terms above.
Parent/Guardian 1 : Electronic Signature
Parent/Guardian 1 : Please type your full legal name
Date of Signature:

MonthDayYear
Date
Parent/Guardian 2 : I have read, understood, and agree to the terms above.
Parent/Guardian 2 : Electronic Signature
Parent/Guardian 2 : Please type your full legal name
Date of Signature:

MonthDayYear
Date
Should be Empty:

Oakridge Academy Student Application

✦ General Student Information ✦

✦ Health & Safety ✦

✦ Educational Background & Support Services ✦

✦ Required Documents & Information ✦

✦ Tuition Information ✦

✦ Trial Day Acknowledgment ✦

✦ Application Fee ✦

By submitting this application, I authorize Oakridge Academy to charge a non-refundable $100 application fee. I understand that this fee covers the processing and review of my child’s application and does not guarantee admission.*

✦ Parent/Guardian Acknowledgment & Agreement ✦

✦ Parent/Guardian Electronic Signatures✦

By submitting this application, I authorize Oakridge Academy to charge a non-refundable $100 application fee. I understand that this fee covers the processing and review of my child’s application and does not guarantee admission.