Student Admission Application
Directions: Complete this form in its entirety. If you have multiple children, please submit a separate form for each child.
Family Information
Student's Full Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Desired Date of Admission
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Parent/ Guardian Filling Out Application
*
First Name
Last Name
Parent/ Guardian's Email Address
*
example@example.com
Parent/ Guardian's Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Second Parent/ Guardian's Name
First Name
Last Name
Second Parent/ Guardian's Email Address
example@example.com
Second Parent/ Guardian's Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Does child live with all parent/ guardians listed on birth certificate?
Please Select
Yes
No
* If no, FWSS may need a copy of this child's current custody agreement before an offer of admission can be extended.
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Student History
Please list current and past schools, co-ops, homeschool experiences and/ or learning communities:
*
Briefly describe your child's past educational experience here. If coming from public school please include any ARDS, IEPS, 504 or other behavioral plans:
*
List any medical needs that your child has such as existing or past serious illness:
*
Please list and describe all past serious injuries or hospitalizations (including any mental health inpatient or intensive outpatient treatment):
*
Please list any mental health or behavioral diagnoses that your child has received:
Please list any other information which school staff should be aware of:
*
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By signing below, I confirm all above information is true and complete.
*
Submit
Should be Empty: