Evergreen Learning Collective Application

Evergreen Learning Collective Application

Please fill out the form below to apply for our hybrid microschool.
Student Name

First NameLast Name
Student Date of Birth
Student Grade Level in 2026/2027 School Year
Parent Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What is your child's educational background?
Why are you interested in ELC/What are you looking for in a learning environment?
Does your child have any special needs, allergies or require accommodations?
If Yes, please explain.
Are you interested in volunteering?
If Yes, please describe your availability and area(s) of interest.
Additional Information or Questions?
Should be Empty: