Evergreen Learning Collective Application

Evergreen Learning Collective Application

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

First NameLast Name
Child Age*
Child Grade Level*
Parent Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
For which are you applying? (Choose all that apply)

Partial term beginning February 24 (ages 9-15 only)Partial term beginning April 7 (ages 9-15 only)2026-2027 school year (ages 7-16)
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 or require accommodations?

YesNo
If Yes, please explain.
Are you interested in volunteering?

YesNo
If Yes, please describe your availability and area(s) of interest.
Additional Information or Questions?
Should be Empty: