• Roots Academy Admissions Inquiry Form Part 1 of 2

  • Thank you for your interest in joining Roots Academy. This is the first of two required steps in our admissions process. 

    After completing this form, you will automatically receive an email containing:

    • A link to read our School Agreements from the Roots Academy Handbook.
    • A short written statement prompt sharing why you believe Roots Academy is a good fit for your child and family (due within one week)

    These steps help us ensure that our school and your family are aligned in vision, expectations, and values. We are honored that you are considering Roots Academy for your child, and we look forward to learning more about your family.

    • Family & Student Information 
    • Format: (000) 000-0000.
    • Student Gender
    • Student Gender
    • Student Gender
    • Student Gender
    • Which best reflects your family’s approach to learning outside of school?
    • Roots Academy centers around Islamic values, character development, and a media-conscious learning environment. Does your family feel aligned with and supportive of these principles?
    • Are you open to limiting or aligning media exposure, holidays, and home habits to support the school culture and mission?
    • How would you describe your child(ren)'s current media exposure?
    • Islamic Practice, Arabic, & Qur’an Background 
    • How is Islam currently practiced in your home (prayer, Qur’an, Islamic manners)?
    • What is your child’s current experience with the Arabic language?
    • Student #2: What is your child’s current experience with the Arabic language?
    • Student #3: What is your child’s current experience with the Arabic language?
    • Student #4: What is your child’s current experience with the Arabic language?
    • Which best describes your family’s approach to non-Islamic holidays?
    • Learning Support & Educational Planning 
    • Does your child currently have an IEP (Individualized Education Plan), 504 plan, or receive any form of special education services or learning support?
    • Student #2: Does your child currently have an IEP (Individualized Education Plan), 504 plan, or receive any form of special education services or learning support?
    • Student #3: Does your child currently have an IEP (Individualized Education Plan), 504 plan, or receive any form of special education services or learning support?
    • Student #4: Does your child currently have an IEP (Individualized Education Plan), 504 plan, or receive any form of special education services or learning support?
    • Please note: While we value and support every child, our current resources may limit the types of learning needs we are able to accommodate. Each situation is reviewed carefully to determine whether we can provide appropriate support.

    • Community Connection 
    • Roots Academy Elementary began with a small founding cohort of families during our 2025-2026 trial year, many of whom remain part of our school community today.

      If you know any current Roots Academy families or staff members at The Prayer Center, you are welcome to share their names below.

    • How did you first hear about Roots Academy Elementary?
    • Please read carefully before submitting: 
      • I understand that this inquiry form is the first step in the admissions process and does not guarantee enrollment into Roots Academy Elementary.
      • I understand that after submitting this form, I will receive a follow-up email with the school agreements and further instructions.
      • I acknowledge that due to the high volume of inquiries, the admissions team will not be able to respond to update requests by phone or email during the review period.
      • I agree to patiently wait for communication from the school regarding the next steps in the admissions process.
      • I understand Roots Academy is a micro-school with a capacity of 15 students per grade level, and not all applications may be accepted as students.
      • I understand that after submitting the personal statement (Part 2 of 2), the admissions team will review the application and families can expect communication regarding next steps within approximately two weeks.
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          Non-Refundable Family Application Fee

          Includes admissions review for one student

          $85.00
            
          Add-On Child

          Each additional student requires an individual assessment fee

          $15.00
            
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          Total
          $0.00

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        • Roots Academy reviews applications with intention and care. Please ensure all fields are fully completed before submitting, as incomplete applications will not be processed.


          Please note that all application and assessment fees are non-refundable.

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