NEA Enrollment Interest Form

Nehemiah Enrichment School is a Christian school. The Bible and Christian holidays are observed. As the interested party, please indicate below that you are aware that NEA is a Christian school and observes Christian practices. Being a Christian or having a church affiliation is not required for enrollment. Information on this form will not be shared and will remain confidential.

Parent Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Child's Name

First NameLast Name

Child's Current Grade

Child's Current/Last Enrolled School

My child has an IEP or 504 (check all that apply).

Please briefly describe any academic, behavioral, or support services your child currently receives. Input N/A if this does not apply.

I am interested in the following program and would like to receive a Family Info Packet (check all that apply):

When are you seeking to enroll?

Why are you considering a change of schools?

What are the top three to five things you are looking for in a school?

I am interested in the following (check all that apply):

NEA is a tuition-based micro-school. Have you applied for any North Carolina scholarships (check all that apply):

Religious Affiliation and Church Name (Type N/A if you do not have an answer.)

How did you find Nehemiah Enrichment Academy?

Please use this space if you have any additional questions or comments.