Dreams University Academy School Student Application Form

Dreams University Academy School Student Application Form
I. Student Information
Session Enrollment
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Place of Birth
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level
School Year
School Last Attended
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
II. Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
III. Education Profile
How many hours a day will a dedicated adult be available to support the scholar's online learning?
Learning Environment
Does the scholar have consistent access to a laptop/tablet and high-speed internet?
Technical Readiness
IV. Health History

Immunization/Vaccination

Rows	Vaccinated?	Year
BCG
Hepatitis B
Pneumococcal
HPV
Varicella
Tetanus
Meningitis
Measles
Mumps
Rubella
Rabies
Polio

If the student have any allergies, please list them down below:
Does the student currently taking any medications? If yes, please list them down below:
IEP/504 Plans: A copy of any existing Individualized Education Programs to ensure the Academy can meet the student's needs.
Does the student have any medical conditions that you would like to declare?
V. Financial Statement

For Scholarship Applicants Only
Required Documentation:Please upload ONE of the following to verify income:
File Upload

Cancelof
VI. Application Questions
1. Why are you transitioning from traditional schooling to an alternative/online model at this time?
2. What are the top three skills (academic or social-emotional) you hope your scholar masters this year?
3. In what ways do you plan to stay involved in your scholar's educational experience
File Upload

2x2 Colored ID Picture, birth certificate, report card from the previous school, and Proof of Residency
Upload
NEXT STEPS
FAMILY CONSULTATION. Meet with an admissions coach to discuss your goals, select the best enrollment package for your lifestyle, and ensure a perfect fit. SCHEDULE CONSULT HERE

REGISTER. The school required new students or a transferee to take an exam in order to get admitted to the school. Complete your enrollment paperwork. Students will complete a light baseline assessment so we can customize their STREAM learning path. REGISTER HERE

ORIENTATION: Receive your student portal login, log into our virtual orientation, and get ready to launch into educational excellence!

REQUIREMENTS. It is important to pass and complete all requirements before school starts. Failure to do so may delay the student from coming to school
Date Signed

MonthDayYear
Date
Parent/Guardian Signature
Should be Empty:

Dreams University Academy School Student Application Form

I. Student Information

II. Parent/Guardian's Information

III. Education Profile

IV. Health History

V. Financial Statement

VI. Application Questions

File Upload

NEXT STEPS