Lehi MicroSchool Application Form

Lehi MicroSchool Application Form

Please fill out the form to apply for admission to our school.
Student's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous School Attended
Grade in 26-27 school year
Please provide a short explanation why this school would be a good fit for your child?
How Many Days a Week would you like? And Which Days? Monday, Tuesday, Wednesday or Thursdays?
Allergies for your child
Does your child have an IEP or any extra learning needs?
Would you be using our curriculum or providing your own?
Location?
Should be Empty: