Ascend Micro School Application

Email address *

Child's name *

Gender *

Female Male

Birthday *

Month Day Year

Parent/Guardian's Names *

Parent/Guardian's Phone Number *

Additional Parent/Guardian's E-mail Address *

Zip code *

Parent/Guardian's Occupation

Please list any schools your child has attended. What grades were they in while there? What was the cause for leaving? *

Share a bit about your child. What are his/her interests, hobbies, passions, and strengths? What are some difficulties he/she has faced? *

What type of learning environment do you think your child needs in order to thrive? *

Have you reviewed our website? If so, does our vision align with your needs? How so? *

What do you think will be the most challenging part of participating in our school community? Are you eager to work through those challenges with school support? *

Which programming options are you interested in? *

1 day/week 2 days/week 3 days/week Monday & Friday AM Kindergarten

Which days of the week are you interested in? Please include ALL days that your child could attend. We are in session on Tuesdays, Wednesdays, and Thursdays.

Has your child had any cognitive or behavioral testing completed? If so, please upload a copy of the report(s). *

Yes No Testing is planned

Upload any testing results that you feel are relevant.

Browse Files

For students without cognitive testing, are you willing for one of our staff members to complete some brief skills assessments with your child if needed? *

Yes No Maybe N/A

Has your child ever been physically or verbally aggressive with another child or teacher in a school setting? If so, please describe the situation and when it occurred. *

Each applicant requires one reference from a current teacher or unrelated adult who knows the child well. The form can be found on the Admissions tab on our website. Please share the name and contact information (e-mail address and/or phone number) of the reference for your child here.

Our enrollment is for the entire school year. That being said, we know family situations can change. Our financial contract states that, should a family choose to withdraw their student mid-semester, the entire semester tuition is still due in order to maintain the sustainability of our school and provide the best education for our learners. Do you agree to this policy? *