Exceptional Village Academy Interest Form 2024

Exceptional Village Academy Interest Form 2024 - 2025
Please fill out a form for each child you would like considered for services.
Parent Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
Parent Email*
CITY and STATE where you live*
Student Age (2024 - 2025)*
Student is a:*

FemaleMale
What grade will your child be in the Fall (School Year 2024 - 2025)?*
Services interested in:*

Online Homeschool - all core classesOnline Homeschool - individual classesEVA GA Hybrid (online academics/in-person activities) Homeschool - For GA residents in the South Metro Area only (answer the next question)
Which Georgia county do you reside in? Choose N/A if outside of the GA South Metro Area.*

Clayton CountyCoweta CountyDekalb CountyFayette CountyFulton CountyHenry CountyNewton CountyRockdale CountySpaulding CountyN/A
Does your child have any learning challenges? Choose all that apply.*

Below grade level reading performanceBelow grade level math performanceDifficulty managing time effectively for learning or completing tasksLack of interest to engage in learning activitiesStruggles to maintain attention and focus over extended periodsDelays or avoids starting tasks perceived as difficultSelf-doubt or low self-esteem, leading to fear of failureFeeling overwhelmed by too much information at onceDifficulty in asking questions, seeking help, or engaging in discussionsHas unrealistically high standards that leads to procrastination or dissatisfaction.Inability to stick to routines or schedulesPhysical and health-related challenges (chronic illness, fatigue, or other physical conditions that affect energy
What are your child's hobbies/interests? We build our online electives and enrichment classes/activities around student interests.*
At EVA, we speak to each parent and child to share details about our school, answer any questions you may have and to ensure our academic and/or enrichment program will be a good fit for your child. Please choose the best day and time to receive a call from the Director/Lead Teacher, Anna Thompson from (404) 384 - 4564 below. Please save this number in your phone, mark your calendar and expect a call on the day and at the time you indicated below.
Appointment*
Should be Empty:

Exceptional Village Academy Interest Form 2024 - 2025