Application

Student Information

First Name *

Nick Name

Middle Name(s) *

Last Name *

Gender *MaleFemaleOther

Date of Birth

Applying for:Summer 20232023-2024 Academic Year

Parent/Guardian Information

Relationship to Student *StepmotherGrandmotherGrandfatherSisterBrotherUncleAuntOther Guardian

First Name *

Nick Name *

Middle Name(s) *

Last Name *

Home Street Address 1 *

Home Street Address 2 *

City *

Postal Code *

Country *

State *

Gender *MaleFemale

Employer *

Annual household income *

Email *

Home Phone *

Mobile Phone *

Work Phone *

Student Questionnaire

How did you hear about Ability School? *

Have you previously attended the school? *YesNo

Current Grade Level *

In which academic subjects are you most interested and why? *

Are there any subjects in which you feel you need some help? *YesNo

Please tell us why you would like to attend Ability School and what you hope to accomplish here: *

What type of books do you enjoy reading and what do you like about them? *

Name two books you have recently read: *

Parent Questionnaire

How did you hear about Ability School? *

What would you like to see your child accomplish through his or her education at the School? *

Which of your child’s qualities do you respect and admire most? *

How does your child usually spend his/her free time? *

Is there an area of academic potential in your child that you would especially like to be developed further? *

Is there an area of personal development in which you would especially like to see your child improve? *

Tell us about your child’s development and educational history: *

Tell us about your child’s development and educational history: *

To ensure that your child receives the consideration, support, and encouragement he or she might need while at the School, it is important for us to be aware of particular challenges that he or she has faced as a learner or in social settings. Therefore, if applicable, please describe any educational evaluative testing or assessment of intellectual functioning, other than standard achievement testing, of your child.

Describe briefly the relationship of your child to each parent: *

Has your child ever been involved in any disciplinary incident resulting in a response (e.g. censure, detention, suspension, withdrawal, or dismissal) from school? *YesNo

Has your child ever repeated a grade? *YesNo

Has your child ever skipped a grade? *YesNo

Signature

By typing my name below, I certify the above answers are true and correct to the best of my knowledge. *

If joint custody, please use the next signature field to ensure that both parents have signed.

By typing my name below, I certify the above answers are true and correct to the best of my knowledge. *

Ability School( “The School”) admits students of any race, color, national or ethnic origin, religion, sex, sexual orientation, marital status, physical or mental disability or age or any other classification protected under applicable law to all the rights, privileges, programs, and activities generally accorded or made available to students at the School. The School does not discriminate on the basis of race, color, national or ethnic origin, religion, sex, sexual orientation, marital status, physical or mental disability or age or any other classification protected under applicable law, in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other School-administered programs.