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Student Inquiry

Our Reach Academy family would like to thank you for your interest in our private school.  

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
  • Grade Level of Interest *
    School Year *
  • Current School

  • Current Grade Level 
    *

  • Expected enrollment date:
    * (mm/dd/yyyy)

  • Is your child on grade level?

    *

  • Has your child repeated any grades?
    * Yes   No

  • Can you provide the most recent report card?
    * Yes   No

  • If yes, please send a copy of your student's most recent Report Card  to helpful@foreach1.org. Please indicate yes, that it is being sent. We can only interview prospective families once all current paperwork is received.

    Yes   No

  • Does your child struggle academically?

    * Yes   No

  • Does your child struggle with any of the following?
    *

  • Does your child have a 504 Plan?
    * Yes   No

  • If yes, please send a copy of your student's most recent 504 Plan to helpful@foreach1.org. Please indicate yes, that it is being sent. We can only interview prospective families once all current paperwork is received.

    Yes   No

  • Does your child have an IEP?
    * Yes   No

  • If yes, please send a copy of your student's most recent IEP to helpful@foreach1.org. Please indicate yes, that it is being sent. We can only interview prospective families once all current paperwork is received. 
    Yes   No

  • Does your child have a behavior intervention plan?
    * Yes   No

  • If your child has a BIP when was is last updated?

    (mm/dd/yyyy)

  • If yes, please send a copy of your student's most recent Behavior Intervention Plan to helpful@foreach1.org. Please indicate yes, that it is being sent. We can only interview prospective families once all current paperwork is received.

    Yes   No

  • Does your child have ABA services?
    * Yes   No

  • Does your child have any medical conditions?

    * Yes   No

  • Does your child currently have a scholarship?
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •