Student Application 2026-2027 – Elevation Community School

Step 1 of 5

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Family Information

There is a $50 application fee applied per child (non-refundable). You will be able to add siblings later in the form.

Father's Name and Last Name*

First Last

Father's Occupation*

Father's Work Hours (ex. 9am-5pm)*

Father's Email*

Father's Phone*

Family Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mother's Name and Last Name*

First Last

Mother's Occupation*

Mother's Work Hours (ex. 9am-5pm)*

Mother's Email*

Mother's Phone*

Who does the child live with? (ex. mom and dad, grandma, etc)*

Emergency Contact Information

Must be other adults other than the parents

Emergency Contact 1*

First Last

Emergency Contact 1 Phone Number*

Relationship to Student*

Emergency Contact 2*

First Last

Emergency Contact 2 Phone Number*

Relationship to Student*

Student 1 Information

Student's Name*

First Last

Child's Gender*

Male

Female

Child's Grade for the 2026-2027 School Year*

Date of Birth*

MM slash DD slash YYYY

Birth Place (State, Country)*

Academic Information

Has the student ever received Special Education?*

Yes

Has the student ever been expelled?*

Yes

Has student received additional help in reading or math?*

Yes

Language Used at Home*

Please provide details of struggles the student has had in their previous learning environment (if applicable):

Last School Attended (homeschool, school name)*

Medical Information

Does this student have any allergies? If yes, please list them below, otherwise leave blank.

Does this student have medical concerns that the school should be aware of? If yes, list them below, otherwise leave blank.

Sibling Information

Would you like to add another student?*

Yes

Name of 2nd Student*

First Last

2nd Child's Gender*

Male

Female

2nd Child's Grade for the 2026-2027 School Year*

2nd Child's Date of Birth*

MM slash DD slash YYYY

Birth Place (State, Country)*

Academic Information

Has the student ever received Special Education?*

Yes

Has the student ever been expelled?*

Yes

Has student received additional help in reading or math?*

Yes

Please provide details of struggles the student has had in their previous learning environment (if applicable):

Last School Attended (homeschool, school name)

Medical Information

Does this student have any allergies? If yes, please list them below, otherwise leave blank.

Does this student have medical concerns that the school should be aware of? If yes, list them below, otherwise leave blank.

Would you like to add a 3rd Student?

Yes

Name of 3rd Student*

First Last

3rd Child's Gender*

Male

Female

3rd Child's Grade for the 2026-2027 School Year*

3rd Child's Date of Birth*

MM slash DD slash YYYY

Birth Place (State, Country)*

Academic Information

Has the student ever received Special Education?*

Yes

Has the student ever been expelled?*

Yes

Has student received additional help in reading or math?*

Yes

Please provide details of struggles the student has had in their previous learning environment (if applicable):

Last School Attended (homeschool, school name)

Medical Information

Does this student have any allergies? If yes, please list them below, otherwise leave blank.

Does this student have medical concerns that the school should be aware of? If yes, list them below, otherwise leave blank.

Filling Out the Student Application Ensures Your Spot for the Family Interview

* Due to the high demand of this program, we encourage you to secure your family’s spot before the application cap gets filled *

Application Overview

Family Information

Emergency Contact Information

Student 1 Information

Academic Information

Medical Information

Sibling Information

Academic Information

Medical Information

Academic Information

Medical Information