Enrollment Form for Unified StudiesIf you haven't met with Kirsten, Please schedule an appointment directly. Parent/Guardian Information * First Name Last Name Phone (###) ### #### Email * What are your main goals for your child's education? Put in order of importance (with 1 being the most important) * Child's Information * First Name Last Name Child's Date of Birth MM DD YYYY How did you hear about us? Social Media Canyon Grove Friend Other Any medical conditions, allergies, or dietary restrictions we should know about? Does your child require any medications or medical accommodations during the school day? Is there any reason why they wouldn't be able to do 3-5 day camps away from home as well as spending frequent time outside hiking and doing other possibly strenuous activity? Are there any developmental concerns or special needs we should be aware of? Educational Goals and Background What are your main goals for your child's education? Put in order of importance (with 1 being the most important): Emotional safety Strongly Disagree Disagree Neutral Agree Strongly Agree Academic progress Strongly Disagree Disagree Neutral Agree Strongly Agree Being at or above grade level Strongly Disagree Disagree Neutral Agree Strongly Agree Following their passions Strongly Disagree Disagree Neutral Agree Strongly Agree Enjoying school Strongly Disagree Disagree Neutral Agree Strongly Agree Meeting state standards Strongly Disagree Disagree Neutral Agree Strongly Agree Relationships and connections Strongly Disagree Disagree Neutral Agree Strongly Agree How does your child typically respond to authority figures, peers, and new environments? What is your child's educational background (schools, struggles, triumphs, etc.) What are your child's interests, hobbies, and extracurricular activities? How do you think your family's view of education aligns with the vision of Unified Studies? Is there any other information about your child you think would be important for us to know? Thank you!
