Returning Students - Elisha American Artistic Preparatory Academy

Returning Scholar’s

Welcome Back! We are excited to continue your scholar’s educational journey with us at E.A.A.P.A. Please complete the re-enrollment form below by August 19,2024 to secure your spot for the upcoming school year. Timely submission is crucial to ensure your scholar’s place. Thank you for your cooperation and prompt attention to this important process.

E.A.A.P.A Re-enrollment Form 2024-2025

Welcome back to E.A.A.P.A! This re-enrollement form is for current students who are continuing their education with us. Please fill out all required sections to update your information and confirm your enrollment for the upcoming academic year. We are excited to have you continue your journey with E.A.A.P.A and look forward to another successful year together.

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Scholar Name *

First

Last

Date of Birth *

Gender *

Male
Female

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Information

Primary Parent/Guardian Name *

First

Last

Primary Parent/Guardian Phone *

Primary Parent/Guardian Email *

Primary Parent/Guardian Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Secondary Parent/Guardian Name

First

Last

Secondary Parent/Guardian Phone

Secondary Parent/Guardian Email

Secondary Parent/Guardian Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Academic Information

What grade is your child going into? *

What are your child's academic strengths? *

What are your child's academic weaknesses? *

Have you witnessed any academic progression in your child? *

Have you witnessed any academic regression in your child? *

As a parent, what are your academic goals for your child? *

As a parent, what are your academic concerns for your child? *

What caused you to develop these academic concerns? *

Can your child read? *

My child HAS developed the ability to read
My child DOES NOT have the ability to read
My child has developed SOME ability to read

How does your child feel about reading? *

My child is not interested in reading
My child has a desire to read but faces challenges
My child loves to read

What was the last month your child attempted to or read a book? *

What is your child academically most excited about this academic school year? *

What is your child academically concerned about this year? *

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Character Profile

Describe your child's personal development skills. *

Describe your child's interpersonal skills. *

Describe your child's work ethics. *

Does your child have the ability to to respectfully give adults their full attention in a learning setting? *

Yes
No
I don't know
Sometimes

Has your child ever physically or verbally assaulted anyone? *

Yes
No
I don't know

Has your child ever threatened to harm someone? *

Yes
No
I don't know

Has your child ever teased, spread a rumor, looked down upon, or tried to discourage anyone? *

Yes
No
I don't know

Does your child respond respectfully to others? *

Yes
No
I don't know
Sometimes

Does your child like to share? *

Yes
No
I don't know
Sometimes

Is your child motivated to participate in physical activities? *

Yes
No
I don't know
Sometimes

Does your child participate in physical activities? *

Yes
No
I don't know
Sometimes

Is your child more drawn to playing with technology or engaging in physical activities? *

Technology
Physical Activities
Neither

Please explain what your child is mostly drawn to.

Does your child listen the first time when given instructions and directions? *

Yes
No
I don't know
Sometimes

Does your child have chores and responsibilities? *

Does your child perform these chores and responsibilities without the instructions, reminder, and presence of an adult? *

Yes
No
I don't know
Sometimes

Does your child hide and sneak things? *

Yes
No
I don't know
Sometimes

Does your child take responsibility for their actions when they have done something that has a negative outcome? *

Yes
No
I don't know
Sometimes

How do they respond?

Does your child encourage others? *

Yes
No
I don't know
Sometimes

Does your child communicate well with others? *

Yes
No
I don't know
Sometimes

Does your child have the ability and attitude to persevere and bounce back when faced with challenges? *

Yes
No
I don't know
Sometimes

Does your child cry or feel bad when seeing others thrive or accomplish something that they struggle with? *

Yes
No
I don't know
Sometimes

Does your child have a healthy perspective of adults? *

Yes
No
I don't know
Sometimes

Does your child have healthy relationships with authority figures? *

Yes
No
I don't know
Sometimes

Does your child feel motivated to engage in athletic activities or play on their own? *

Yes
No
I don't know
Sometimes

Is your child happy in their home environment? *

Yes
No
I don't know
Sometimes

Is your child happy in their educational environment? *

Yes
No
I don't know
Sometimes

Does your child feel comfortable enough to come home and share experiences with you? *

Yes
No
I don't know
Sometimes

Is your child honest with you? *

Yes
No
I don't know
Sometimes

As a parent/guardian, what are your character goals for your child? *

As a parent/guardian, what are your character concerns for your child? *

What caused you to develop these character concerns? *

How have you approached these character concerns? *

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Medical Information

Here at E.A.A.P.A, we understand that many children can develop learning disabilities or Mental challenges as a result of their experiences in a learning, home, or other outside of home environments. If they have, we at EAAPA will need a professional diagnosis so we can better assist you on this journey to ensuring your child reaches their full potential of healthiness. Therefore, we are requiring all our E.A.A.P.A parents to get their children medically evaluated to be able to ensure that their child has not developed any learning or mental challenges, disabilities, or set backs that could be detrimental to their academic journey and overall purpose in life. Here are EAAPA’S recommendations: https://www.brainbalancecenters.com https://wecaresupport.org https://hhpsych.com https://www.contemporarylearningcenter.com https://questinc.org/quest-kids-therapy/ https://www.floridapsychoeducationalevaluations.com https://childtestingfl.com https://pittingtoncounseling.com

Has your child ever been in an abusive environment? *

Yes
No
I don't know

Has your child ever been mentally, verbally, or physically abused? *

Yes
No
I don't know

Has your child ever had a traumatic experience? *

Yes
No
I don't know

How did this affect your child's personality, character, or temperament? Explain

Is your child still dealing with the effects of this traumatic experience?

Yes
No
I don't know

Have you ever gotten your child evaluated for any learning disabilities/challenges? *

Yes
No
I don't know

Do you know if your child has any current learning disabilities? *

Yes
No
I don't know

Does your child have any learning disabilities? *

Yes
No
I don't know

Has your child ever previously had any learning disabilities? *

Yes
No
I don't know

What are your child's learning disabilities?

Do you have up to date official medical records pertaining to your child's previous or current learning disabilities?

Yes
No
I don't know

Has your child officially been diagnosed with these disabilities?

Yes
No
I don't know

Please upload any and all documentation of diagnosed learning disabilities

Click or drag files to this area to upload. You can upload up to 7 files.

Does your child currently receive services for these disabilities? If so, what services?

Does your child have medications for these disabilities?

Please give the name, address, and contact information of the facility that diagnosed and/or services your scholar. Please include the name of their doctor/therapist.

Does your child have any physical disabilities? *

Yes
No
I don't know

What are your child's physical disabilities?

Does your child need special attention, or accommodations for these disabilities?

Has your child every been tested or professionally evaluated for any behavioral disabilities? *

Yes
No
I don't know

Has your child every been diagnosed with any behavioral disabilities? *

Yes
No
I don't know

Does Your Child have any of the following behavioral disabilities? Please select all that apply.

Attention-Deficit/Hyperactivity Disorder (ADHD)
Anxiety Disorder
Obsessive- Compulsive disorder (OCD)
Panic Disorder
Emotional Disorder

Please upload any and all official behavioral disability diagnosis.

Click or drag files to this area to upload. You can upload up to 10 files.

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Bullying Awareness and History

Has your child ever bullied someone? *

Yes
No
I don't know

Has your child ever threatened anyone? *

Yes
No
I don't know

Has your child ever verbally or physically assaulted others? *

Yes
No
I don't know

Has your child ever threatened to physically harm someone? *

Yes
No
I don't know

Has your child ever teased, spread a rumor, look down upon, or try to discourage anyone? *

Yes
No
I don't know

Has your child ever tried to influence anyone to have a negative perspective of another classmate or schoolmate? *

Yes
No
I don't know

Has your child ever had a physical altercation with someone? *

Yes
No
I don't know

Has your child ever been associated with a mean click at school? *

Yes
No
I don't know

Has your child ever tried to intimidate others? *

Yes
No
I don't know

Does your child ever speak to others in an aggressive tone? *

Yes
No
I don't know
Sometimes

Has your child ever been bullied? *

Yes
No
I don't know

Has your child ever been talked down to, negatively judged, or verbally abused by an adult in a previous school environment? *

Yes
No
I don't know

Please give a detailed description of your child's experience being bullied.

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Future Pursuits

What are your child's future professional career pursuits? *

Is your child interested in attending college? *

Is your child interested in owning their own business in the future? *

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E.A.A.P.A Interest and Feedback

Have you ever advised E.A.A.P.A. to family, friends, or anyone else? *

How has your experience been with E.A.A.P.A? *

Why did you decide to journey with E.A.A.P.A another academic year? *

What are you looking for E.A.A.P.A to do for your child and family? *

If any, what are your reservations pertaining to E.A.A.P.A? *

What are you most excited about pertaining to E.A.A.P.A? *

Are you willing to invest your all into your child's purpose, future, and life? *

Are you willing to grow even more and reach your full potential in becoming the best version of you in your child's life? *

Write an honest review of E.A.A.P.A. This review may be chosen to be shown publicly on our Elisha.Academy school website

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By signing below, I confirm that the information provided in this re-enrollment form is accurate and complete to the best of my knowledge and abilities.

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