Cultivate Studios, an Acton Academy Interest Form

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Thank you for your interest in our program. We are honored to be considered as the next place in your child's educational journey. If interested in applying, please review our website, Info Kit and recommended readings, then complete the following questions to the best of your ability so we can determine if we may be the right fit for your family.

Thanks!

-Sydney Loper (Director)

Your name: *

Email: *

Phone: *

Child's Name: *

Child's Birth Date: *

YYYY

Where is your child currently learning? *

When are you looking to enroll? *

23-24 School Year

24-25 School Year

Which program are you interested in? *

4 Day school week 8:30-3:00 (out Wednesdays)

3 Day Homeschool program 8:30-3:00 (Tues/Thurs/Fri)

What about our non-traditional learning environment makes it a good option for your learner and family? *

We do not give tests or grades & does not have traditional teachers and curriculums. We trust our learners to be in charge of their learning. Are you comfortable with our approach to education? What makes you confident in our method of learning? *

Please check all of the following that your child does consistently. These traits are essential to success in a self-directed learning environment. Please note that if your child does not consistently demonstrate these traits, we recommend continuing to encourage these traits in your child and applying at a future date.

exhibits a positive attitude about learning

participates willingly in classroom activities

able to engage and participate in a discussion with peers

can set, remember, and pursue a goal for 30 minutes or more

works well with peers as a team player

shows empathy

manages strong feelings like frustration and disappointment

takes responsibility for actions and choices

able to care for school materials respectfully

shows respect and kindness to peers and mentors

independently complete tasks to meet personal goals

When it comes to education, how do you define success for your child?
*

Cultivate is a Christ-centered environment. Our day is filled with prayer, Jesus, and worship music. Please describe your family's religious beliefs.
*

How would you describe your child's personality? *

What are your child's biggest strengths? *

What are some areas your child could grow in? Socially or academically?
*

Has your child undergone any evaluations or assessments for academic, behavioral, social, or emotional needs? What insights did these provide?
*

If you answered yes above, Why were these evaluations conducted?

If offered a spot in our studios, what remaining questions do you have before enrolling? *

Thank you for taking the time to complete our interest form. (Be sure to click submit below.)

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