Waitlist Request Form

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Thank you for your interest in joining CHEC Academy! Please complete the form below to be added to our waitlist. We will notify you as soon as a spot becomes available.

Student's Full Name *

Date of Birth *

YYYY

SY 25/26 Grade (According to age) *

Gender *

Male

Female

School or program enrolled in SY24/25 *

Reason for wanting to enroll at CHEC *

Program of Interest *

2-day Elementary Program (K-5th)

2-day Onyx JH Program (6th-7th)

3-day Onyx JH Program (6th-7th)

2-day Opal HS Program (8th-9th)

3-day Opal HS Program (8th-9th)

2-day Diamond HS Program (10th-12th)

Is the student currently on the UA or PEP scholarship? *

PEP

Applying for the first time for SY25-26

I don't know what UA or PEP scholarship is

Do you know about our programs for K-5th at our CHEC The Center location in West Boynton? *

Yes, I am familiar with the programs there

No, Please tell me more

Parent/Guardian Full Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Home Address *

Church family attends *

Families you currently know that attend CHEC *

We do not expect there to be room at the academy and highly encourage families to check out other programs

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