The Farm School at Bell Urban Farm: Student Enrollment Application

2024/2025 application for full-time enrollment at The Farm School at Bell Urban Farm.
  
Thank you for your interest in attending The Farm School at Bell Urban Farm! We are a K-3 school and student applicants must be age 5 on or before August 1st, 2024.

Please complete one application for each student applicant.

A $50 non-refundable application fee is due at the time the application is submitted. Please pay application fee by cash or check (made out to the Farm School at Bell Urban Farm). Application fees can be dropped off at The Farmstand at Bell Urban Farm (2011 Tyler St. Conway, AR) or paid to the school administrator for currently enrolled students.

Please note that submitting an application does not guarantee acceptance.


If you have questions, please do not hesitate to email us at thefarmschoolatbellurbanfarm@gmail.com.

Sign in to Google to save your progress. Learn more
Name of Parent Submitting Application: *
Student's Legal/Government Name: *
Student's Preferred Name: *
Student's Preferred Pronouns
Primary Phone Number: *
Secondary Phone Number: *
Email addresses:
(you can list one per parent/guardian)
 *
Mailing Address: *
Child's Birthdate: *
Child's age on August 1st, 2024: 
 *
Expected grade level for 24/25 academic year:
 *
Race/Ethnicity:
Previous School Information:
If your child has attended a school or daycare center, where did they attend and for how long? Please list name and phone number of facility. 
 *
Family Information:
Please list each parent and/or guardian's names (first and last) and relationship to student applicant.
 *
Who does the student applicant live with? Do they have a second household? *
Does the student applicant have siblings?  If yes, what are their ages? *
Please describe your child's past experience with school/education. What has gone well, what has been challenging?  *
Has your child been asked to leave a school before? Please explain. *
Our School will take place at the urban location of Bell Urban Farm where the children will have access to a variety of natural materials and be immersed in areas like open grassy areas, gardens and woodland.

For a successful experience, students must be able to:
-Adhere to critical safety rules
-Stay in proximity to the group (i.e., not run off)
-Hear and follow teacher instructions
-Wear appropriate gear for the weather
-Tolerate outdoor conditions
-Conduct themselves safely within a group
-Have basic skills in respectful social conduct

*Due to the nature of our program, we understand that this school experience might not be a good fit for all families. We hope to grow and add more resources for a more accessible program for all.

Will your child be able to adhere to the above guidelines?
Clear selection
If you have hesitation or your child has a past history with any requirements above, please explain here. 
Does your child have any learning differences or disabilities? Has an IEP (individualized education plan) been used in the past? *
Does your child have a medical diagnosis of any kind? *
Is your child currently receiving services such as: speech therapy, occupational therapy, physical therapy or counseling services? If yes, please list. *
Does your child have a food allergy that has been medically indicated? *
How have you observed your child to learn the best? (formal or informal) *
What have you observed that hasn't worked for your child when it comes to learning? *
What concerns about a non-traditional learning environment do you have? *
If you had to describe your child with three adjectives, what would you pick? *
Tell us something that you think is important/quirky/unique about your child? *
What are you hoping for your child to gain from their time at The Farm School? *
As a parent, what is most important to you about your child's education? *
Please indicate that you have read and understand both the mission statement and the inclusivity statement of our school.

Mission Statement: 
At The Farm School, we are committed to inspiring a deep love and respect for the natural world in our students, through immersive, nature-based education and by providing a rigorous academic program.

Our Vision: 
We aim to cultivate curious, engaged learners who possess the skills and knowledge to become stewards of the earth. Our aim is to provide a safe, inclusive, nurturing environment in which children are empowered to explore, discover, and connect with the natural world, leading to a lifelong appreciation for its wonders and a commitment to preserving it for future generations. In addition, we are dedicated to providing a well-rounded education that balances access to nature and free play outdoors with the skills necessary to navigate and succeed as a contributing member of society.

Inclusivity Statement: 
We are committed to creating a safe, inclusive, and equitable learning environment for all students, staff, and families. Our Farm School is secular and we celebrate diversity and aim to provide a welcoming and respectful environment that embraces the unique backgrounds, abilities, and perspectives of every person. We believe that all individuals should have equal access to educational opportunities and resources regardless of race, color, religion, gender, sexual orientation/identity, or socioeconomic status. We recognize that we have a responsibility to dismantle systemic inequalities and biases, and we are committed to promoting social justice and equity in all aspects of our school community. We believe that a culture of equity and inclusivity is essential for academic and personal growth, and we strive to create a culture where every individual feels valued, respected, and empowered.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms