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Step 2 Questionnaire Acton Academy Mobile
Thank you for your interest in Acton Academy Mobile. We are honored to be considered as the next place in your child's educational journey. Please complete the following questions to the best of your ability so we can determine if we may be the right fit for your family. (Accepting learners ages 5-11 for 2023-24 school year)
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Email
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Your email
Child's name (first and last) and AGE
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Your answer
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.
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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
can operate an iPad or laptop
able to care for school materials respectfully
shows respect and kindness to peers and mentors
independently complete tasks to meet personal goals
Required
Parent / Guardian Name (first and last)
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Your answer
Parent / Guardian Phone #
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Your answer
Why do you feel Acton would be a good fit for your child and family? What do you hope your child will gain from a self-paced and learner-driven environment?
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Your answer
What can you tell us about your child's social/emotional development? (Please consider topics such as emotional maturity, social compatibility, self-image, etc.)
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Your answer
Has your child undergone any evaluations or assessments for academic, behavioral, social, or emotional needs, what insights did these provide? Why were these evaluations conducted?
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Your answer
If your child has ever needed extra support for academic or emotional needs (tutor, counselor, therapist, psychologist, or physician) Please expand.
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Your answer
If you see your child isn't doing their work or struggling at school, how would you respond?
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Your answer
When it comes to education, how do you define success for your child?
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Your answer
AM is a Christ-centered environment. Please describe your family's religious beliefs.
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Your answer
Child Questionnaire
We would like to get to know your child through your eyes.
Name 3 things your child loves to do.
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Your answer
How would you describe your child’s personality?(Friendly, impulsive, shy, even tempered, dependent, independent, etc.)
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Your answer
Does your child have any strong fears/anxiety? (Ex: bad weather, dogs)
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Your answer
What are your child's biggest strengths?
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Your answer
What are some things your child needs to work on, socially or academically?
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Your answer
What hopes/concerns do you have for your child this next school year? (With our without attending Acton)
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Your answer
Anything else you would like us to know?
Your answer
If your family receives an offer of enrollment at AM, what hesitations or concerns would deter you from accepting?
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Your answer
Thank you for taking the time to complete our questionnaire. We will be in touch! (Be sure to click submit below.)
A copy of your responses will be emailed to the address you provided.
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