eSchool Elementary Enrollment Survey
Please fill out this survey prior to your enrollment appointment at the eSchool office. Thank you!
*If you have more than one elementary student, you can add them all in this form.
Home address (eSchool is only open to Alachua County residents)
Parent phone number
Name of last school student attended (if not in Alachua County, please include city and state)
Does your student receive additional support for learning under one of the following programs?
Exceptional Student Education
English Language Learner
No, my child does not receive any of these services
Not currently, but I believe my child may require services.
Has the student ever been enrolled in any virtual course before?
What is your reason for applying to Alachua eSchool?
Alachua eSchool students work with a Learning Coach at home who helps them with their daily coursework. Who will be acting in this role for your student?
What kind of daily time commitment do you expect for an online virtual program like Alachua eSchool?
If enrolled in our program, do you understand that there are certain requirements that must be met as public school students? (testing, attendance, etc.)
Thank you! We look forward to speaking with you soon! Our teachers and staff will review your survey and will contact you to schedule an enrollment appointment at our office. Please gather the following materials to have ready for your appointment.
Home Language Survey -
Basic Student Information Sheet -
eSchool Parent Questionnaire -
eSchool Elementary Handbook (read and sign last page) -
Certification of Immunization
Proof of Physical Exam
Social Security Card
Two Different Proofs of Residency in Parent’s Name
Valid Transcripts and Withdrawal Form from previous school
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Alachua County Public Schools.