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.
Email address *
Student Name *
Your answer
Student Grade *
Required
Home address (eSchool is only open to Alachua County residents) *
Your answer
Parent name *
Your answer
Parent phone number *
Your answer
Name of last school student attended (if not in Alachua County, please include city and state) *
Your answer
Does your student receive additional support for learning under one of the following programs? *
Required
Has the student ever been enrolled in any virtual course before? *
What is your reason for applying to Alachua eSchool? *
Your answer
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? *
Your answer
What kind of daily time commitment do you expect for an online virtual program like Alachua eSchool? *
Your answer
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.
A copy of your responses will be emailed to the address you provided.
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