2019-2020 Ensign Peak Academy Middle School Live Program New Student Application
Please complete the form below to apply for admission to Ensign Peak Academy's Middle school Live Program. A separate application is required for each new student. A high school student is defined as a student who is at least 12 years old prior to September 1, 2019. (Contact the Director for exceptions.) RETURNING STUDENTS DO NOT NEED TO SUBMIT A NEW APPLICATION, BUT DO NEED TO SUBMIT THE "RETURNING STUDENT FORM."
Student Last Name *
Please enter the student's last name.
Your answer
Student First Name *
Please enter the student's first name.
Your answer
Student Email Address *
Please enter the student's email address.
Your answer
Student Applicant Birth Date
Please enter the student's birth date.
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Student Gender *
Student Grade Level *
Please select the student's grade level for the 2019-2020 school year. (7th Grade = 12 years old by Sept 1, 2019; 8th Grade = 13 years old by Sept 1, 2019)
Time Zone *
Please select the time zone in which the student resides:
Parent 1 First Name *
Please enter parent 1's first name.
Your answer
Parent 1 Last Name *
Please enter parent 1's last name.
Your answer
Parent 1 Email Address *
Please enter parent 1's email address.
Your answer
Parent 1 Phone Number *
Please enter parent 1's phone number.
Your answer
Parent 1 Street Address or PO Box *
Your answer
Parent 1 City *
Your answer
Parent 1 State or Country (Country if outside the US) *
Your answer
Parent 1 Zip Code/Postal Code *
Your answer
Parent 2 First Name *
Please enter parent 2's first name
Your answer
Parent 2 Last Name *
Please enter parent 2's last name.
Your answer
STUDENT Essay *
Please write 100–150 words describing why you want to become a student at Ensign Peak Academy.
Your answer
PARENT Essay *
Please write 100–150 words describing why you want your student to become a student at Ensign Peak Academy.
Your answer
Student Course Participation Agreement *
As a student of Ensign Peak Academy, I understand and agree to the following participation conditions: I agree to ask questions and participate in live class discussions, complete all personal study sections, assignments, quizzes and final exams in a timely manner, and strive to be on camera in the live classroom.
Required
Student Honor Code Agreement *
I understand and agree to the following student honor code agreement, which is to strive to follow "For the Strength of Youth" standards (e.g. language, music, media, etc.) at all times and in all places, and not to engage in any form of bullying behavior.
Required
Parent Honor Code Support Agreement *
I agree to help my child uphold and abide by the Ensign Peak Academy Honor Code, which is to adhere to all "For the Strength of Youth" standards and not to engage in any form of bullying behavior.
Required
Student Release Agreement *
I agree that my voice and images (e.g. video) may be recorded as part of the Ensign Peak Academy live classes, and that by enrolling in the program, I grant Ensign Peak Academy full, unending, and irrevocable license to share the live class recordings with other students enrolled in Ensign Peak Academy. The sole purpose of such recordings is for students who have missed the live class or who wish to review the live class. Such recordings will not be shared in any other manner, with any other person or entity.
Required
Parent Release Agreement *
I agree that my child's voice and video may be recorded as part of the Ensign Peak Academy live classes, and by enrolling in the program, I grant Ensign Peak Academy full, unending, and irrevocable license to share the live class recordings with other students enrolled in Ensign Peak Academy. The sole purpose of such recordings is for students who have missed the live class or who wish to review the live class. Such recordings will not be shared in any other manner, with any other person or entity.
Required
Information Student Release for Ensign Peak Academy Directory (Optional)
I agree that my student's name, email, and phone may be included in the directory of the learning community to which they belong, to be shared with other Ensign Peak Academy students and mentors only. (Do not check if you do not agree.)
Information Parent Release for Ensign Peak Academy Directory (Optional)
I agree that parent information (name, email, phone) may be included in the directory of the learning community to which their student belongs, to be shared with other Ensign Peak Academy students and mentors only. (Do not check if you do not agree.)
Parent Finance Agreement *
I understand that monthly tuition payments are non-refundable. I understand that if I opt for monthly tuition payments, that I may stop my payments at any time and that enrollment in Ensign Peak Academy will cease at the end of the month in which my last payment was received. I understand that pro-rated refunds of lump sum tuition payments are calculated as of the last day of the month in which a written request to withdraw is received by school administration.
Required
Privacy Policy *
Please read and agree to this privacy policy: Ensign Peak Academy does not directly share your (or your child's) personal contact information or performance data with any service without your permission. We do use some third-party providers (e.g. Canvas, Google Drive, and GoToMeeting), and these companies and services maintain their own privacy policies, which you agree to accept and abide by as a student of Ensign Peak Academy.
Required
Parents: How can we best serve your education needs? (Optional)
Parents: Please let us know about any considerations that you'd like our mentors and administrators to be aware of in serving the educational needs of your student.
Your answer
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