Rise School of Corpus Christi Interest & Wait List Form
Thank you for your interest in The Rise School of Corpus Christi, the city’s first and only school dedicated to early education of children with and without disabilities in an inclusive classroom setting with master's level educators and on-staff speech, occupational, physical, and music therapists.The Rise School of Corpus Christi serves children ages fifteen months to six years of age in an intensive environment of early education and intervention provided to students year-round, five days a week, six hours daily.

**Our program is currently full and completing this form does not guarantee you a slot. Although we may not be able to serve your family immediately, we encourage families to complete the form and attend an open house so that we can place you on our wait list and assess interest/community need for program growth.

**In the event of an opening, parents are notified via email and phone call when a space is available for their child. Parents are given 48 hours to notify us of their decision to either accept or decline the enrollment. If parents fail to contact us within the 48 hour period, the assumption is made that the family is no longer interested in our program and the child’s name will be removed from the waiting list. If the space is declined, the child’s name is removed from the waiting list. Because of this, it is very important to keep us up to date with changes to contact details (e.g. email address and phone numbers).

If you need assistance or have questions, the best way to contact us is by EMAIL:
Vanessa Nisbet, Executive Director
director@risecorpuschristi.org

Name of Prospective Student *
Your answer
Date of Birth *
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YYYY
Prospective Student Is: *
Required
Diagnosis of prospective student: *
Your answer
What services, programs or therapies does prospective student currently receive? *
Your answer
Mothers Name: *
Your answer
Fathers Name: *
Your answer
Best Email for Contact: *
Your answer
Best Phone Number for Contact: *
Your answer
Is your family interested in a tuition scholarship? *
Required
Total Household Income (Answer only if you would like tuition scholarship consideration)
Your answer
How did you hear about The Rise School of Corpus Christi?
Your answer
Have any of your family members attended The Rise School? If so, please list their name and your relation.
Your answer
I understand that in addition to the completion of this form, for my child to be placed on the wait list, I MUST attend one open house session. Please select one of the times below. Open house sessions will last 30-60 minutes.This is a time for PARENTS to attend, meet staff, ask questions and gain program information. If your family is accepted into the program we will do a family/child tour at that time. **In order to provide a safe and secure environment for the children, we can only permit you to tour our classrooms during one of the following open house times. We are not accepting private tours or drop in visits.** *
Required
Other Comments/Notes:
Your answer
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