Intermountain Academy Waitlist
If you are interested in having your child attend Intermountain Academy, please fill out the following form. You will receive confirmation of your form being received. Then, you will be contacted for a group tour in the future.
Student's Name *
Your answer
Student's Grade for 2018-2019 School Year *
Student's birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name(s) *
Your answer
Best contact phone number *
Your answer
Email address *
Your answer
Student's Current School *
Your answer
IEP? *
Level of Communication *
Give a short explanation of where your child is in Reading *
Your answer
Give a short explanation of where your child is in Math *
Your answer
Describe any social or behavioral issues your child portrays *
Your answer
Is your child potty trained? *
For Middle School and High School students, which track(s) would you think would fit your child best? You can pick more than one, if unsure. We can discuss these more.
If your child did not receive a spot at the school at the beginning of the year, would you still like to be considered for potential openings during the school year that open up for midyear transfer? *
Have you applied and received the Empowerment Scholarship? *
Is your child enrolled in any Intermountain Centers services currently? *
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