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 Grade for 2018-2019 School Year
Best contact phone number
Student's Current School
Student has an IEP with Autism as 1st Eligibility
Student has an IEP with Autism as 2nd Eligibility
Student has an IEP, but it does not have Autism on it
Level of Communication
Verbal with few words
Nonverbal with little to no communication
Nonverbal with sign language
Nonverbal with a device
Give a short explanation of where your child is in Reading
Give a short explanation of where your child is in Math
Describe any social or behavioral issues your child portrays
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.
Life Skills - Focusing on Safety, Communication and Independent Living
Academic/Work Skills - Focuses on basic academics, as well as work skills, such as internships in the community
Academic/College Bound - Focuses on academics and social skills most. Student needs more academic structure to lessen behaviors or is college bound.
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?
Yes, in previous years
Yes in previous years, and I reapplied this year
I have not received it yet, but I did apply this year already
No I haven't applied yet
What are you even talking about?
Is your child enrolled in any Intermountain Centers services currently?
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