FlUrNing Academy for Summer Enrichment (FASE) Application
Due to creating a personalized experience for each student, if multiple scholars are being signed up, please fill out a separate form for each scholar.
Email address *
Full Name of Parent *
Your answer
Scholar's First Name *
Your answer
Scholar's Last Name *
Your answer
Primary Phone Number *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Emergency Contact's Name and Phone Number(s) *
Your answer
School District *
Your answer
Grade Entering August 2019 *
Average Academic Achievement *
Please indicate which area(s) enrichment is desired. *
Required
If selected a Specific Subject Enrichment, explain here:
Your answer
What are your scholar's academic strengths? *
Your answer
What are your scholar's academic struggles? *
Your answer
Which learning style best fits your scholar? *
Select all that apply
Required
What do you think that this program would offer your scholar that other programs may not? *
Your answer
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