Student Application
IVY ACADEMY

Environmental Public Charter School Enrollment Application

Please see our Guidelines for Enrollment before moving forward. This application is for students who wish to attend Ivy Academy for the 2019/2020 school year only.

Enrollment Procedure:

This application is the first step in the enrollment process for the 2019/2020 school year. This application must be completed and submitted in order for each student to be considered for enrollment. Applications may be submitted online, emailed to admissions@ivyacademychattanooga.com, or mailed to Ivy Academy, 8520 Dayton Pike Soddy Daisy, TN 37379. Please answer all questions and submit as described above.

Processes must be completed no later than January 31, 2019. Incomplete enrollment processes will not be considered for enrollment.

Students will be notified of enrollment placement on February 22, 2018.

Please see our Guidelines for Enrollment prior to beginning your application process.
After you have completed this application, please visit our Application Process


Returning Ivy Students do not need to fill out an application.

Student Last Name *
Your answer
Student First Name *
Your answer
*
Date of birth *
Your answer
Social Security Number *
Your answer
Race
City of Birth
Your answer
With whom does the applicant currently live? (check all that apply) *
Required
Parent/guardian name *
Your answer
Address (street & apt number) *
Your answer
Address (city, state, zip) *
Your answer
Home phone (XXX)-XXX-XXXX *
Your answer
Other phone (XXX)-XXX-XXXX
Your answer
Parent Email Address *
Your answer
Current School *
Your answer
Current Grade *
Your answer
What grade will the student be entering in the 2019-2020 school year? *
Does the applicant qualify for free or reduced lunch? *
Does the applicant have a sibling currently attending Ivy Academy? *
Required
How did you learn about Ivy Academy? Please check all that apply. *
Required
Special Services
(Your responses to the following questions will not affect your enrollment decisions, but will be used to properly place your child in the appropriate classes or programs):
1. Did the student receive Exceptional Education services at his/her previous school? *
2. Did the student have an Individualized Education Plan (IEP) at his/her previous school?
Did the student have a 504 plan at his or her previous school? *
4. Has the student been identified for gifted and talented educational services? *
3. Did the student receive services designed for English Language Learners (ESL)? *
Is the student applying through a Foreign Exchange Student Program? *
Required
If "Yes", please list the exchange program and contact name.
Your answer
5. Has the student ever been suspended from any school? *
*If YES, please explain the situation. Provide as much detail as possible.
Your answer
6. Has the student ever been expelled from a school or is there an expulsion action pending? *
*If YES, please explain. Provide as many details as possible.
Your answer
7. Has the student ever been convicted of a crime, or does the student have a criminal investigation pending? *
*If YES, please explain:
Your answer
To be completed by the STUDENT:
Why are you interested in attending Ivy Academy Environmental Charter School? *
Your answer
To be completed by the Parent/Guardian:
1. Why are you interested in having your student attend Ivy Academy? *
Your answer
2. What is your level of involvement in your student's education? *
Your answer
3. What talents or experiences can you share with the Ivy Academy learning community?
Your answer
4. As a parent of a student at Ivy Academy, I understand that my student will be spending at least 2/3 of his or her instruction time in the outdoors. I am committed to the curriculum at Ivy Academy and I will make sure my student complies with the school's outdoor learning agreement. *
(Please select one)
PLEASE READ THE FOLLOWING AND THEN AFFIRM YOU HAVE READ IT AND DATE THE APPLICATION BELOW:
We certify that all the information provided in this application is accurate. We understand that Ivy Academy can deny or revoke my child’s admission or enrollment if any information is found to be incomplete or inaccurate.

We also understand that Ivy Academy is a school of choice and that by submitting this application for admissions and upon enrollment in Ivy Academy, we will become familiar with and agree to abide by all policies and procedures set forth in the student handbook (Green Book).

We have read the previous two paragraphs *
Required
Parent/Guardian name *
Your answer
Student name *
Your answer
Date *
MM
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/
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