Pathways Interest Form
Thank you for your interest in Pathways School and Evaluation Center. We are a small non-profit, state-approved, K-12 private school, and evaluation center. Our mission is to educate children with learning differences in which they can achieve their greatest potential. We look forward to hearing from you and if you have any other questions, you may complete our "contact us"  form.
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Email *
Interest and Admission Steps:
* Complete and submit Pathways Interest Form
* Email a copy of your child's most recent IEP, MET, and/or other evaluation(s) including Speech and Language, Occupational Therapy, and/or Physical Therapy to INFO@PATHWAYSSCHOOL.ORG
* All documents must be sent at the same time (one email preferably) for adequate review.
* The Director will review these documents and proceed with scheduling a meeting with parents if Pathways School can meet the student's needs.
* Please allow 2 weeks for the director to review all documents
* Based on enrollment your child may be invited for a full-day visit for one or two days.
* Parents/Guardians will be notified of enrollment status within 1 week of the student's full-day visit at Pathways.
* A link will be sent to parents containing the enrollment paperwork if Pathways is able to offer enrollment. The electronic paperwork must be completed within 5 calendar days or before the student starts at Pathways.
* Acceptance of the enrollment offer includes the completion of the parent/student handbook and the $750 deposit to secure the enrollment.
* After completing this form please email all other needed documents to INFO@PATHWAYSSCHOOL.ORG
Which location are you applying for: *
Which school year are you interested in?* *
Student's Full Legal Name: *
Gender: *
Students Date of Birth: *
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Students Current Age: *
Grade Level for 2025-2026 School Year: *
Student Primarily Lives With: *
Student's Primary Address: *
Primary Parent Name: *
Primary Parent Cell Phone Number: *
Primary Parent Home Phone Number: *
Primary Parent Email Address: *
Secondary Parent Name: *
Secondary Parent Cell Phone Number: *
Secondary Parent Home Phone Number: *
Secondary Parent Email Address: *
Additional Parent/Guardian Name and Contact Phone Numbers: *
Do you have custody documents that need to be provided to the school? *
Primary Emergency Contact and Phone Number other than parent(s): *
Secondary Emergency Contact and Phone Number other than parent(s): *
What is the last or current school attended? *
How did you hear about Pathways School? *
Does your student receive Special Education Services at the last/current school attended? *
Does you student receive Speech Services? *
Does your student receive Occupational Therapy Services? *
Does your student receive Physical Therapy Services? *
Has your student previously received the Empowerment Scholarship (ESA)? *
If yes, what is your child's category of eligibility to receive ESA? *
Has your student previously received funding from a School Tuition Organization (STO)? *
What are your child's strengths? *
What are your child's areas of greatest need? *
Describe your concerns for your child. *
What strategies have you used to help your child? *
What are your long-term expectations for your child? *
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