Laureate Online Registration Form (1st 9 weeks for 2020-2021)
Please complete the Laureate Online Registration Form for each K-6 child that you are enrolling in the Laureate Online program for the 2020-2021 school year (one form per child).

Laureate Online is a combination of teacher-led instruction and student-driven assignments.
Teachers will be available to provide feedback and support to students during set hours.

An email address is required for the registration process.
We recommend gmail since it provides the easiest access to our materials.
Parent Email Address *
Student First Name (as it appears on birth certificate) *
Student Middle Name (as it appears on birth certificate) *
Student Last Name (as it appears on birth certificate) *
Date of Birth (as it appears on birth certificate) *
Is your child currently enrolled at Laureate Academy? (This is a requirement to participate in Laureate Online.) *
Grade Entering for 2020-2021 School Year *
Does your child have internet access at home? *
Does your child have access to his/her own computer for at-home virtual learning? (Please note: Tablets and Ipads are not suitable) *
Does your child have a Laureate Academy issued computer or device? *
If yes, what is the current condition of the device?
Please describe the issue with the computer. (For example: Computer won't turn-on, computer screen is damaged, computer charger is damaged, error message.)
Please indicate if your child will participate in the school meal program. *
Parent/Guardian Name (First, Last) *
Parent/Guardian Phone Number Cell *
Parent/Guardian Work Place *
Parent/Guardian Phone Number Work *
Street Address (example: 2115 Oakmere Drive) *
Apartment Number
City *
State *
Zip *
Are you able to commit to being at home with your scholar during set instructional hours? *
Are you willing to participate in online training to learn more about how to utilize online tools to support your scholar(s)? *
Would you be willing to partner with another Laureate family who wants their child to participate in Laureate Online, but needs support with childcare during the day? *
We are working on finalizing details for the program. Thank you for your patience! What questions do you have?
By entering your name in the box below, you are signing this form electronically, which will commit your scholar to participate in the Laureate Online program for the first nine weeks of the 2020-2021 school year. *
Never submit passwords through Google Forms.
This form was created inside of Laureate Academy Charter School. Report Abuse