Apply today Application About the prospective studentStudent name(Required) First Middle Last Student date of birth(Required) Has your child previously attended school? Yes No School year for which student is applying? 2022/2023 2023/2024 Grade level of student in 2022/2023 school year(Required) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Student's Primary Residence Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student lives with (select an option)(Required)Both parentsFatherMotherGuardianOtherAbout the parent/guardianPrimary Parent/Guardian (with whom the student resides): First Middle Last Relationship to Student (select an option)FatherMotherGuardianOtherEmail Address Primary Phone(Required)Alternate PhoneAbout a second parent/guardianAlternate Parent/Guardian First Middle Last Relationship to Student (select an option)Not applicableFatherMotherGuardianOtherEmail Address Primary PhoneAlternate PhoneDoes this person live at the same address as the student? Yes No About your applicationHow were you referred to this school? School Referral Website Email Social media Friend/Relative Referral Letter/Postcard Newspaper Radio Why did you choose Hope Academy?(Required) My child has experienced childhood trauma Small student-to-teacher ratio Curriculum Dissatisfied with current school Location Safe/better environment Researchers from the University of Arkansas will be conducting an evaluation of Hope Academy. I give my permission for the researchers to contact me for feedback.(Required) Yes No CommentsThis field is for validation purposes and should be left unchanged. Δ
