Admissions

Due to the individualized nature of our program, new students are accepted year-round when space is available. The admission process can be completed in a matter of days when necessary.

Of course, you will want to visit the school first. To arrange a tour, call (801) 685-9648 or send an email to our Admissions Director.

To apply for enrollment, the application form below must be completed. Upon receipt of your application, a "free day" can be scheduled. This allows your child to spend some time at Applied Scholastics Academy of Salt Lake City and see what it's like. During this period, we will test his or her reading and math skills to determine the ideal class placement. Test results and a full program recommendation will be provided to you within a day or two.

Applied Scholastics Academy of Salt Lake City Application Form

Student Information

Last Name:(required)
First Name:(required)
Middle Name:
Nickname:
Street Address:(required)
Apartment Number:
City:(required)
State:(required)
Zipcode:(required)
Home Phone:(required)
Date of Birth:(required)
Age:
Current Grade Level:
Last School Attended:
How did you find out about Applied Scholastics Academy of Salt Lake City?

Father's Information

Father's Name:
Spouse, if not child's father:
Occupation:
Employer:
Work Phone Number:
Cell Phone Number:
Email Address:

Mother's Information

Mother's Name:
Spouse, if not child's mother:
Occupation:
Employer:
Work Phone Number:
Cell Phone Number:
Email address:

Information About Your Child

List any extracurricular classes attended, and private home instruction or tutoring your child has received or is now receiving:(required)
How does your child spend his/her leisure time, as well as contribute to the household?(required)
How do you see your child's attitude toward school?(required)
How do you see your child's attitude toward home & family?(required)
How do you see your child's attitude toward himself/herself?(required)
Describe any academic or social difficulties your son or daughter has had in school (i.e. reading, math, behavior). List any circumstances outside of school that may have affected his/her performance in school:(required)
Why do you want your child to attend Applied Scholastics Academy of Salt Lake City?(required)
What would you like to see your child accomplish?(required)

Confidential Preliminary Health Report

Does your child have or has she/he ever had physical, mental or emotional difficulties or disabilities or special health problems? If yes, please explain:
Does your child have any physical handicaps? If yes, please explain:
Are there any restrictions regarding his/her activies? If yes, please explain:
Is your child under medical treatment or medication? If yes, please explain:
I certify that the above is complete and true and that the applicant is a normal child who is a safe companion for the other children.
Name of Parent or Legal Guardian completing this form:(required)

cforms contact form by delicious:days

Permalink • Print • Email

Admissions

Applied Scholastics Academy of Salt Lake City Application Form

Latest News

School Calendar