Application Form

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Parent Questionnaire: (1st & 2nd Grade Applicants)

To be filled out by 1st & 2nd grade parents. The following questions help us learn about your child. Please provide supporting evidence for your responses.
Describe your child’s strengths*
Describe your child’s areas of challenge*
What are your child’s interests/hobbies?*
Describe how your child interacts with peers*
What do you expect your child to gain from our program?*
Is there anything else you would like us to know about your child?*
Parent Signature*
Date*
Date Format: MM slash DD slash YYYY
Parent Signature
Date
Date Format: MM slash DD slash YYYY

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Student Questionnaire (3rd - 12th Grade Applicants)

The following questions help us learn about you. Please handwrite or type your answers.
Describe your strengths*
Describe your weaknesses (areas of challenge)*
What is your favorite subject and why?*
What is your least favorite subject and why?*
What do you expect to gain from our school?*
Is there anything else you would like us to know about you?*
Student Signature*
Date*
Date Format: MM slash DD slash YYYY
Parent Signature*
Date*
Date Format: MM slash DD slash YYYY

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	Always	Frequently	Sometimes	Rarely	Never
Problem Solving Ability: I provide alternate or multiple solutions to questions
Reasoning Ability: I understand cause and effect; see patterns and relationships
Natural Inquiry: I seek information and answers to thoughts; I am inherently curious
Collaboration Skills: I actively engage group members, am respectful of divergent ideas offered by others and contribute effectively
Communication Skills: I organize and expresses ideas with detail and add abstractions
Motivation: I am a self-starter and have intrinsic and independent task commitment
Leadership: I am committed, maintain a focus on goals, have empathy for others, am positive and trustworthy, have values

Meraki Academy