Gravity Form – Enrollment / Admissions Inquiry form

Applicant Information

Admissions inquiry proof form: applicant details.

Applicant Prefix (optional)

Applicant First Name(Required)

Applicant Middle Name (optional)

Applicant Last Name(Required)

Applicant Suffix (optional)

Applicant Preferred Name

Date of Birth(Required)

Gender(Required)

Pronouns

Ethnicity

Current Grade(Required)

Applicant for Grade(Required)

Current School(Required)

Applicant Year(Required)

Does Applicant have an IEP or Other Evaluation?(Required)

Yes

No

Are you pursuing Financial Aid?(Required)

Yes

No

Are you pursuing School District Funding?(Required)

Yes

No

Does Applicant qualify for free or reduced lunch at their current school?(Required)

Yes

No

Best Contact Email(Required)

Used for family confirmation email delivery.

Primary Household Information

Primary household and parent/guardian information.

Primary Home Address(Required)

Street Address City State ZIP Code

Prefix (optional) (Primary Household First Parent/Guardian)

First Name (Primary Household First Parent/Guardian)(Required)

Middle Name (optional) (Primary Household First Parent/Guardian)

Last Name (Primary Household First Parent/Guardian)(Required)

Suffix (optional) (Primary Household First Parent/Guardian)

Relationship to Applicant (Primary Household First Parent/Guardian)(Required)

Primary Phone Number (Primary Household First Parent/Guardian)(Required)

Primary Email Address (Primary Household First Parent/Guardian)(Required)

Employment Status (Primary Household First Parent/Guardian)(Required)

Title/Occupation (Primary Household First Parent/Guardian)(Required)

Employer Name (Primary Household First Parent/Guardian)(Required)

Work Phone Number (Primary Household First Parent/Guardian)

Work Address (Primary Household First Parent/Guardian)

Street Address City State ZIP Code

Is there a Second Parent/Guardian in Primary Household?(Required)

Yes

No

Prefix (optional) (Primary Household Second Parent/Guardian)

First Name (Primary Household Second Parent/Guardian)(Required)

Middle Name (optional) (Primary Household Second Parent/Guardian)

Last Name (Primary Household Second Parent/Guardian)(Required)

Suffix (optional) (Primary Household Second Parent/Guardian)

Relationship to Applicant (Primary Household Second Parent/Guardian)(Required)

Primary Phone Number (Primary Household Second Parent/Guardian)(Required)

Primary Email Address (Primary Household Second Parent/Guardian)(Required)

Employment Status (Primary Household Second Parent/Guardian)(Required)

Title/Occupation (Primary Household Second Parent/Guardian)(Required)

Employer Name (Primary Household Second Parent/Guardian)(Required)

Work Phone Number (Primary Household Second Parent/Guardian)

Work Address (Primary Household Second Parent/Guardian)

Street Address City State ZIP Code

Secondary Household & Custody

Secondary household, custody, and siblings.

Does the Applicant have a Second Household with a Legal Guardian?(Required)

Yes

No

Secondary Home Address(Required)

Street Address City State ZIP Code

Prefix (optional) (Secondary Household First Parent/Guardian)

First Name (Secondary Household First Parent/Guardian)(Required)

Middle Name (optional) (Secondary Household First Parent/Guardian)

Last Name (Secondary Household First Parent/Guardian)(Required)

Suffix (optional) (Secondary Household First Parent/Guardian)

Relationship to Applicant (Secondary Household First Parent/Guardian)(Required)

Primary Phone Number (Secondary Household First Parent/Guardian)(Required)

Primary Email Address (Secondary Household First Parent/Guardian)(Required)

Employment Status (Secondary Household First Parent/Guardian)(Required)

Title/Occupation (Secondary Household First Parent/Guardian)(Required)

Employer Name (Secondary Household First Parent/Guardian)(Required)

Work Phone Number (Secondary Household First Parent/Guardian)(Required)

Work Address (Secondary Household First Parent/Guardian)

Street Address City State ZIP Code

Is there a Second Parent/Legal Guardian in this Household?(Required)

Yes

No

Prefix (optional) (Secondary Household Second Parent/Guardian)

First Name (Secondary Household Second Parent/Guardian)(Required)

Middle Name (optional) (Secondary Household Second Parent/Guardian)

Last Name (Secondary Household Second Parent/Guardian)(Required)

Suffix (optional) (Secondary Household Second Parent/Guardian)

Relationship to Applicant (Secondary Household Second Parent/Guardian)(Required)

Primary Phone Number (Secondary Household Second Parent/Guardian)(Required)

Primary Email Address (Secondary Household Second Parent/Guardian)(Required)

Employment Status (Secondary Household Second Parent/Guardian)(Required)

Title/Occupation (Secondary Household Second Parent/Guardian)(Required)

Employer Name (Secondary Household Second Parent/Guardian)(Required)

Work Phone Number (Secondary Household Second Parent/Guardian)

Work Address (Secondary Household Second Parent/Guardian)

Street Address City State ZIP Code

Do both Mother and Father have Legal and Physical Custody?(Required)

Yes

No

Who has Legal Custody?

Please specify Name(s) and Relationship to Applicant? (Legal Custody)

Who has Physical Custody?

Please specify Name(s) and Relationship to Applicant? (Physical Custody)

How many Siblings, if any, does the Applicant have?

How many of these siblings currently reside in the home?

Academic Information

School history and grade progression.

Please list all Schools Applicant has attended starting with the most recent.

Previous School Name

School Phone Number

Grade

Has the Applicant attended another school?

Yes

No

Previous School Name (Additional School)

School Phone Number (Additional School)

Grade (Additional School)

Has the Applicant repeated a grade?

Yes

No

Which grade(s) were repeated?

Files & Submit

Upload files and submit admissions inquiry.

File Upload

Attach up to 4 files. Maximum total size 20MB.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 20 MB, Max. files: 4.

Consent(Required)

I confirm the information provided is accurate.

Admissions Updates

I would like to receive admissions updates from The Quaker School.

Applicant Information

Programme Pathway

Primary Household Information

Secondary Household & Custody

Academic Information

Assessments, Evaluations & Therapies

Files & Submit