Enrollment Form

"*" indicates required fields

Parent/Guardian Information

Parent/Guardian 1 - Relationship*

Parent/Guardian 1 - First Name*

Parent/Guardian 1 - Last Name*

Parent/Guardian 1 - Email Address*

Parent/Guardian 1 - Phone Number*

Parent/Guardian 1 - Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian 1 - Address Type

Parent/Guardian Relationship 2 (if applicable)

Parent/Guardian 2

Parent/Guardian 2 - First Name

Parent/Guardian 2 - Last Name

Parent/Guardian 2 - Email Address

Parent/Guardian 2 - Phone Number

Same Address as Parent/Guardian 1?

Yes

Parent/Guardian 2 - Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian 2 - Address Type

Student 1 Information

First Name (Student 1)*

Middle Name (Student 1)

Last Name (Student 1)*

Preferred Name (Student 1)

Personal Email Address (Student 1)

Phone Number (Student 1)

Grade Level Entering (Student 1)*

Date of Birth (Student 1)*

Race (Student 1)*

Gender (Student 1)*

Female

Male

Ethnicity (Student 1)*

Primary Language (Student 1)*

Student 1 Learning Disability (optional)

504 Plan/IEP (Student 1)*

ESL/ELL (Student 1)

Is currently employed? (Student 1)

School Year (Student 1)*

Requested Start Date (Student 1)*

Add Additional Students*

Student 2 Information

First Name (Student 2)*

Middle Name (Student 2)

Last Name (Student 2)*

Preferred Name (Student 2)

Personal Email Address (Student 2)

Phone Number (Student 2)

Grade Level Entering (Student 2)*

Date of Birth (Student 2)*

Race (Student 2)*

Ethnicity (Student 2)*

Primary Language (Student 2)*

Gender (Student 2)*

Female

Male

Student 2 Learning Disability (optional)

504 Plan/IEP (Student 2)*

ESL/ELL (Student 2)*

Is student currently employed? (Student 2)

School Year (Student 2)*

Requested Start Date (Student 2)*

Student 3 Information

First Name (Student 3)*

Middle Name (Student 3)

Last Name (Student 3)*

Preferred Name (Student 3)

Student Personal Email Address (Student 3)

Phone Number (Student 3)

Grade Level entering (Student 3)*

Date of Birth (Student 3)*

Race (Student 3)*

Gender (Student 3)*

Female

Male

Ethnicity (Student 3)*

Primary Language (Student 3)*

Student 3 Learning Disability (optional)

504 Plan/IEP (Student 3)*

ESL/ELL (Student 3)*

Is student currently employed? (Student 3)

School Year (Student 3)*

Requested Start Date (Student 3)*

Student 4 Information

First Name (Student 4)*

Middle Name (Student 4)

Last Name (Student 4)*

Preferred Name (Student 4)

Student Personal Email Address (Student 4)*

Phone Number (Student 4)

Grade Level entering (Student 4)*

Date of Birth (Student 4)*

Race (Student 4)*

Gender (Student 4)*

Female

Male

Ethnicity (Student 4)*

Primary Language (Student 4)*

Student 4 Learning Disability (optional)

504 Plan/IEP (Student 4)*

ESL/ELL (Student 4)*

Is student currently employed? (Student 4)

School Year (Student 4)*

Requested Start Date (Student 4)*

Previous School Information

Previous School Information?*

Yes

Previous School Name

Country

Previous School Address

Street Address City State / Province / Region ZIP / Postal Code Country

Previous School Phone

Documents

Do you have documents to upload or will you be emailing/faxing them?*

Yes, I have documents to upload

No, I will email/fax all documents to the contact information listed on the trascript request.

Upload documents (Select all that appy)

Birth Certificate

Recent Report Card

504, EIP or other documents

Upload Birth Certificate

Drop files here or

Accepted file types: jpg, jpeg, pdf, Max. file size: 10 MB.

Upload a copy of a transcript or most recent report card

Drop files here or

Accepted file types: jpg, jpeg, pdf, Max. file size: 10 MB.

(We will contact your previous school if you do not have a copy at this time but please be on the lookout for the transcript request form upon submitting this enrollment form to request a copy to have during your pathway meeting)

Upload a copy of your 504, IEP or other documents

Drop files here or

Accepted file types: jpg, jpeg, pdf, Max. file size: 10 MB.

Additional Contact Information

Add additional contacts?*

Additional Contact 1 First and Last Name

Additional Contact 1 Relationship

Additional Contact 1 Email Address

Additional Contact 1 Phone Number

Additional Contact 2 First and Last Name

Additional Contact 2 Relationship

Additional Contact 2 Email Address

Additional Contact 2 Phone Number

Household Income(optional)

(optional and does not affect your enrollment and will be used anonymously for potential Grant funding purposes)

How did you hear about us?*

Please tell us how you heard about us if you chose other in the question above. (optional)*

Who can we thank for for referring you to On Track School? (optional)

Additional Notes, Questions, or Comments: (optional)

On Track School has my permission to use student photos on social media.*

Please provide your and your student's Facebook name(s) and the email(s) associated (please add n/a if not applicable)

Please provide your and your student's instagram(s) in the space below. (please add n/a if not applicable)

Would you like to purchase a yearbook?

Yes

Please upload an image of the student.

Accepted file types: jpg, jpeg, Max. file size: 10 MB.

On Track School provides live instruction and tutoring sessions where we may record the session for staff training and student reference purposes. These sessions will be held in a secure platform and will be used to provide feedback and training for internal purposes. Students and parents will be given a copy of the session for reference as well as access through classroom modules if the session was a live instructional session open to the entire class. Although the video could show both the Learning Coach and various students, the main focus is on the Learning Coaches instruction, not on the students in the class. None of these session will be posted on any social media outlet.

By choosing yes, you give permission for your student to participate in these recorded sessions as well as acknowledge and adopt your choice as your virtual signature.*

Tutor Information

Will your student have a private tutor that will work with him or her?*

Tutor's Name

Tutor's email address

Tutor's Contact Number

Sports

Does your student play a sport?*

If yes, what kind of sport?*

Will your student be training or living at a training facility at any time during the school year? (optional)

Yes

Maybe

Training Facility Information

Name and location of training facility (optional)

If your student will be living at a facility, please provide a person of contact at the training facility (optional)

Contact Phone Number (optional)

Contact Email (optional)

How many months during the school year will your child be living at the training facility? (optional)

How often will your student return home? (optional)

Will you or a member of your family be living with your student at the training facility? (optional)

Yes

Some of the time

Will your student have an alternate home coach or support while at the training facility to oversee daily study? (optional)

Yes

Maybe

If you chose yes to the previous question, please list alternate home coach information. (optional)

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Enrollment Form

Parent/Guardian Information

Parent/Guardian 2

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

Previous School Information

Documents

Additional Contact Information

Tutor Information

Sports

Training Facility Information

Fuel Your Knowledge

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Act Now! 2024 enrollment closing soon! Don’t miss the deadline!

Academics

How it works

Our Approach

How it works

Student Life

ApprenticeProgram

Admissions

FAQS

About Us

Fundraisers

Enrollment Form

Parent/Guardian Information

Parent/Guardian 2

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

Previous School Information

Documents

Additional Contact Information

Tutor Information

Sports

Training Facility Information

Fuel Your Knowledge

Sign up for Lightning-Fast On Track Blog

Let's Chat

Apprentice
Program