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School Application

School Year

Which school year are you applying for? *

We are at capacity for the 2025-2026 academic year, but we are still accepting applications in case a mid-year opening becomes available. Check both boxes if you are interested in your child starting at Activate this year and next.

2025-2026

2026-2027

Parent #1 Information

Parent #1 Name *

First Name

Last Name

Parent #1 Email *

Parent #1 Phone

(###)

###

####

Parent #2 Information

Parent #2 Name

First Name

Last Name

Parent #2 Email

Parent #2 Phone

(###)

###

####

Child Information

Child's Name *

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

Child's Gender *

Child's Grade in the Fall of 2026 *

Even if you are applying for 2025-2026, please indicate your child's 2026-2027 grade level.

Name of Child's Current School *

Why do you think Activate School would be a good match for your child? *

List three words that describe your child. List two that describe strengths, such as hardworking or creative. List one that could be perceived as a weakness, such as ‘anxious’ or ‘distractible.’ *

What’s an activity your child does in which they become fully immersed and gratified? Examples are painting, building with Lego, reading, playing an instrument, playing soccer, etc. Describe what this experience is like for your child. *

Does your child have a diagnosis of dyslexia, ADHD, dysgraphia, etc? Is your child designated as 'Talented and Gifted?' *

We aim to have an inclusive program where half of our students are neurodivergent.

Rate your child's reading skills. *

below average

average

above average

not sure

Rate your child's writing skills. *

below average

average

above average

not sure

Rate your child's math skills. *

below average

average

above average

not sure

Describe your child's behavior at school. *

We cannot accommodate children who are aggressive, destructive, or defiant.

Is there anything else you would like us to know?

Please don't use this space for questions. If you have questions please ask in an email.

How did you learn about Activate? *

Thank you!