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Pre-Enrollment Questionnaire Grades K-8

Pre-Enrollment
Questionnaire Grades K-8

Completing our pre-enrollment questionnaire does NOT obligate you to attend. Once completed you will receive a confirmation page, and we will contact you to discuss an independent learning program with an individualized curriculum.

Royal Academy Educational Questionnaire Grades K-8

Step 1 of 5 - About your Student

20%

Today's Date*
MM slash DD slash YYYY
How did you hear or learn about Royal Academy?*
Programs of interest. Check appropriate box(es)
- Enrollment
- Virtual School
- Program Design
Child's Full Name*
First Middle Last
Gender*
- Male
- Female
Child's Date of Birth*
MM slash DD slash YYYY
Age (Today)
Grade in this school year
Parent or guardian name*
First Last
Parent or guardian occupation
Complete Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Highest grade completed in HOME EDUCATION only, or skip to public or private school
Highest grade completed in PUBLIC SCHOOL only, or skip to private school section.
Highest grade completed in PRIVATE SCHOOL only.
Has your child been diagnosed as learning disabled?*
- Yes
- No
If your child has been diagnosed as learning disable, please describe the diagnosis and attach copies of reports, test results and the most recent IEP.
Upload reports, test results and most recent IEP.
Max. file size: 512 MB.
Is your child receiving special help such as physical therapy or speech therapy? If yes, please describe.
Who will be the primary tutor for this child?
How does your child feel about learning? About school?
Does your child have special talents, hobbies or interests? Please list.
What does your child want to learn about this school year?
What 2 to 3 goals do you have for your child this school year?
Please provide a list of resources (books, videos, human resources, etc.) readily available to you and your child.
Please provide a list of your child's strengths and weaknesses.
Include a copy of the most recent report card and transcript with this questionnaire
Max. file size: 512 MB.
Please upload a recent photo of your child.
Max. file size: 512 MB.

Language Arts
Please answer the following questions with as much detail as possible.
Can your child name all the letters of the alphabet?
- Yes
- No
If not, which ones cannot be named?
Can your child read independently?
- Yes
- No
List books and/or magazines your child has read independently recently.
Do you read to your child daily?
- Yes
- No
Does your child enjoy listening as you read to him/her?
- Yes
- No
Does your child have a love of reading or does s/he consider it a chore to read?
- Yes
- No
When did your child begin reading independently?
Does your child frequently guess at words while reading?
- Yes
- No
Did your child receive phonics instruction?
- Yes
- No
- Unknown
If yes, what program was used?
Can your child use word attack skills when faced with an unknown word?
- Yes
- No
Will your child continue using this program this year?
- Yes
- No
- Unknown
Can your child spell simple, one-syllable words such as ‘cat’?
- Yes
- No
Does your child spell well independently, such as when writing you a note?
- Yes
- No
Does your child ask how to spell words?
- Yes
- No
Can your child spell multi-syllable words?
- Yes
- No
What spelling programs have been used with your child in the past?
Does your child enjoy spelling words correctly or is it a chore?
Is there a family history of poor spelling?
- Yes
- No
Does your child understand new concepts, whether they are read to him/her or s/he reads them?
- Yes
- No
Do you think your child has difficulty in the areas of reading or spelling?
- Yes
- No
If yes, please explain.
Does your child express himself/herself using complete sentences?
- Yes
- No
If no, what situations seem to make it more difficult for him/her?
Is there a family history of this problem?
- Yes
- No
If yes, please explain.
Does your child consider printing a chore?
- Yes
- No
Does your child use cursive yet?
- Yes
- No
Does your child prefer printing or using cursive
- Printing
- Cursive
Do you have a computer?
- Yes
- No
Does your child prefer to use the computer to write stories rather than writing longhand?
- Yes
- No
Does your child prefer to dictate stories rather than to write them?
- Yes
- No
Please enclose a scan or photograph of a recent sample of your child’s writing. The child should also write his/her name. Use lined paper.
Max. file size: 512 MB.

Mathematics
What math program has been used most recently?
Does your child feel comfortable using mathematical concepts in real life? (i.e., cooking, shopping, reading a thermometer, counting)
- Yes
- No
Please check each item that your child can do easily (with no difficulty and with no help).

Social Studies / History
To which does your child show an interest?
- historical events
- famous places
- cultures
To which do you have an interest?
- historical events
- famous places
- cultures
Please check all that your child has studied in some depth.
Does your child show an interest in a specific state or country? Which one(s)
Does your child show an interest in geography? (mojor oceans, continents, mountain ranges, rivers, etc.?
Does your child show an interest in the United States? (knows each state, capital, and its general placement on map)
What social studies/history topic does your child really want to study this year? Please describe.

Science
Does your child show an interest in science?
- Yes
- No
In what particular area?
Does YOU have an interest in science?
- Yes
- No
In what particular area?
What area(s) especially interest your child? Circle all that apply.
What specific areas have been studied in some depth?
What areas does your child really want to study this year?
Your electronic signature
Comments
This field is for validation purposes and should be left unchanged.

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Royal Academy Education
in process of moving to:
16 Rockwood Drive
New Gloucester, ME 042606

Mailing Address
PO Box 1056
Gray, ME 04039-1056

Payments Mailing Address
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Chester, VT 05143

Phone
(207) 831-5337 Penny
(207) 572-2927 Julie
(207) 572-2928 Bern

Email [email protected]

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