Welcome Elevate Eagles Student Full Name(s) Student Nickname Date of Birth Gender Gender Male Female Student Email Student Phone EO’s policy is that students should turn in their device(s) at the front desk at the start of the day and that it will be returned at the end of the day. We understand and agree with the policy as listed in the handbook (located at the bottom of the page). Please put your name here as your signature in agreement to this policy. Will your student be bringing device(s) to EO? Will your student be bringing device(s) to EO? Yes No If yes, please list the device(s). Enrolling Grade Enrolling Grade PreK (must be 4 & potty-trained) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Student Address (including City, State & Zip) Student lives with Parent/Guardian 1 Name Parent/Guardian 1 Email Parent/Guardian 1 Phone Parent/Guardian 1 Occupation & Employer Parent/Guardian 1 Marital Status Parent/Guardian 2 Full Name Parent/Guardian 2 Email Parent/Guardian 2 Phone Parent/Guardian 2 Occupation & Employer Parent/Guardian 2 Marital Status Please note that parent/guardian name(s), phone number(s) and email(s), as well as the name of your student will be listed in the school directory. Please let us know if you have any concerns about this. Is there anything about your family dynamic that you feel would be beneficial for us to know? Current/Previous School Please list the contact email for your current/previous school Does your student have any learning difficulties/challenges? If so, please explain. Is your student currently on a 504/IEP? Is your student currently on a 504/IEP? Yes No Has your student received any disciplinary action, such as expulsion/suspension/probation/detention? If so, please explain: Has your student repeated a grade? If so, please explain. Has your student skipped a grade? If so, please explain. EO provides a Christian hybrid educational experience combining in-person classroom learning with home instruction requiring adult support. How do you plan to support/assist your student at home with the schoolwork? (Please let us know if you have any questions or need clarification.) Any medical diagnosis/problems? Any medications? Any allergies? To help ensure the health, well-being and protection of EO students, medications and supplements, must be checked in at the front desk. By putting my name here it acts as my signature stating that I understand and agree that my student will not carry medications on their person or in their backpack/lunchbox. In order to ensure that we are helping support the well-being of your child and providing a safe environment, please select which of the following best fits your student. If you select Asthma or Anaphylaxis Allergy, please fill out the correlating form and the self-administration contract. If you select other, please contact us about the condition(s), so that we can do our best to accommodate, if possible. If there are any medication(s)/supplement(s) that will be brought to school, please fill out the medication check-in form. In order to ensure that we are helping support the well-being of your child and providing a safe environment, please select which of the following best fits your student. If you select Asthma or Anaphylaxis Allergy, please fill out the correlating form and the self-administration contract. If you select other, please contact us about the condition(s), so that we can do our best to accommodate, if possible. If there are any medication(s)/supplement(s) that will be brought to school, please fill out the medication check-in form. No Medical Needs Asthma Anaphylaxis Allergies Other What strengths, weaknesses, gifts/talents & areas of growth do you see in your student? Who is Jesus to you? to your student? We are unashamedly a Christian organization. As an interdenominational group, we recognize that we have students of a variety of faith backgrounds. Please provide a statement of faith for your family: What church do you currently attend? Please provide the statement of faith for your Church: Please list the email contact for your Church. How did you learn about Elevate Oklahoma? Since you have spent time considering the right school for your student, please share what you are expecting from Elevate Oklahoma and why you have selected our program to achieve your goals. Is there anything else we should know that would help us to protect/equip/encourage/support you and/or your student better? By typing parent(s)/guardian(s) name(s) here, I/we are stating that we have read, understood the information on this application and that it is accurate to the best of our knowledge. I/We pledge my/our prayerful support to the school administration and staff, and will make every effort to work with the school personnel to ensure the best possible learning experience for my/our child. I/We realize that one of the keys to success in this Christian hybrid school program is communicating with the staff and administration. I/We will check for Vantage Point (monthly newsletters), emails and have clear, honest conversations. Tuition payments are due by the first of each month. Any payments received after the 10th of the month will be considered delinquent and a service charge of $20 will be added to that month's tuition. Once an account is 30 days past due, the family may be asked to withdraw the student. By typing your name here, you the parent/guardian hereby agree to submit our $175 enrollment fee per student upon approval and realize that this is a non-refundable charge. Payment options for the school year are listed here. Please select your payment plan. Payment options for the school year are listed here. Please select your payment plan. Full Upfront Semester Quarterly Monthly Payment methods for the school year are listed here. Please select your payment method. Payment methods for the school year are listed here. Please select your payment method. Cash Check Zelle Venmo (2% Service Charge) I understand that EO is only authorized to release my student to approved individuals listed here and that any additions must be submitted in writing. Aside from yourself, please list at least 2 other adults (Name, Relation, Phone). We love to highlight student moments and capture memories. Sharing our stories via our website and social media is a great marketing tool for EO. We want to ensure that media postings related to your student have your approval and respect their privacy. Please indicate below if you are okay with us taking pictures, recording, collecting statements from/of your student. We love to highlight student moments and capture memories. Sharing our stories via our website and social media is a great marketing tool for EO. We want to ensure that media postings related to your student have your approval and respect their privacy. Please indicate below if you are okay with us taking pictures, recording, collecting statements from/of your student. Yes No Conditional - Please Email to clarify any restriction requests The policies highlighted in this application are in reference to our handbook (located at the bottom of the page). Please see the button on this page to read the full handbook. Would you like to receive a printed copy of the handbook? The policies highlighted in this application are in reference to our handbook (located at the bottom of the page). Please see the button on this page to read the full handbook. Would you like to receive a printed copy of the handbook? Yes No By putting your name here you are signing that you have read and agree with our handbook (located at the bottom of the page). We want EO students to grow academically, spiritually and relationally at EO. For this reason, Elevate places emphasis on character development. We want to ensure that everyone is aware of, understands and agrees with our expectations for students. Your partnership with us supports EO in fostering a culture that encourages growth. Please read: “Behaviors & Consequences” and “Student Conduct Agreement” (located at the bottom of the page). Please read over them with your student before Back to School Night. Students in Grades 3-12 will need to sign the agreement for themselves by their first day of school. Parents of students in Grades PreK-2 may sign on behalf of their student at the Back to School event. By putting your name here, you are agreeing to help us encourage your student to follow these expectations. Parent/guardian involvement makes a great impact at EO. We love to have our parent(s)/guardian(s) (and even grandparent(s)) help contribute. Below are some of the most common ways that you can engage. Please select any of the following role(s) that you would be interested in participating in: Parent/guardian involvement makes a great impact at EO. We love to have our parent(s)/guardian(s) (and even grandparent(s)) help contribute. Below are some of the most common ways that you can engage. Please select any of the following role(s) that you would be interested in participating in: Dads on Duty "DOD" (Security) Substitute Teaching Field Trip Coordinating Store Facilitating Donating to Store Party Coordinating Fundraiser Coordinating Donating Financially (We are a 501c3) Hosting/Coordinating TALONS (parent/guardian/family events) Guest Speaking/Leading Worship at SOAR Event Helpers - copies for events, prep, clean up, etc. Lunch & Recess Helpers - quarterly need Submit Asthma Form Anaphylaxis Form SelfAdministration Medication Check-In Back to School Night Day(s) : Hour(s) : Minute(s) : Second(s) First Day of School Day(s) : Hour(s) : Minute(s) : Second(s) Student Conduct Agreement Behaviors & Consequences Handbook