Required

Student Information

Student's Namerequired

First Name

Middle

Last Name

Calling Name (optional)

Genderrequired

Date of Birthrequired

Must contain a date in M/D/YYYY format

Addressrequired

Address

City

State

Zip Code

Age in Septemberrequired

Grade to Enterrequired

Date to Startrequired

Must contain a date in M/D/YYYY format

Present Schoolrequired

Years Attendedrequired

Present Grade Levelrequired

Name of Teacher/Counselorrequired

School Phone Numberrequired

Parent/Guardian Information

Parent/Guardian 1required

First Name

Middle (optional)

Last Name

Parent/Guardian 1 Emailrequired

Parent/Guardian 1 Phonerequired

Parent/Guardian 1 Addressrequired

Address

City

State

Zip Code

Professionrequired

Employed Byrequired

Is there a 2nd Parent/Guardian?required

Yes

Parent/Guardian 2required

First Name

Middle (optional)

Last Name

Parent/Guardian 2 Emailrequired

Parent/Guardian 2 Phonerequired

Parent/Guardian 2 Addressrequired

Address

City

State

Zip Code

Professionrequired

Employed Byrequired

Person Responsible for Billingrequired

Names and ages of siblings (include current school):

Relatives who are attending or have attended Ramalynn:

How did you hear about Ramalynn?required

The following information will enable us to get to know your child better.

What are your educational goals for your child? How do you see Ramalynn facilitating these goals?required

Does your child have any hobbies, sports or special interests, or unusual capabilities or talents?required

Does your child have a foreign language education or background?required

Is your child’s general development and academic performance in their present school consistent with your expectations for them?required

Has your child had any remedial work, special tutoring, or enrichment classes during the past two years? If so, in what academic area?required

Is there significant medical history which we should be aware and/or have any diagnostic evaluations (educational or psychological) ever been completed for your child? Please give details and request that a copy of educational testing or evaluations be sent to us.required

Does your child have any medical concerns we should be aware of?required

Does your child have any allergies?required

Are you aware of any areas in which we might be able to give special help and encouragement to your child?required

Parent/Guardian Signaturerequired

Daterequired

Must contain a date in M/D/YYYY format

Application Fee

After your application has been submitted and received, Ramalynn Academy will contact you to schedule an orientation. The $50 application fee must be received on the day of your student's orientation.

Please email the office at office@ramalynn.org with any questions.

Thank you!

Fee

$50.00

Payment Information

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year