HOME SCHOOL APPLICATION SCHOOL ADMISSIONS REQUEST FORM Parent's Full Name * Email * Phone Number * Student's Full Name * Which level is the student? * 5th Grade - 8th Grade 9th Grade - 12th Grade Community College Student University Student Graduate Student Which Class Does Your Student Need? Pre-Algebra & Math Fundamentals Algebra I Trigonometry Calculus I Beginning Statistics Age of Your Student * Where does your student attend school? * Who referred you to our classes? * Tell us about your student. * Does your student have his or her own computer or phone? Explain your home set up. * What was your student's most recent grade in his or her math class? * How would you describe your student's relationship to his or her math teachers? * Which Mathaphobia Personality is your child? Take the test on: VISIT: http://acemath123.com/removal_quiz.php. * Quincy the Quitter Donna the Over-Doer Samuel the Struggler Crystal the Criticizer What are your 6-month goals from this service? Check the boxes that apply to you: I am a single parent. I live on a fixed income. My student has siblings able to help him or her. Our family is financially stable. I do not know how to show my child math concepts. If you are human, leave this field blank. Submit
