Enrollment Form

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Scholar's Educational Information
How many schools has your scholar attended, including their current school?*
School 1
School Name*
Grade/Year Attended*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
School 2
School Name*
Grade/Year Attended*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
School 3
School Name*
Grade/Year Attended*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Has your scholar repeated a grade before?*
- Yes
- No
If yes, which grade(s)?*
Has your scholar been dismissed or suspended from any school for any reason?*
- Yes
- No
If yes, please thoroughly explain. Include school name and principal name.*

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Scholar's Emergency Contacts
Check if applicable
- Father deceased
- Mother deceased
- Parents separated
- Parents divorced
Emergency Contact 1
Relationship to Scholar*
Full Name*
Home Address*
Street Address Address Line 2 City State ZIP Code
Preferred Contact Phone*
Cell Phone*
Work Phone
Home Phone
Occupation*
Employer*

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How many additional emergency contacts would you like to provide information for?*
Emergency Contact 3
Relationship to Scholar*
Full Name*
Home Address*
Street Address Address Line 2 City State ZIP Code
Preferred Contact Phone*
Cell Phone*
Work Phone
Home Phone
Occupation*
Employer*
Emergency Contact 4
Relationship to Scholar*
Full Name*
Home Address*
Street Address Address Line 2 City State ZIP Code
Preferred Contact Phone*
Cell Phone*
Work Phone
Home Phone
Occupation*
Employer*

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What are your scholar's greatest needs of improvement?*
What specific steps have been taken to address your scholar's greatest needs?*
Are there any circumstances that will affect your child's attendance or on-time arrival? If yes, please elaborate.*
Please describe any service or volunteer activities you (parent/guardian) are involved in.*
Describe your scholar's current school environment.*

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What factors prompted you to consider selecting University of Dreams Leadership & Arts Academy?*
How will you/your family support the scholar as he/she attends University of Dreams? (Be Specific)*
What are you looking for in an elementary school?*
What do you see as your primary role in your child's education?*

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Admission Assessment & Interview Registration
Applicants for Grades 1, 2, 3, & 4 will be assessed at the University of Dreams Testing Center. Scholar Assessment & Parent-Scholar Interview will be scheduled on the SAME DATE.
Please call (972) 572-4262 to schedule an Admission Appointment.

The University of Dreams discourages the practice of formally tutoring scholars in preparation for admission testing, as we believe doing so, oftentimes, does not have a positive impact on the child’s performance. Instead, we ask that you support and encourage your scholar to be comfortable and at ease – giving the assessment their very best effort.
As a parent and/or guardian of the above-named scholar, I give the University of Dreams school system permission to assess him/her as a part of the admissions process.*
- Agree
Phone
This field is for validation purposes and should be left unchanged.

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Scholar's Information