Application for Enrollment

Thank you for considering the Journey School. Complete the form below to submit an enrollment application.

STUDENT INFORMATION

First Name*

Middle Name

Last Name*

Nickname

Birthdate*

Gender*

Phone*

Address*

City*

State*

Zip*

APPLICANT INFORMATION

Applying for which level?*

1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade

Applying for term beginning*

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1*

Full Name*

Address*

Occupation*

Employer*

Phone*

Email*

Parent/Guardian 2

Full Name

Address

Occupation

Employer

Phone

SIBLINGS

Name

Age

School

Name

Age

School

HOW DID YOU LEARN ABOUT THE JOURNEY SCHOOL

Website

Word of mouth

Other

OTHER SCHOOL(S) ATTENDED BY APPLICANT

School Name

Program/Dates

School Name

Program/Dates

Please list other schools to which you are applying for admission:

PLEASE ANSWER THE FOLLOWING QUESTIONS

Why have you chosen to apply to The Journey School?*

Your parental perspective helps us know your child better. What are your child's strengths and challenges?*

What specific abilities or hobbies might you share with the students (foreign language, music, sewing, carpentry, weaving, gardening, plumbing, electrical skills, other)?*

Once you submit the application, you will also need to mail a check for $50 to The Journey School, PO Box 424, Spencerville MD 20868.

If you have additional questions, comments or concerns, please contact us at 240-324-6160.