On-line Application

By: Oak Hill Academy

On-line Application form

Date of application**
Date of application*
MM slash DD slash YYYY
Applicant's First Name**
Applicant’s First Name*
First
Applicant's Last Name*
Applicant’s Last Name*
Last
Nickname
Nickname
Nickname
Gender**
Gender*
Grade the applicant will be entering**
Grade the applicant will be entering*
If PreK, check one weekly schedule:
If PreK, check one weekly schedule:
- Three full days (M,T,Th)*
- Three full days (M, W, F)*
- Five full days*
Consent
*The Pre-Kindergarten program is for children who are 4 years old or approaching 4 developmentally by the start of the academic year. Readiness is assessed through the admission process. Acceptance into the OHA Pre-K program does not guarantee acceptance into the OHA Kindergarten program. Some children’s readiness may require a second year of Pre-K. Acceptance into the schedule of choice depends on availability of space and is not guaranteed.
I agree to the statement above.
Applicant's Month Start Date**
Applicant’s Month Start Date*
Applicant's Year Start Date**
Applicant’s Year Start Date*
Applicant's Address**
Applicant’s Address*

Applicant’s Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Preferred Phone**
Preferred Phone*
Preferred Email**
Preferred Email*
Enter Email Confirm Email
Applicant's Date of Birth**
Applicant’s Date of Birth*
MM slash DD slash YYYY
Applicant's Place of Birth**
Applicant’s Place of Birth*
Current School**
Current School*
Current Grade**
Current Grade*
Parent 1**
Parent 1*
Prefix
Parent 1**
Parent 1*
Name of Parent
Parent 1 Relation to Child**
Parent 1 Relation to Child*
Parent 1 Relation to Child
Same Address as Applicant
Same Address as Applicant
- Same Address as Applicant
Parent 1 Address (if different from applicant)
Parent 1 Address (if different from applicant)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent 2
Parent 2
Prefix
Parent 2
Parent 2
Name of Parent 2
Parent 2 Relation to Child
Parent 2 Relation to Child
Parent 2 Relation to Child
Same Address as Applicant
Same Address as Applicant
- Same Address as Applicant
Parent 2 Address (if different from applicant)
Parent 2 Address (if different from applicant)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is English your child’s primary language?**
Is English your child’s primary language?*
- Yes
- No
Will you be applying for tuition assistance and submitting all required documents through School & Student Services (SSS) and Oak Hill Academy while adhering to all due dates?**
Will you be applying for tuition assistance and submitting all required documents through School & Student Services (SSS) and Oak Hill Academy while adhering to all due dates?*
- Yes
- No
Has this student had any discipline or behavior problems in school? If yes, please describe below.**
Has this student had any discipline or behavior problems in school? If yes, please describe below otherwise answer NO.*
Has this student had any peer or social difficulties in school? If yes, please describe below.**
Has this student had any peer or social difficulties in school? If yes, please describe below otherwise answer NO.*
How did you learn about Oak Hill Academy?**
How did you learn about Oak Hill Academy?*
Additional Child(ren) – please check box & click SUBMIT then refresh link to add more applicants.
Additional Child(ren) – please check box & click SUBMIT then refresh link to add more applicants.
- I would like to apply for an additional child:
Parent / Guardian Signature **
Parent / Guardian Signature *
- I agree that all of the above information is correct, and that I submit this application for enrollment to Oak Hill Academy.
Application Fee ($75) **
Application Fee ($75) *
- I agree to pay the application fee below after submitting the completed application:
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.