PAL

The Parent Assisted Learning Program

North Kitsap School District

Application for Admission

For students in Grades K-8

______

Date School year

Student Name Birth Date Current Grade/Age

Parents’ Name(s)

Mailing Address

______

Home Phone Work Phone Parent E-Mail

Cell Phone Student E-Mail

What has been your experience with homeschooling or online curriculum?

What curriculum or online learning company have you used? ______

Is your child now enrolled in school? If so, where?______

What other schools has your child attended in previous years?

Does your child wish to enroll in PAL full-time or part-time? (6,7 & 8th only)

The PAL Program requires a significant time commitment. Which adult(s) will commit the time necessary to function as your child’s primary teacher?

Is your home set up with reliable computer and internet access that supports an Aventa/K12 online choice?

What has been the best thing about school for your child?

What has been the hardest thing about school for your child?

What are your child’s main interests?

In which academic areas would you like help from PAL? ______

Is there any other way that PAL could be of assistance to you? ______

What would you like us to know about your student’s educational background or needs?

PAL students are required to spend a minimum of 10 – 25 hours per week on their academic projects and assignments, depending on their age. Your signature below indicates your commitment to this responsibility.

STUDENT SIGNATURE:

PARENT SIGNATURE: Parent Assisted Learning Program

18360 Caldart Ave. NE, Poulsbo, WA 98370 Phone: (360) 598-8538 Fax: (360 598-8548)