Building Connections Academy Admissions Form

All information you provide is kept private and confidential. This data won't be disclosed to anyone outside the Building Connections Academy group.

Student's Personal Information:

Guardian's Personal Information:

1st Parent/ Guardian

2nd Parent/ Guardian

Family Information:

Complete the following for all additional members of the applicant's household

Education History:

Behavioral and Educational Background:

Strength(s)

Personality/ Hobbies

Academic Skills and Challenges

Student Citizenship Skills and Challenges

Communication Skills

Self Help Skills

Behaviors

Frequency / Triggers

Motivators

Social Relationships

Community Relationships

Optimal Setting for Learning

IEP Team:

Areas of Need

Areas of Need

Areas of Concern

Allergies/ Special Diet