Atonement Academy Pre-Application

*Please note: a student’s application is not complete until all required paperwork is submitted, the initial month’s payment has been received, and an interview conducted. If this pre-application looks acceptable, the next step is that you will be contacted by our Recruitment Director, Jamie Riley, or Headmaster to set up a prospective student interview.

Student Name*
First Last
Student Age on August 20, 2022*
Grade Level Fall 2022*
Primary Parent Contact Name*
First Last
Primary Parent Contact Email Address*
Primary Parent Contact Phone Number*
Final or current grade in Pre-Algebra*
Approximate Reading Level*
Is this student able to work quietly while other students are also working quietly? (Yes or no, with explanation if needed)*
- Yes
- No
Please explain if needed
Current School Name & Address*
Current Home Address*
Street Address Address Line 2 City State ZIP Code