Concordia Academy > Admissions > New Student Supplemental Info New Student Supplemental Info "*" indicates required fields Student Name* First Last Current School* City of Current School* Name of Parent Filling Out This Form* First Last Parent Email Address* Does your child have any learning difference or diagnosed disability (ADD, ADHD, Aspergers, etc.)?* Yes No If so, please explain.Does your child have any other academic or social sensitivity of which to be aware?* Yes No If so, please explain.Does your child qualify for special education services?* Yes No If so, is there a current IEP?* Yes No Mark any of the following programs in which your child has previously participated. Resource Program IEP 504 Accommodation Plan Special Tutoring Offer any additional information about the previous question that might be helpful.Do you plan on having your child tested for any learning, emotional or behavioral needs soon?* Yes No If so, please explain the testing.Does your child have any health problems (physical or mental) that affect school performance?* Yes No Does your student have a disciplinary history that we should be aware of?* Yes No If yes, please explain.If you answered “yes” to any questions above, do you expect special academic support from CA?* Yes No If yes, what kind of support?List your child's academic passions or interests.*List extracurricular activities in which your child may be interested.*Is there anything else that we should know to help your child succeed at CA?Captcha*
