Academy Application for Admission

Applicant's First Name *

Applicant's Last Name *

Applicant's Date of Birth *

Applicant's Height (inches) *

Applicant's Weight (pounds)

Applicant's Shoe Size *

Applicant's Shirt Size (adult) *

Applicant's Waist Size (inches) *

Parent/Guardian Full Name (primary contact) *

Primary Contact Phone *

Primary Contact Email *

Secondary Contact (name, relationship, phone, and email)

Applicant's Residence

City

State

Country

Postal code

Is the Applicant's Residence the same as the Primary Contact?

Yes

No

Is the Applicant's Residence the same as the Secondary Contact?

Yes

No

Appilcant's Current School District, School Name and Address *

Current Grade Level *

8

7

6

Current Grade Level

Reason(s) for Interest in Enrolling *

Academic Development

Athletic Development

Physical Development

Executive Functioning Skills Development

Select all that apply

Financial Aid Required *

Yes

No

Household Annual Gross Income if Financial Aid Required (previous year's IRS filing)

Household Gross Income

How much monthly tuition can you afford based on your current gross household income?

Tuition Affordability

Applicant's Recent Report Card *

Report Card

Applicant's Recent Standardized Test Score Report *

Applicant's Current Year Attendance Record *

Has the applicant ever been suspended from school? *

Yes (if yes, be prepared to explain)

No

Does the applicant have a current Individualized Education Plan (IEP)? *

Yes (if yes, be prepared to explain)

No

Does the applicant have a current Section 504 Plan? *

Yes (if yes, be prepared to explain)

No

Does the applicant have any medical concerns, allergies, restrictions? *

Yes (if yes, be prepared to provide documentation)

No

Instructions for Applicant’s Handwritten Personal Statement

Please write a personal statement of 3 paragraphs, answering the following questions:

Why are you applying to TOPS Academy?
In the first paragraph, explain your reasons for wanting to attend TOPS Academy. Share what motivated you to apply and how you believe our program can support your academic, athletic, and personal development. Be specific about any challenges you hope to overcome or opportunities you wish to seize.
What are 3 goals you aim to achieve before graduating from TOPS Academy?
In the second paragraph, list three specific goals you would like to accomplish during your time at TOPS Academy. These could be related to academics, sports, or personal development (e.g., improving your grades, training for a specific sport, or developing leadership skills). Be sure to explain why these goals are important to you and how you plan to achieve them.
How will these goals help you prepare for success in high school and beyond?
In the third paragraph, describe how achieving these goals will help you succeed in high school and in your future. Explain how they align with your aspirations and how TOPS Academy will help you reach them.

Guidelines:

The personal statement must be handwritten.
Use clear and legible handwriting.
Your statement should be a total of three paragraphs.
Be thoughtful, honest, and specific in your responses.
Please write your statement on a separate sheet of paper and submit it with your application using the section below.

We look forward to reading your personal statement and learning more about your goals.

Applicant’s Handwritten Personal Statement *

Recommender #1 Information (name, relationship, email) *

Recommender #2 Information (name, relationship, email) *

Primary Parent/Guardian Signature

Clear

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