First Name
Last Name
Applying for enrollment starting ...
September 2025 (beginning of 2025-26 academic year)
During the 2025-26 academic year
September 2026 (beginning of the 2026-27 academic year)
Applicant ID number
Date of Birth
Applicant cell phone number
Pronouns
He/Him
She/Her
They/ Their
Other
Current school
Prior school
Has the applicant ever been suspended from school or asked to leave a school? (If yes, explain)
Does the applicant have an IEP, 504 plan, or private neuropsychological or psycho-educational evaluation?
Does your child receive any related service such as OT/PT, speech therapy, special education services, or counseling? (If yes, explain)
PRIMARY HOME ADDRESS (Country)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Argentinia
Armenia
Aruba
Australia
India
Bangladesh
Canada
China
France
Srilanka
United States
United Kingdom
Address Line 1
Address Line 2
City
State
Zip
FIRST PARENT OR GUARDIAN Name
Relationship to applicant
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Applicant lives with the person
Full Time
Part Time
Other
SECOND PARENT OR GUARDIAN Name
Relationship to applicant
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Second parent or guardian's phone number
Second parent or guardian's email
Applicant lives with the person
Full Time
Part Time
Other
How many siblings does the applicant have?
What are the ages of the siblings?
List the names of the schools the siblings currently attend.
List the names of high schools any siblings have graduated from.
List the names of colleges any siblings have attended or graduated from.
Prospective Learner: Why are you interested in an Abrome learning experience for the applicant?
What's most important to you when it comes to the applicant's education? Please include potential outcomes.
What has been your general philosophy or approach to the applicant's education throughout their life? How has it evolved? Why has it evolved?
What are the applicant's greatest attributes?
If the applicant has ever attended school, please tell us how they performed academically. What were the applicant's best subject areas, and which subject areas were the most challenging?
Describe any challenges that the applicant has faced academically, emotionally, personally, or socially.
Has the applicant ever had any issues with drugs or alcohol?
Why do you feel Abrome is the best fit for your family?
If the applicant is not accepted by Abrome, do you plan to send them to school? If yes, what type of school? If not, what approach will you take with their education?
What is your current comfort level with Self-Directed Education?
Describe the relationship you would like to have with the staff at Abrome.
Is there anything else you would like us to know about the applicant?
If someone you know recommended that you apply to Abrome, please let us know their name and contact information so we can thank them.
Prospective Learner: Why are you interested in enrolling in Abrome?
Prospective Learner: What are your three favorite ways of spending time?
Prospective Learner: What do you believe the differences are between education, learning, and school?
Prospective Learner: What is something you would like to accomplish in the next year?
Prospective Learner: What is something you would like to accomplish by the time that you are 18-years-old?
Prospective Learner: Tell us about a time that you faced adversity. Did you overcome it? How did it affect you?
Weblink to audio or video internet upload
Weblink to a blog, portfolio, or other work product that you would like us to consider
Electronic signature of parent or guardian
Electronic signature of applicant
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