Apply

If you are applying to our middle or high school program, please complete the form below. We recognize and honor every student’s unique learning and educational profile and may ask for some of the following application materials:

A letter from parents describing student’s learning style and school history. Include a description of the ideal learning environment for the student.
Most recent transcript or school report.
Any documentation that would be helpful in understanding student’s learning, including an IEP, neuropsych report, and/or other testing, etc.
Contact information of at least two people who have been a part of student’s support network.

If you have any questions, do not hesitate to Contact Us.

Student name(required)

Student DOB (required)

Student email address and phone number, if applicable

Student address(required)

If first time enrolling, please indicate if student is currently home-schooled or the name of middle/high school last attended

If student is enrolling part-time, please indicate day(s) they will be attending:

Parent(s) or guardian(s) name(s) (please list all)

Parent(s) or guardian(s) phone number

Parent(s) or guardian(s) email address

Parent(s) or guardian(s) address (if different from student)

Name and contact information of person to contact regarding payment(required)

How did you hear about us? (If first time enrolling)

Name of person that completed this enrollment (if first time enrolling)

Additional thoughts, comments, and/or suggestions please include here!

Enrollment

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Thank you for your interest in Symbiosis Learning Center.

We will contact you soon to set up an interview.

Thank you for your interest in Symbiosis Learning Center.

We will contact you soon to set up an interview.

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