Be The Light Academy

Application

Student Information

Child's Full Name *

Date of birth *

Grade (2025-2026 School Year) *

School Child Attends *

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone *

Email *

Street Address *

City *

State *

Postal code *

Programs of Interest *

Language Arts

Math

Core Knowledge Explorer

Lightway All Inclusive Program

Additional Information

What makes you interested in Be The Light Academy Programs? *

Why are you seeking support or a new educational path for your child? *

Does your child have any diagnosed learning differences, disabilities, or areas of challenge? Please list any and all below. *

What are your main goals for your child's academic growth this year? *

IEP/504

Evaluation Reports

Other 1