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To be considered for admission to Westlake, please complete the following online enrollment form. If you have any questions please do not hesitate to call our Admissions Office at 954-236-2300.

ENTRANCE INFORMATION

Please consider my child for enrollment in grade
at Westlake Preparatory School or Westlake Academy for the academic year.

STUDENT INFORMATION

Student Name ,
Date of Birth
Age years months
Sex Male Female
City and State of Birth
Social Security Number - -
Does this student require an I-20? Yes No

If applicable: Complete address for correspondence prior to arrival if relocating or an I-20 is needed (Certificate of Eligibility for Nonimmigrant F-1 Student Status-For Academic and Language Students) Street City State
Zip or country code Country

Phone Email
Student"s best language - Spoken Written
English language
Language(s) spoken at home
Student lives with Mother Father or

FAMILY INFORMATION

Father or Guardian Name ,
Street City State
Zip code
Occupation Place of Business
Business Telephone Home Telephone Mobile Telephone
Email

Mother or Guardian Name ,
Street City State
Zip code
Occupation Place of Business
Business Telephone Home Telephone Mobile Telephone
Email

STUDENT ENTRANCE INFORMATION

Please be accurate concerning all items presented below, as Westlake Preparatory and/or Westlake Academy reserve the right to contact previous schools to independently verify all responses.

Last School Attended Name Telephone
Street City State
Zip code
Head of School / Principal / Counselor
Academic Performance in Most Recent Grade

PREVIOUS SCHOOL, CITY & STATE, DATES OF ATTENDANCE OR GRADES ATTENDED
Has applicant undergone any visual, hearing, I.Q. or other educational assessment during the past two years? Yes No
If "Yes" please describe
Has your child spent more than one year in a grade? If yes, what grade?
Has your child participated in a gifted or accelerated program? If yes, what grade?
Has your child received any special services such as tutoring? If so, what subject(s)
Has your child had a psychological evaluation for academic or behavioral concerns? Yes No
If so, would you be willing to share the results? Yes No
Is your child taking medication(s)? Yes No
If "yes," please explain any special instructions (for example: "Insulin, taken via self-injection twice daily")

Have school personnel recommended that your child have any of the following assessments:

Educational
Psychological
Speech & Language
Neurological

Has your child received Physical Therapy? Yes No
Has the applicant ever been the subject to major disciplinary action (suspension or dismissal) in any school?
If YES Please describe
Has the applicant previously applied to Westlake Preparatory School? If Yes, When?
Please describe any special academic or social circumstances that may have affected your child"s school experience in the past or may do so in the future.
What are your child"s academic strengths, weaknesses?

To print a copy of the completed application, click "File" then "Print" in your browser"s drop-down menu.

McKay Scholarship Program

The McKay Scholarships for Students with Disabilities Program, provides scholarships for eligible students with disabilities to attend an eligible public or private school of their choice. Students with disabilities include K-12 students who are documented as having an intellectual disability; a speech or language impairment; a hearing impairment, including deafness; a visual impairment, including blindness; a dual sensory impairment; an orthopedic impairment, another health impairment, an emotional or behavioral disability; a specific learning disability, including, but not limited to, dyslexia, dyscalculia, or developmental aphasia; a traumatic brain injury; a developmental delay; or autism spectrum disorder.

To find out if your child may be eligible for the McKay Scholarship, visit http://www.fldoe.org/schools/school-choice/k-12-scholarship-programs/mckay/

Step Up For Students

Step Up For Students is a state-approved nonprofit scholarship funding organization that helps administer two scholarships for Florida schoolchildren: the Florida Tax Credit Scholarship Program (FTC) for low-income families and the Gardiner Scholarship (PLSA) for children with certain special needs.

A quality education should not be determined by financial means nor disability. Through the scholarships, we empower parents to give their children a chance at a brighter future. To learn more, visit www.stepupforstudents.org.

Sevis I-20 Approved

Westlake is approved by the U.S. Immigration and Naturalization Service and registered with ‘SEVIS’ – the Student & Exchange Visitor Information System, to issue the FORM I-20 certificate of eligibility. This I-20 will be considered for an (F-1) student visa for school attendance in the United States by Non-Immigrant Students.

8950 Stirling Road

Cooper City, FL 33024

Phone: 954-236-2300

Fax: 954-473-0770

Email: info@westlakeschool.com