Registration - Metanoia Academy

Special Needs Education Admission

Please fill out this form completely to apply for admission to our special education program

Parents or Guardian Full Name(Required)

First Middle Last

Mobile No(Required)

Work No

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Child’s Full Name(Required)

First Middle Last

Date of Birth(Required)

Age(Required)

Gender

Does the child have any diagnosed disabilities or special needs?

Please specify any other diagnosed disabilities or special needs (co-occurring condition)

Is your child taking any medication? If so, what is its name?

Has the child previously attended special education programs?

Yes

If yes, please provide details about previous programs attended.

Does the child require any assistive devices or accommodations?

Yes

Are there any specific behavioural or emotional considerations to be aware of?

Please describe any behavioural or emotional considerations and how to handle them

Please describe your child’s strengths.

What goals do you have for your child?

Certified copies of the learner’s birth certificate/passport, both parents’ IDs, immunization card, and the latest school report card.
Proof of Residence: A formal, recent document (e.g., utility bill, lease agreement) is required; a letter from a councillor is generally not accepted.
Financial & Legal Details: Parents may need to submit 3 months’ bank statements, proof of income, and, in cases of guardianship, legal proof of custody.
Medical & Educational Needs: Specific information on allergies, disabilities, progress report form therapists special educational needs (SEN) must be disclosed.
Previous School History: Details about previous schools, including transfer cards, reports, and a letter indicating all school fees were paid.
Foreign Applicants: Valid study permits and parent work permits/visas are necessary.

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