SeaScape Customizable Curriculum Form


Parent Name:___________________________________________    Student Name: __________________________________
Student Address:
________________________________________   Grade (this year):_________ Date: _______________


If you need your child's curriculum customized, please answer the following questions and return this questionnaire to Seascape Private School along with your enrollment form. ( Not all subjects may be available at the requested levels.)


1.) What levels in each subject do you feel your child would be most comfortable at? (Check all that apply)


GRADE LEVEL
Subject Remedial Below At Current grade 1 Year Above current Advanced Other (Please Specify)
Math
0
0
0
0
0
___________________
English
0
0
0
0
0
___________________
Science
0
0
0
0
0
___________________
Spelling
0
0
0
0
0
___________________
Geography
0
0
0
0
0
___________________
History
0
0
0
0
0
___________________
Health
0
0
0
0
0
___________________
Writing
0
0
0
0
0
___________________
Penmanship
0
0
0
0
0
___________________
Reading (Literature)
0
0
0
0
0
 
Reading (Comprehension
0
0
0
0
0
 
Research & Study Skills
0
0
0
0
0
 



2.) Is there a subject not listed that you would like your child to learn? If so, let us know here:
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

3.) What special interests does your child have?
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

4.) What main goal would you like to see your child reach this year?

_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________



5.) Additional comments:


________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________



6.) Please let us know how you heard about Seascape Educational Center:

___*Recommended by a friend    ___The Link Homeschool Paper    ___Other Advertisement

___Internet Search Engine          ___WWW Message Board              ___TV/Radio Advertisement


**Name of friend who recommended you to Seascape:

_________________________________________________________________________________





Enrollment forms continued:
ENROLLMENT AGREEMENT POLICY