Please Provide: Relationship to Child, phone, Email, address and occupation
Please Provide 2
Has your child experienced any of the following medical conditions?
PART IV: Educational and Therapeutic information
PART V: Child and Family Strength and Goals
To complete the application in full please submit the following documents to Illuminate Academy.
You can mail or hand deliver documents to:
1033 Burchwood ave.
Nashville, Tn 37216
Please send the following assesments and evaluations (if applicable)
behavioral/ aba evaluation
gifted testing or educational tutoring evaluation
developmental vision or hearing evaluation
any relevant evaluations
Additionally please send:
most recent progress report
most recent 504/iep/ifsp plan
current writing sample (within past 3 months)
name of most recent book (read independently or with assitance)
application fee of $175 (check payable to illuminate academy)