SchoolCues

Philips Academy

Admission Inquiry

Philips Academy focuses on educating middle school, high school and post-secondary students with complex language, learning and/or cognitive disabilities (including autism spectrum disorders or other developmental disabilities). Unlike any other school in Charlotte, Philips is designed specifically to meet the special needs of students requiring a life-centered approach to education. Our school offers a unique combination of remediation, practical instruction and community-based application.

Student Details

Student Information

First Name^*

Last Name^*

Date of Birth (or due date)^*

Gender^*

School Year Applying for^*

Current Grade / Program Enrolled In

Current School Enrolled In

Grade / Program Applying to ^*

Parent/Guardian Information

Title^*

First Name^*

Last Name^*

Relationship to Applicant^*

Email^*

Phone^* (Primary Contact Number)

Phone Type^* (Primary Contact Type)

Address

Address Line 1^*

Address Line 2

City^*

State^*

Zip^*

Country^*

Questionnaire

Tell us more about your child:

Please note: Philips Academy is currently unable to support students without basic communication and hygiene (toileting) skills. Philips is not equipped for significant behavioral challenges.

Diagnosis *

Does your child have a current IEP? *

Current Level of support/setting (i.e. self-contained, one-on-one, resource): *

What are your child's strengths?

What are your concerns/needs in academic areas?

What are your concerns/needs in communication?

What are your child's areas of concern/needs in daily living skills?

Does your child have any behavioral/social concerns?

Other information:

How did you hear about us?

Please specify

7043654533

[email protected]