Intake form

Name *

Email address *

What grade is your child currently in?

What type of diploma are you interested in?

Please select at least one option.

Basic diploma

Recommended diploma

What subjects is your child interested in?

Please select at least one option.

Mathematics

Science

English Language Arts

Social Studies

Foreign Language

Electives

What extracurricular activities are you interested in?

Please select at least one option.

Sports

Music

Art

Technology

Community Service

What are your child's academic strengths?

What are your child's academic challenges?

What is your preferred method of communication?

What is your preferred scheduling for school hours?

Please select at least one option.

Full-time

Part-time

Flexible

How did you hear about peak high school?

What are your goals for your child's education?

Additional questions or comments

Peak High School