2024-2025 Application

We greatly value your input as we strive to enhance our educational services. Kindly take a moment to provide us with some essential information to better serve you and your child. Your responses will help us tailor our programs and support to your needs.

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* 1. Student's Name

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* 2. Parent(s)/Guardian(s):

Email Address:

Phone Number:

Relationship to child:

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* 3. Student Date of Birth

Please provide the student's date of birth in the format: DD/MM/YYYY

Date

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* 4. Student's academic and/or Emotional Struggles: Please share any academic and/or emotional challenges your child may be facing to help us provide appropriate support.

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* 5. Please upload the PROFESSIONAL RECOMMENDATION LETTER provided on the CORE website.

Your recommendation is crucial in helping us identify students who most need this kind of support. We kindly ask that you fill out this letter, which is required to be completed by a teacher, counselor, learning support specialist, or a similar professional who has worked closely with the student..

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 6. Please upload the photo/video release consent form provided on the CORE website.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File