Club X University Parent Admission Form

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PARENT ADMISSION FORM

Welcome to Club X University! Dear Parent/Guardian, We would like to thank you for choosing CLUB X University as your child’s online-tutoring service. Our goal is to provide your child with a rich educational experience that combines educational rigor, life-skills and wellness. The questions we ask on our CLUBXU Admissions Application can often seem like a lot of information to ask for but please understand that it is vital to our growth and development. The information you share with us is protected and will help us seek the funding we need to continue providing this valuable service to you and your child and many more families. We are extremely excited that you have joined the Club X University family and look forward to being a partner in your child’s education.

Parent Admission form
PARENT INFORMATION: Of the Custodial/Guardian completing this form
GENDER *
ETHNICITY
WHICH LANGUAGES ARE YOU CAPABLE OF SPEAKING FLUENTLY? *
EDUCATION *
What is your marital status? *
Including yourself, how many people currently live in your household? *
How many of your household members are people under the age of 18? *
How many children do you have? *
What is your current employment status? *
What is the current employment status of anyone else in the household 18 and over? If more than one please indicate, Do not include yourself. *
Which income group does your household fall under? *
Do you have your own bank savings or checking account? *
Do you have your own stock investment account? *
Does your child have their own custodial bank savings account? *
Does your child have their own stock investment account? *

IMPORTANT: Club X University believes so strongly in the financial literacy of our youth that we set aside funding to help seed accounts. Regular financial literacy classes are also provided for students and parents.

OTHER PARENT/GUARDIAN INFORMATION
GENDER *
ETHNICITY
WHICH LANGUAGES ARE YOU CAPABLE OF SPEAKING FLUENTLY? *
EDUCATION *
Do you have your own bank savings or checking account? *
Do you have your own stock investments account? *
INFORMATION ABOUT YOUR CHILD:
Your Child's Grade? *
Please specify your child’s ethnicity *
Which languages is your child capable of speaking fluently? (Check all that apply) *
What type of learning style below best describes your child? *
How do you expect your child to perform in day school this year? *
Will you make time to regularly meet with your child’s Club X University Tutor and other team members? YES NO *
Will you partner with us to ensure your child shows up to tutoring sessions on time and finishes assessments and assignments in a timely manner? YES NO *
Will you give Club X University permission to receive progress reports from your child’s day school teacher? *
Will you give Club X University permission to receive a copy of your child’s report card? *
Will you give Club X University permission to schedule at your convenience parent/child progress meetings that include CLUBXU staff, day school teacher and you? *