2025-2026 Hybrid Application Form - Grades K-12th (New Students)

One-Time Registration/Curriculum Deposit $300
Yearly Tuition K-8th $3000
Yearly Tuition 9th-12th $3500
Yearly Fundraising Requirement $210

*Anything more than the $210 raised via fundraising comes off the total $3000 or $3500 Tuition for the year.

*Monthly tuition ($300 or $350) is due on the 1st of every month from August 2024 through May 2025.

*If paying by semester, tuition is due on August 1, 2024 - $1500 or $1750 and January 1, 2025 - $1500 or $1750.

*The total cost for the Hybrid is $3000 or $3500 per student for the year. We will allow the cost to be spread out over 10 months to equal $300 or $350 per month for ten months. Our first day of Hybrid is Wednesday, August 28th. The last day of classes is May 22, 2025. Thanks for your understanding.

I understand the financial commitment.

I do

Access Hybrid & Empow(her) Co-op are extensions of State College Access Church, a Christian non-denominational church.

Access Church believes:
The Bible is the inspired, infallible, and authoritative Word of God
In the Trinity - Father, Son, and Holy Spirit
In the deity of our Lord Jesus Christ and His virgin birth
In the forgiveness of sin through the Cross of Christ
In the healing of body, mind, and soul
In salvation by grace, through faith
In the indwelling, guidance, and fullness of the Holy Spirit
In the return of Jesus Christ

The Access Hybrid admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Hybrid Questionnaire

Student's Name (First, Middle & Last)

Sex

Current Age as of September 1, 2024

What grade is your student applying for this Fall?

Primary Language Spoken At Home

List Schools Previously Attended

Does your child receive regular treatment/medication for behavioral, educational, physical, or medical conditions? If yes, please describe.

Has your child ever been tested for a learning or behavioral disorder? If yes, please describe.

Has your child ever experienced conduct and/or educational problems that resulted in suspension, expulsion, or retention? If yes, please describe.

Does your child have an IEP, 504 plan, or behavioral support plan in place? If yes, please describe.

Does your child have any allergies? If yes, please describe.

Is there anything specific you’d like us to know about your child’s learning style, personality, or anything else that you think would be helpful for us to know?

Student’s Name (First, Middle & Last)

Sex

Current Age as of September 1, 2024

What grade is your student applying for this Fall?

Primary Language Spoken At Home

List Schools Previously Attended

Does your child receive regular treatment/medication for behavioral, educational, physical, or medical conditions? If yes, please describe.

Has your child ever been tested for a learning or behavioral disorder? If yes, please describe.

Has your child ever experienced conduct and/or educational problems that resulted in suspension, expulsion, or retention? If yes, please describe.

Does your child have an IEP, 504 plan, or behavioral support plan in place? If yes, please describe.

Does your child have any allergies? If yes, please describe.

Is there anything specific you’d like us to know about your child’s learning style, personality, or anything else that you think would be helpful for us to know?

Student’s Name (First, Middle & Last)

Sex

Current Age as of September 1, 2024

What grade is your student applying for this Fall?

Primary Language Spoken At Home

List Schools Previously Attended

Does your child receive regular treatment/medication for behavioral, educational, physical, or medical conditions? If yes, please describe.

Has your child ever been tested for a learning or behavioral disorder? If yes, please describe.

Has your child ever experienced conduct and/or educational problems that resulted in suspension, expulsion, or retention? If yes, please describe.

Does your child have an IEP, 504 plan, or behavioral support plan in place? If yes, please describe.

Does your child have any allergies? If yes, please describe.

Is there anything specific you’d like us to know about your child’s learning style, personality, or anything else that you think would be helpful for us to know?

Student’s Name (First, Middle & Last)

Sex

Current Age as of September 1, 2024

What grade is your student applying for this Fall?

Primary Language Spoken At Home

List Schools Previously Attended

Does your child receive regular treatment/medication for behavioral, educational, physical, or medical conditions? If yes, please describe.

Has your child ever been tested for a learning or behavioral disorder? If yes, please describe.

Has your child ever experienced conduct and/or educational problems that resulted in suspension, expulsion, or retention? If yes, please describe.

Does your child have an IEP, 504 plan, or behavioral support plan in place? If yes, please describe.

Does your child have any allergies? If yes, please describe.

Is there anything specific you’d like us to know about your child’s learning style, personality, or anything else that you think would be helpful for us to know?

Email Address

This address will receive a confirmation email

Do you reside with the student primarily?

Email Address

This address will receive a confirmation email

Do you reside with the student primarily?

Please list siblings and other household members (provide their name, age, and relationship)

Child's/Family's Religion

Do you have a church you currently attend?

If so, what is the name of your home church & the name of your Lead Pastor?

Does your child attend Sunday school or have any other Christian education background? If yes, please describe.

Why do you homeschool (or want to homeschool) your child(ren)?

Why do you believe our Hybrid would be a good fit for your family?

How far away do you currently live from Access Hybrid? (3601 South Atherton Street, State College PA 16801)

How did you hear about Access Hybrid Cooperative?

If you selected "Other" please list it here:

Did anyone personally invite or refer you? If so, please list their name here so we can say, "Thanks!"

Are you able to drop your student(s) off for Hybrid between 8:50-9:00 AM and pick up your student(s) at 2:30 PM on Tuesdays, Wednesdays, & Thursdays?

Is one parent (or a representative -- relative, close friend) able to commit to helping with Recess & Lunch Supervision 1-2 times per month (minimum volunteer requirement)? ** All volunteers in the building need to submit the necessary clearances before volunteering.

2025-2026 Hybrid Application Form - Grades K-12th (New Students)

Description

Please Fix the Following