ChatGPT Image Jun 20, 2026 at 11_52_52 PM.png

DR. HAYES EDUCATES ACADEMY OF INNOVATION ENROLLMENT

INITIAL APPLICATION

2026-2027

Parent/Guardian Information

Parent/Guardian Full Name

Phone

Email

Preferred Method of Contact

2026-2027 Student Enrollment

Child's Full Name

Date of Birth

Grade Level 2026-2027 School Year

Where is your child currently enrolled?

Which program are planning to enroll your learner in for the 2026-2027 school year?

Kindergarten- 8th Grade Hybrid Homeschool Academy

Kindergarten- 8th Grade IEA Hybrid Academy

K-12 TN Homeschool Umbrella Coverage Only

I am not sure, gudiance needed.

Does your child have any diagnosed or suspected learning differences?

Tell us more abour your child's learning differences? If there aren't any, type N/A.

What areas does your child need support in?

What are your child’s strengths?

What is most important to you in your child’s learning environment?

Why are you interested in enrolling your child in one of our Academy Programs?

Has your child received tutoring, intervention, or academic support before?

Yes

No

If your child is participating in our on campus program, are you able to support learning at home on non-campus days?

Yes

No

Does your child work well in small-group settings?

Yes

No

Does Not Apply- We are enrolling for Umbrella Coverage Only

When are you planning to start?

Start Hybrid Homeschool: August 24, 2026-May 21, 2027

Start TN IEA Hybrid Homeschool: August 24, 2026-May 21, 2027on 2

Is there anything else you would like for me to know about your child or family?

Schedule A Phone Call with Dr. Hayes Educates as part of our enrollment process.

July 2026

Week starting Sunday, July 19

Time zone: Coordinated Universal Time (UTC)Phone call

Sunday, Jul 19

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

How did you hear about Dr. Hayes Educates Academy of Innovation?

Please note that our hybrid program is two days in person on Mondays & Wednesdays from 8:30-2:30 and Tues& Thurs are hybrid learning at home. Guided are provided. Students do not attend in person 5 days a week.Please type "I understand this is a hybrid."

After submitting this form:

You will be contacted by phone on the date and time you selected to discuss our program and schedule a meet and greet.