New Student Enrollment Application

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Student Name *

Student Date of Birth *

Student's Grade (2026-2027 academic year)

Student Address *

Student lives with

If "Other," please explain.

Kainos is required to have on file an official document showing your student's full legal name and date of birth. A copy of your student's birth certificate must be provided to Kainos before your student may attend classes. You may upload a copy here, or you may email a copy to Kainos at a later date.

Upload a copy of student's birth certificate.

Kainos offers two options for students: a full-time comprehensive academic program, as well as a hybrid program for homeschool families.

Full-time Enrollment

Comprehensive academic program, including all core subjects as well as project-based learning.
Kainos is the school/teacher of record.
Available for students in grades 1 - 12.
Monday - Thursday 8:30am - 2:30pm and Friday 8:30am - noon.

Hybrid Program

Instruction in writing, literature, science (labs), history & art, as well as some project-based learning.
Homeschool (parent) is the school/teacher of record (Kainos provides instruction for subjects identified; the parent ensures student completes all work, grades all assignments and assessments, and keeps all records).
Available for students in grades 5 - 12 only.
Monday and Tuesday 8:30am - 2:30pm.

Are you applying for Full-Time enrollment at Kainos, or the Hybrid program?

Student Academic History

School records will need to be provided to Kainos prior to your student's first day of attendance. Records should be sent to jill@kainosmicroschool.com. Kainos Administration can request these records directly; however, some schools will require the parent/guardian to grant permission for the release of records.

** Homeschool families will need to provide a full detailed overview of the student's educational experience, including the school year, curriculum used, and the parent's assessment of mastery (i.e. letter grade, pass/fail, "completed," etc.), for each year the student was homeschooled. This document should be sent via email to jill@kainosmicroschool.com.

List the name(s) and years of attendance for each of your student's learning environments, including public, private, charter, homeschool, etc. *

If your student was homeschooled, please list the most recent curriculum used and the last level completed for each subject area. This does not need to be exhaustive; rather, provide an overview of the most recent school year. (**A detailed overview will need to be sent to Kainos via email.)

Student Learning Interests and Styles

The following questions will help provide us with a better picture of your student. We encourage you to ask them to help you answer these questions.

What is your student's favorite subject in school? *

What is your student's least favorite subject in school? *

In which subject(s) does your student struggle and/or have difficulty understanding concepts? *

Has your student ever had a tutor or received additional academic support for subjects or concepts that have been challenging? If yes, please explain.

How does your student learn best? (select all that apply)

Auditory

Kinesthetic/Hands-on

Visual

Self-Directed / Self-Motivated

In a Group / With a Partner

One-on-One

Using Technology

Quiet Space / Limited Distractions

Has your student ever had an IEP/ISP/504 Plan, or have they been diagnosed with a learning disability (including the need for speech therapy)?

Yes, my student has an active IEP/ISP/504 Plan

My student has a diagnosed learning disability and/or has a neurodiverse diagnosis, but does not have an active IEP/ISP/504 Plan.

No, my student does not have an IEP/ISP/504 Plan

If your student has an IEP/ISP/504 Plan, will they continue to be supervised by a public school Special Education Liaison?

Yes, my student's IEP/ISP/504 Plan will be supervised by FWCS.

No, my student's IEP/ISP/504 Plan will NOT be supervised by FWCS.

Unsure - we have not decided yet.

Not Applicable - my student does not have an IEP/ISP/504 Plan

If your student has an IEP/ISP/504 Plan, please upload it here. If you are unable to do so now, you may email these records to Kainos.

Students who have an IEP/ISP/504 Plan qualify for the Indiana ESA program. Qualification for the program does not guarantee the student will be funded.

Does your student qualify for INESA?

Does your student have any social and/or behavioral needs? Please explain. (If none, type N/A) *

What are your student's hobbies and interests (outside of school)? Include any extracurricular activities in which your student is enrolled/registered (i.e. Fire & Light, Fusion Soccer, etc.). *

Is there anything else we should know about your student? *