Application and Family Questionnaire

Do the ideas of Kamali Academy resonate with you? Are you ready to start a Warrior Scholar journey with your learner and your family? If so, we’d love to learn more about you!!!

Tell us who you are.

Name of Learner

First Name

Last Name

Birthdate of Learner

YYYY

Additional Learner

First Name

Last Name

Birthdate of Learner

YYYY

Name of Parent or Guardian

First Name

Last Name

Phone

(###)

###

####

City, State and Country of Residence

First Name

Last Name

Tell us about your family's educational journey. How have you been both satisfied and dissatisfied with your learner’s experiences so far (if applicable)?

Please share any of your own experiences that you feel have impacted your thoughts or feelings about learning.

What brought you to the Kamali Summer Program?

What extracurriculars would you like to see in the Kamali Summer Program?

Why do you feel our Summer Program is a good fit for your learner and/or family?

What do you see as the role of adults in a learner's journey?

Please include both the role of parents/guardians and the role of educator's in your reply.

What is your thinking about struggle and failure as they relate to learning?

What questions do you have?

How did you hear about Kamali Academy?

Through a friend, Facebook, Youtube, Instagram...