Enrollment Inquiry

Parent/Guardian Name *

Parent/Guardian Address*

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Please answer the following questions so we can learn more about your student. Your answers to these questions will not exclude your prospective student from admission, but will help us determine follow-up questions and enrollment options for consideration during the interview process.

Can the prospective student care for his or her personal needs in the restroom?

Yes

No

Is the prospective student able to administer any required medications independently that would be administered between 9 am and 5 pm?

Yes

No

N/A

Is the prospective student able to eat independently?

Yes

No

Does the prospective student have a history of exhibiting behavior that may be harmful to themselves or others and/or significantly disruptive to other students in a classroom setting, including but not limited to physical behavior, abusive language, or sexual misconduct?

Yes

No

What assistance does the prospective student need daily?

Thank you! Your enrollment inquiry has been received. We look forward to connecting with you soon. Please watch for an email from Jan (jmadole@pathwaysok.org) with the next steps in the enrollment process.

Something went wrong and your enrollment inquiry may not have gone through. Please try submitting the form again. If the issue continues, you can reach out to us at info@pathwaysok.org or call our office at 918-859-0060 - we'll be happy to help.

Enrollment Inquiry

Complete & Submit the Form Below

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