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Discover Selis
Admissions
Parent Resources
Programs
Camps
Careers
Contact Us

Apply Now

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Ready to Take the Next Step?

Start your journey with us today! Click the “Apply Now” button below to begin your application. Our admissions process operates on a rolling basis, so we encourage you to apply early to secure your place. If you have any questions or need support, don’t hesitate to reach out to our admissions team at [email protected] or (236) 335-3282.

We look forward to welcoming you to our community!

Please fill out the following information to apply for enrollment at Selis Learning Academy.

1Child Info

2More Info

3Emergency Contact Information

4Parent/Guardian Consent

How many children ?

First Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Second Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Third Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Fourth Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Fifth Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Sixth Child Info

Child Full Name *

First

Last

Date of Birth *

Gender *

Grade Level in September 2024 *

Current School Name *

Previous School(s) Attended (if applicable)

Does the student have any special educational needs? *

If yes, please specify:

Medical Information *

Does the student have any allergies or medical conditions? *

If yes, please specify

Family Doctor’s Name *

Family Doctor’s Phone Number *

Program Applying For:

Junior Innovators (Ages 3-6)
Essential Core Program
STREAM Program
After School Care Program (3days, 4days, or 5days)
Homeschooling Program

Preferred Start Date *

Parent/Guardian Information

Parent/Guardian Name *

Relationship to Student *

Primary Phone Number *

Email Address *

Street Address

City

Postal Code

Emergency Contact Name *

Relationship to Student *

Phone Number *

Documents that must be submitted by Parent/Guardian (please email us the following documents at [email protected]:

Your child’s birth certificate or a valid passport.
Proof of residence (such as a utility bill or lease agreement).
Previous school records (report cards, transcripts, or any relevant academic documents).
Health and immunization records.
Any educational assessments or reports that will help us tailor our programs to meet your child's needs.
A recent photograph of your child.
A government photo ID of the parent or legal guardian

Any other information you would like us to know about your child?

Additional Information

How did you hear about Selis Learning Academy?

I hereby certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of this application.

Parent/Guardian Signature *

By signing you confirm that you have read, understood and agree to all the above statements.

Date *

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Please fill out the following information to apply for enrollment at Selis Learning Academy.

First Child Info

Second Child Info

Third Child Info

Fourth Child Info

Fifth Child Info

Sixth Child Info

Parent/Guardian Information

contact info

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