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Family Assessment Application

Thank you for your continued interest In Divergent Adventures.

Below is our initial Family Assessment Assessment Application. For the current 2023 and 2024 programs beginning in January of 2024. Acceptance is on a space-available basis for qualified applicants. Applications are accepted and processed in the order they are received. 


This survey will provide our Development Team with the information they require to assess our program's suitability for each family. Student eligibility and acceptance in the program are determined solely by our Development Team and the Director.


Active communication between our team, the adult/student, and/or parent or guardian is essential during enrollment. We aim to match participants to the best learning experience during our 4-week plus adventure together. A key is to enroll participants whom we believe are committed to the time and effort it takes to complete the program. Each enrollment application is handled individually, and our team members will be with you every step of the way.

Here is what you can expect by completing this application.

  • You'll receive a confirmation email that we received your submission.

  • In a few business days, a member of the Development Team will review your application and make arrangements to connect with you using your preferred method. 

  • Once a final determination has been made, our team will assist you with completing our formal enrollment application and privacy and release forms and arrange for payment. 

  • Participants are then connected with our educational professionals, who will provide complete information about our journey together. 

This form and your privacy. Your personal information here is private and only shared with the team managers who advise and communicate with our student and parent clients. When accepted, the personal information becomes a part of the student profile. If the student is not accepted into the program, the personal data is permanently deleted from our database. 


Family Assessment Application

Communications Preference

Check All That Apply

WithIn the past year, has your child exhibited or received treatment any of the following behaviors?

Check All That Apply:

How well does your child get along with others?

Check One Only.

How well does your child complete tasks/play?

Check One Only.

How does your child feel about and manage self?

Check All Tht Apply.

How well does your child identify and solve problems?

Check One Only.

Does your child have a current IEP?

Check One Only.

Is your child currently employed?

Check One Only.

Does your child participate in any extra-curricular activities?

Check One Only.

Can both child and parent commit to participate in weekly virtual classroom sessions?

Check One Only.

Thanks for registering. A Member Of Our Team Will Be in Touch SOON. If you need to contact us, please email us at:

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