Ark Educational Services

Simply serving every learner, every need…one day at a time

Ark Education - Template Form

Here follows our Form for the "--------" Program. Please ensure that you fill in all fields as appropriate. The red titled fields are required. When complete, please hit the "Submit Button" at the bottom of the form.

School District Details

Students Details

Academic Plan (if any)

Please make sure that you either upload the IEP or 504 Plan or send by email to us. We cannot register a student without these documents (if available)

Program Details

Parents/Guardian's Details

Guidance Counselors Details


Reason for Home Instruction


This is not a math test!! It's to make sure that the person filling in this form is not a "bot"
Have you filled in all of the fields and uploaded the necessary files? If so, please hit "Submit this Form" button below.
Contact Us
Contact Ark to arrange your courses
609 - 792 - 2125