CONNECT ACADEMY
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ONLINE APPLICATION

WELCOME TO CONNECT ACADEMY'S ONLINE APPLICATION

We appreciate your interest in referring students to our specialized therapeutic day programs. This online application form is designed for school districts to refer students who may benefit from our comprehensive support services. Once you submit the application, our team will review the provided information and get back to you within 3 business days to discuss the next steps.

Please fill out the form below with the required information to help us understand the specific needs of each student, ensuring a smooth and efficient referral process. If you need assistance completing the application please contact us by phone or email at 630-822-8085 or [email protected].

    CONNECT ACADEMY STUDENT REFERRAL APPLICATION

    School districts can use this form to refer a student to Connect Academy for consideration. 
    The first and last name of the student being referred to Connect Academy.
    The current school district where the student attends school.
    The student's date of birth in the following format MM/DD/YYYY.
    The current grade level of the student being referred.
    The contact name of the person referring the student.
    The contact phone number of the person referring the student.
    The contact email of the person referring the student.
    Name of the primary parent / guardian of the referred student.
    The contact phone number for the primary parent guardian of the referred student.
    The email address for the primary parent / guardian of the referred student.
    Primary reason you are referring the student to The Connect Academy.
    Max file size: 20MB
    Please upload the student's most recent IEP.
    Max file size: 20MB
    Please upload the student's most recent Evaluation/Re-evaluation.
    Max file size: 20MB
    Please provide the student's prior 4-6 months of behavioral data and incident reports.
Submit

REFERRAL PROCESS

At Connect Academy, we collaborate with school districts to ensure that students with varying disabilities receive the specialized support they need. Our referral process is designed to place students in the appropriate program based on their age and specific needs.

STEP 1: ​District Referral

School districts identify students who may benefit from our therapeutic day programs and initiate the referral process outlined below.

STEP 2: Evaluation

Our team reviews the student's educational and behavioral needs, considering the recommendations from the district.

STEP 3: Program Placement

Program Placement: Students are placed in one of our three programs:
  • Connect Academy Early Childhood: For children ages 3-7, focusing on early intervention and foundational skill development.
  • Connect Academy East: For students in kindergarten through second grade, providing tailored support for younger learners.
  • Connect Academy Main: For students in grades third through eighth, offering comprehensive academic and therapeutic services.

STEP 4: Ongoing Support

We work closely with the referring district, families, and the student to ensure a smooth transition and continuous support throughout their time at Connect Academy.

CONNECT ACADEMY PROGRAMS

The words 'Connect Academy Main' displayed over an image of a student in a graduation cap and gown, representing achievement and educational growth.
Connect Academy Main serves grades third through eighth, providing a comprehensive therapeutic day program to help them achieve their IEP goals in a supportive environment​.
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The words 'Connect Academy East' displayed over an image of a student in a graduation cap and gown, representing achievement and educational growth.
Connect Academy East caters to students from kindergarten through second grade, offering specialized educational and therapeutic services adjacent to the administration and middle school location​​.
Learn More
The words 'Connect Academy Early Childhood' displayed over a classroom photo, highlighting a nurturing, structured environment designed for young learners.
Connect Academy Early Childhood provides support to children ages three to seven, focusing on early intervention and foundational skill development in a nurturing setting​.
​

Learn More

LOCATION AND CONTACT

Connect Academy | Main Office
    630-822-8085
[email protected]
1514 S. Main Street Lombard, IL 60148
Connect Academy Logo, therapeutic day programs located in Lombard, IL
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  • Home
  • About
  • Locations
    • Connect Academy Early Childhood | Grades Pre-K - K
    • Connect Academy East | Grades K - 2
    • Connect Academy Main | Grades 3 - 8
    • Connect Academy High School | Grades 9 - 12
  • Referrals
  • Careers
  • Resources
    • Family & Community Resources
    • Staff Directory
    • Blog
    • Contact Us