Parent Interest Survey

Welcome! We are gathering information from families who may be interested in St. Kosmas Academy as we continue planning for the school’s future. Your participation helps us understand community needs and prayerfully shape the next steps for this important initiative. Thank you for being part of this effort.

Parent Interest Form

Contact Information

First Name

Last Name

Phone/Mobile Number:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Home Parish

Family Information

How many children do you have?*

If your child is school aged, what is the current grade level? (Child 1)

If your child is school aged, what is the current grade level? (Child 2)

If your child is school aged, what is the current grade level? (Child 3)

If your child is school aged, what is the current grade level? (Child 4)

Interest Level

Level of interest in St. Kosmas Academy?*

Why are you interested in St. Kosmas Academy, or why are you considering a classical Orthodox education for your child?*

Additional Comments

Comments or questions (optional)

Contact Information

Family Information

Interest Level

Additional Comments

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