Application Form Information

THIS IS FOR 2026-2027 SCHOOL YEAR

Completing this form is not a guarantee of acceptance.

NOTE: A One-Room Schoolhouse is now open for applications to the general public. We are currently considering applications for our Plum Campus (grades K-8). The Hickory Campus will consider applications for K to 12th. Finally, the Franklin Park Campus, will consider applications for Elective Day, K-8th. Washington campus is taking applications for K-2nd.

Application Form Fee

The application fee is $100 per student and is non-refundable.

If you decide to withdraw your application after submitting or you are declined, the fee will not be refunded. A lot of time, effort and prayers go into reviewing each application.

You may pay either by credit card or by check/money order. Both forms of payments have processing fees, please pay the amount shown at the end of the application.

Checks/money orders (No Cash) can be payable to A One-Room Schoolhouse and mailed to PO Box 263, Hickory, PA 15340. All check/money orders must be received within two weeks of completing the form. If not received, the application may be voided.

Information

Application

Registration Options

Hickory Campus
Applications are being considered for all grade levels, K- 12th. If you have questions about our new location, email [email protected]
Plum Campus
Current openings at all grade levels, K-8th.
Franklin Park
Currently have limited openings for T/W (academic students) and more openings for Th only students (elective day.)
Washinton Campus
K-2nd classroom

Student Information

Student Name

Address

Date of Birth

Gender

Male
Female

Would you like to enroll in the Tuesday/Wednesday Academic Cluster?

Grade Level in 2026-2027 School Year (Not ELA/Math Level - for organizational purposes)

Would you like to enroll in the Thursday Elective Cluster?

Please explain any learning differences, family history learning/attention differences, IEP, 504, or special testing/placement.

More information regarding the Tuesday/Wednesday Academic Days and Thursday Elective days can be found on our website https://aoneroomschoolhouse.com/academics/

We kindly request information about your student's family background or childhood experiences related to any learning differences, challenges during birth or early childhood, or participation in early intervention services. Your insights will help us better understand and support your student's unique needs.

All information provided will be kept confidential among A One-Room Schoolhouse staff. The information will be used for individualizing curriculum decisions.

Parent Information

Parent/Guardian Name 1

Parent/Guardian Name 2

Main Phone Number for Application Information

Main Email for Application Information

Tell us a bit about your child. (What does your child enjoy? What is hard for your child? What is easy for your child?)

What do you hope your child will gain from A One-Room Schoolhouse?

Commitment to the Schoolhouse

Lessons at Home

We are looking for families that will be able to commit to completing lessons at home two days per week in math and language arts. Students in grades seventh and above will have additional homeschool work in science and history. Elective day students will also have some work to do at home like practicing an instrument, homework, or memorizing a speaking part.
A One-Room Schoolhouse is NOT A SCHOOL.
A One-Room Schoolhouse helps you homeschool.