Skip to content

Potential Students,

As of Monday, February 27, 2017, enrollment for the 21st Century Learning Academy will be closed for students that are under the age of 19 as we prepare for the upcoming State Assessments.  We will not be enrolling any new students, age 19 and under, during this time period.  Once State Assessments are complete, we will reopen enrollment to students under the age of 19.

Any Pre-Enrollment questionnaires that are submitted by students under the age of 19 will not be acted upon until after the State Assessments are completed.

We will continue to accept enrollment forms from prospective Adult Students that are 19 years old and older.  Those can be submitted to our office at any time during the year.

Please contact our office at (620) 723-1130 if you have any questions about the enrollment process.

Thank you for understanding.  Have a great day!


All 6th – 12th grade Students under the age of 18 will need to complete the following information in order to enroll in the 21st Century Learning Academy.  Click on the title to download a PDF version of the form.

2016-2017 Pre-Enrollment Questionnaire

As a first step towards potentially enrolling your child in the 21st Century Learning Academy, please take a few minutes to answer each of the following questions so that we can gain a better understanding of your child’s abilities and needs. This completed questionnaire will need to be submitted to our Office before receiving enrollment forms for your child. Completion of this form DOES NOT guarantee that your child has been enrolled in the 21st Century Learning Academy. Upon receipt of this form in our office, you will be notified within 5 business days as to whether your child has been accepted into the program.  Thank You!Please return the Pre-Enrollment Questionnaire to the following address when it is complete.


21st Century Learning Academy

730 South Main
Greensburg, KS  67054



©2015 21st Century Learning Academy