Contact Us Our main campus is located inside Fame Well Montessori. Fill out an APPLICATION below or call us at 832-900-9660. Excelsior Academy Application Applying for: (select a location below)----------Sugar Land (2317 Settlers Way Blvd.) - ElementarySpring Branch/Memorial (800 Town & Country Blvd, Ste 500) - Upper LevelNumber of Students123Parent/Guardian's Name* First Last Email* Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Student's Name* First Last Grade Level*if applying for Summer Program or for the School Year before mid-August, enter the Grade Level your student will be entering in the *upcoming school year - starting mid-August*(Select Grade Level)Early ChildhoodPre-KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeUndergraduateGraduateAdultLearning Disabilities Diagnosed (1st Student) ADHD ADD Dyslexia Dyscalculia Dysgraphia Dyspraxia Autism (Average IQ) Autism (Below Average IQ) None Other Current Circumstances (optional)Please tell us a little bit about your child and current circumstances.Other Learning Disabilities Present*Diagnosis and Treatment History (optional)How long has your child had this diagnosis, and what accommodations (if any) have worked in the past? What hasn’t worked?Upload Formal Testing Documentation (optional)If necessary, we will request this documentation after you complete a Trial Day with us. Current/Previous School Name (OPTIONAL)School History (optional)Has your child ever been enrolled in a private school before? If yes, how long ago, and what was that experience like?Are you interested in enrolling for a trial day?YesNoStudent's Name: (2nd Student's)* First Last Grade Level: (2nd Student's)(Select Grade Level)K - Pre School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeUndergraduateGraduateAdultLearning Disabilities Diagnosed (2nd Students) ADHD ADD Dyslexia Dyscalculia Dysgraphia Dyspraxia Autism (Average IQ) Autism (Below Average IQ) None Other Diagnosis and Treatment History (2nd student's)How long has your child had this diagnosis, and what accommodations (if any) have worked in the past? What hasn’t worked?Other Learning Disabilities Present (2nd Students)School's / Campus's Name: (2nd Student's)School History (2nd student)Has your child ever been enrolled in a private school before? If yes, how long ago, and what was that experience like?Student's Name: (3rd Student's) First Last Grade Level: (3rd Student's)(Select Grade Level)K - Pre School1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeUndergraduateGraduateAdultDisability Subject: (3rd Student's)(Select Subject)ADDADHDDyslexiaDyspraxiaDysgraphiaDyscalculiaOtherOther Subject: (3rd Student's)School's / Campus's Name: (3rd Student's)Desired Date of Assessment- School Year (mid August- June 1)*School Year: choose any day Monday-Friday. ET Assessments/Trial days are from 8:25 AM- 3:00 PM. Tour Date*Before selecting your Tour Date, please determine if school will be in session by visiting the Calendar page: https://excelsiorhouston.com/calendar/ Tour Date (Option 2)(If first date is not available, please select a second option) Tour time start (Request)*10:00 AM11:00 AM12:15 PM1:00 PM2:30 PMDesired School Start Date How did you hear about us?*(Select Referral)FriendFamilyGoogleBingYahooFlyerSchoolTeacherWalk-inSuprex LearningOtherOther: Heard from?Additional Comments About Your Needs(You can copy this information from your Excelsior School Application if available.) Goals (optional)What would be the ideal outcome you would want for your child(ren) by sending them here to Excelsior? Terms & Conditions* I have fully read, understood, and I agree with Excelsior Terms & Conditions. NameThis field is for validation purposes and should be left unchanged.