La Grange Campus
(Elementary & High School)

6425 Willow Springs Road
LaGrange, IL 60525
708.579.9040

Burr Ridge Campus
(Transition Program Ages 17-22)

6880 North Frontage Road
Suite 100
Burr Ridge, IL 60527
708.639.4222

Mon - Fri: 8:00 a.m. - 5:00 p.m.

Admission open

Ph: 708.579.9040 / Fax: 708-491-0131

info@acaciaacademy.com

Student Referral Form

Please complete the form below. The Acacia Academy administration will review the current Individualized Educational Program (IEP), 504 Plan, medical records and/or all relevant information to determine if Acacia Academy has a program to meet the needs of the student. Once submitted, an administrator will contact you. Should you have additional questions, please contact Noel Fouks at 708.639.4194 or email info@acaciaacademy.com.

My Infomation

School District Info

Student Info

Parent/Guardian Info

Click or drag files to this area to upload. You can upload up to 3 files.
Please provide documents in PDF or Microsoft Word formats.
Click or drag files to this area to upload. You can upload up to 3 files.
Please provide documents in PDF or Microsoft Word formats.