Bethel Academy Admissions Application, 2018-19

Bethel Academy Application, 2023-24

Please fill out one form per child. Please answer all questions but if you have multiple children that you are enrolling you do not need to fill out duplicate information that was provided in the first application.
Student Name*

FirstMiddle InitialLast
Date of Birth*

MonthDayYear
Grade for 2022-23 School Year
Gender*

MaleFemale
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone (if student has a personal phone #)

Area CodePhone Number
E-mail Address (if student has a personal email)

FAMILY INFORMATION
Name of Parent/Legal Guardian 1*

FirstMiddle InitialLast
Relationship to student*
Mailing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Primary Phone

Area Code Phone Number
Primary E-mail Address
Occupation
Name of Parent/Legal Guardian 2

FirstMiddle InitialLast
Relationship to student
Mailing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Primary Phone

Area Code Phone Number
Primary E-mail Address
Occupation
List names and ages of student's siblings:
Are any of the siblings listed above also enrolled at Bethel Academy?
Please list any families you know who are currently part of Bethel Academy.

PREVIOUS SCHOOLS & EDUCATION HISTORY
Has your child attended any other school prior to Bethel Academy? (If Kindergartner, include preschool or Pre-K program.)*
If YES, name of most recent school attended:
Has your child ever failed or repeated a grade? (If YES, please explain in comments section below.)*
Has your child ever skipped a grade? (If YES, please explain in comments section below.)*
Has your child ever had disciplinary or attendance issues? (If YES, please explain in comments section below.)*
Has your child ever been tested or diagnosed with learning disabilities or been enrolled in any special education program or special school (e.g., reading difficulty, learning disorder, dyslexia, attention deficit disorder)? (If YES, please discuss the results in the comments section below.)*
Comments - if you answered YES for any of the questions above, please explain here:
CHURCH INFORMATION
Current church/congregation:
Mailing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

ADDITIONAL STUDENT INFORMATION
What are your child's academic interests and abilities?*
Briefly describe your child's personality, interaction with peer group, strengths and weaknesses:*
What concerns or unusual factors, if any, do you have regarding your child's progress in life (academic, social, behavioral, spiritual or physical health)?*
What are your child's hobbies, special interests, or extracurricular activities?*
PARENT QUESTIONNAIRE
After attending the Orientation meeting and/or if your children have attended Bethel Academy in previous years, briefly explain your understanding of the classical Christian approach and curriculum offered here at Bethel Academy:*
What expectations do you have of the education your child will be receiving at Bethel Academy?*
Are there special custodial issues we should be aware of if you are a single parent or blended family?

PARENTAL COMMITMENTS
In making this application for enrollment, I/we understand the following is required by Bethel Academy:
- Cooperate fully in the educational purpose and model of Bethel, doing my best to make classical Christian education and the Bethel curriculum effective in the life of my child.
- Have a clear understanding of Bethel's Statement of Faith, even though parents are not required to be professing Christians.
- Cooperate with Bethel's desire to teach all subjects with academic excellence from a Biblical worldview, which is consistent with that Statement of Faith.
- Attempt to promote a spirit of unity within the ministry of the school by not criticizing the school in front of others or my child and resolving problems through the principles of Matthew 18. This means attempting to deal with conflicts first by discussing the issue with the person involved and not others, then moving up the chain of authority in the school, if necessary, until the issue is resolved.
- Fulfill my financial obligations to Bethel Academy on a timely basis, including payment of tuition, activities fees, enrollment fees, club fees, and any other payments required by the due dates communicated. If an extension or payment plan is needed, I will communicate with Bethel administration prior to the payment due date to work out an agreeable arrangement. I understand that I am responsible for payment of a full year of tuition regardless if I remove my student for any reason.
- Support school personnel, programs and activities with prayer, personal example and positive communication, and if possible, serve as a volunteer.
- Nurture habits of punctuality, thoroughness, neatness, honesty, resourcefulness, independent reading and study in my child. I will expect my child to complete all homework daily and to make sure all books and completed homework are returned to the school the following day.
- Immediately inform the administration concerning any of the following occurrences in the life of my child enrolled at Bethel Academy: psychiatric counseling, involvement with the law or juvenile authorities, any prescribed program of behavior-controlling medication, pregnancy or marriage, any use of illegal drugs or alcohol.
The information provided on this application is true to the best of my knowledge and I have not intentionally withheld or misrepresented any pertinent information.
Do you understand and agree to the terms listed above?*

Yes, I understand and agree to the terms listed above.
Should be Empty:

Bethel Academy Application, 2023-24