School Admissions Application

School Admissions Application

All sections must be completed in its entirety for the applicant(s) to be considered for enrollment. Mark sections NA if not applicable.
Parent/Guardian Information
Father

First NameMiddle InitialLast Name
OccupationEmployerWork Phone
Phone
Best Contact Phone NumberFormat: (000) 000-0000.
Email
example@example.com
Marital Status

SingleMarriedDivorced**Widowed
Mother

First NameMiddle InitialLast Name
OccupationEmployerWork Phone
Best Contact Phone NumberFormat: (000) 000-0000.
Email
example@example.com
Marital Status

SingleMarriedDivorced**Widowed
Guardian

First NameMiddle InitialLast Name
OccupationEmployerWork Phone
Best Contact Phone NumberFormat: (000) 000-0000.
Email
example@example.com
Marital Status

SingleMarriedDivorced**Widowed

Social Security Number

Rows	SSN
Father
Mother
Guardian

Child(ren) reside with: County: blank
Household Income: (For the purposes of demographic data only)

< $50,000$50,000-$100,000$100,000-$150,000Over $200,000
Student Information

The online application has two student information sections. For additional student enrollments, please complete another application either online or a paper copy.
Student(s) Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
1. Student Name

First NameMiddle NameLast Name
Name child goes by:
SSN
Please enter a valid phone number.Format: 000-00-0000.
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
School Year to Enter
(Ex. 2022-23)
Grade to Enter
(Ex. 3rd Grade)
Child by birth, adoption, previous marriage, foster, guardianship, etc?
School Last Attended
School Location

Street Address

Street Address Line 2

CityState

Zip Code
School Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Fax Number
Please enter a valid phone number.Format: (000) 000-0000.
Please mark all emotional, mental or physical impairments for your child (Student 1):

ADHD/ADDBD (Behavior Disorder)Autism/Asperger's SyndromeSeizuresDiabetesHearing Impaired/Eye CorrectionAllergiesOther Medical Issues/Learning Disabilities
Has your child (Student 1) experienced disciplinary actions such as detentions, suspension, expulsion, probation, or police records? (If yes, explain below)

YesNo
If yes, please explain:
2. Student Name

First NameMiddle NameLast Name
Name child goes by:
SSN
Please enter a valid phone number.Format: 000-00-0000.
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
School Year to Enter
(Ex. 2022-23)
Grade to Enter
Child by birth, adoption, previous marriage, foster, guardianship, etc?
School Last Attended
School Location

Street Address

Street Address Line 2

CityState

Zip Code
School Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Fax Number
Please enter a valid phone number.Format: (000) 000-0000.
Please mark all emotional, mental or physical impairments for your childn(Student2):

ADHD/ADDBD (Behavior Disorder)Autism/Asperger's SyndromeSeizuresDiabetesHearing Impaired/Eye CorrectionAllergiesOther Medical Issues/Learning Disabilities
Has your child (Student 2) experienced disciplinary actions such as detentions, suspension, expulsion, probation, or police records? (If yes, explain below)

YesNo
If yes, please explain:
Additional Information

In case of emergency, please contact the following (after parent/guardian):

Rows	Name	Relationship	Phone	Address
1.
2.
3.

1. Family Physician

NamePhone
2. Have any of the applicants ever repeated a grade? (If yes, complete 2a)

YesNo
2a. If yes, applicant's name: blanks Grade repeated blank
3. Have any of the applicants ever been tested for special needs? (If yes, please explain on 3a)

YesNo
3a. Please explain:
4. Are any of the applicants currently homebound? (If yes, please explain on 4a)

YesNo
4a. Please explain:

5. Church Affiliation

Rows	Church now attending	None
Father
Mother
Guardian

6. Grandparent Information: Include names and addresses of any grandparents who would like to be placed on the TVCS mailing list should your child (ren) be enrolled:

Rows	Name	Address
1.
2.
3.
4.

6. References

Rows	Name	Address	Phone	Relationship to Student
1.
2.
3.
4.

7. How did you hear about Teays Valley Christian School?
8. Please explain in your own words why you want your child (ren) to attend TVCS?
File Upload

Birth certificate, current immunization record, current report card or other academic record, and a transcript is required for grades 9-12.
Upload
Teays Valley Christian School Mission Statement

TVCS supports parents in delivering a biblically-driven college preparatory education in a vibrant Christ-centered community that enables them to utilize their God-given gifts and fulfill their God-Given purpose.
Parent/Guardian Signature
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
APPLICATION. The application will be considered complete and ready to review once all sections are completed, documentation is submitted and the $25 Application Fee is paid. Application Fees can be paid by check/cash to the school office or online by following this link - Application Fee.

REVIEW. Once the school admin has reviewed your completed application, Mrs. Crouch will contact you for the next step. If additional information is needed, it will be relayed at this time.

INTERVIEW. Interviews with parents and students are held with our Administrator, Mr. Sowards, and our Principal, Mrs. Mendez.

ENROLLMENT. If enrollment is decided, the Registration Fee is due to secure the enrollment position.
Should be Empty:

School Admissions Application

Parent/Guardian Information

Student Information

Additional Information

File Upload

Teays Valley Christian School Mission Statement