Student Registration Form 2024-25

Academic Background
What do you see as your child’s academic strengths?
Be as detailed as possible.
What do you see as your child’s academic weaknesses?
Be as detailed as possible.
Has your child ever been recommended for testing, tested and/or diagnosed for any of the following? Check all that apply. If any are checked, please explain the situation below by giving specific information.

Attention Deficit DisorderSpeech/Language ImpairmentDyslexiaHearing ImpairmentHyperactivityVisual ImpairmentLearning DisabilityOther (Please Specify)
List an explanation of the above condition(s):
What does your child enjoy about school?
What does your child dislike about school?
Previous School Attended
Year blanks to blank
Previous School Attended
Year blanks to blank
Has your child been suspended or dismissed from any school? (If yes, please explain.)
Has your child received special academic help (such as tutoring) or a modified curriculum plan? If so, please describe:

Personal Information
If you’re new to SCS, how did you hear about us?
Father's Testimony-Tell us about what being a believer means to you.
Mother's Testimony-Tell us about what being a believer means to you.
Does your family attend church?

YesNo
If so, tell us where do you attend and what your involvement is.
In order of priority, please list and explain your reasons why you are seeking admission for your child to Shiloh Community School:
Have you applied for the NCSEAA Opportunity Scholarship?

YesNo
Have you applied for the NCSEAA ESA+ Scholarship?

YesNo
Is your child's enrollment contingent upon receiving the scholarship?

YesNo
Signature

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Character Development