Cornerstone Christian School Application
Thank you for your interest in Cornerstone Christian School! In order to be considered for admission, please complete the application in its entirety (including uploading required documents). Documents required to complete application include: child's birth certificate or passport, parent's birth certificate or passport, & child's most recent report card.
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Medical Care Care Number
*
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade Applying for:
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Year Applying for:
*
Student's Status in Canada
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Canadian Citizen
Landed Immigrant
Temporary Visa
Other
Is there a custody order in place?
*
Yes
No
Parent/Guardian Details
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
(Father, Mother, Guardian, etc.)
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Parent/Guardian Name
First Name
Last Name
Relationship
(Father, Mother, Guardian, etc.)
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contacts
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship
*
(Father, Mother, Guardian, etc.)
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Relationship
(Father, Mother, Guardian, etc.)
Authorized adults allowed to pick up child:
*
Church Affiliation:
Name of Church:
*
Name of Pastor:
Learning Assistance:
Is English your child's first language?
*
Yes
No
Has your child ever been on an IEP?
*
Yes
No
Has your child ever been diagnosed or suspected of:
*
ADD/ADHD
Anxiety
Behavior Issues
None
Has your child every had a Psych Ed? (If so, please provide a copy)
*
Yes
No
Has your child ever received any of the following services:
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Support from an EA
Speech & Language Therapy
Therapy (Occupational or Physical)
None
Please explain any learning assistance or other supports your child has received or is expected to need.
Legal Residency:
It is required by law for schools within British Columbia to verify parent/legal lawful admission to Canada and residency in British Columbia. This is to be completed and signed by a parent or legal guardian (court-appointed). If legal guardian, attach a copy of court order appointing you as legal guardian.
Lawfully admitted to Canada: I attest that I am
*
A Canadian Citizen (please attach a copy of your birth certificate, citizenship)
A Landed Immigrant (please attach a copy of your landed immigrant of permanent resident card)
Lawfully admitted to Canada: admission as a refugee, on student visa for 2 or more years, on a work permit, a person carrying out diplomatic duties (please attach a copy of status issued by the Government of Canada)
Residency in British Columbia: I attest that I am
*
A resident of British Columbia (please enter address below)
I am not a resident of British Columbia
Address in British Columbia
Medical History:
Name of family doctor:
Doctor Phone Number:
Please enter a valid phone number.
Any medical conditions that we should be aware of (nose bleeds, growing pains, speech difficulty, allergies, dizziness, hearing difficulty, etc.)
Permissions & Agreements:
MODEL RELEASE: From time to time your student's picture may be taken and used for advertising purposes. We have also launched Facebook and Instagram pages that help you stay connect to all that is happening in our school. We will not name your child or give out any personal information. We must have your permission to use these as part of our presentation.
*
My child CAN appear on Cornerstone's website and social media sites for advertising purposes
My child CANNOT appear on Cornerstone's website and social media sites for advertising purposes
My child CAN appear in photos, ONLY on our member-only pages (such as FB community page, Bloomz, etc.)
ASSESSMENT PERMISSION FORM: Upon admission of Cornerstone Christian School, each student is assessed by the Learning Assistance Teacher in certain areas. This helps us to identify possible learning difficulties and in some areas help to determine grade placement. Areas of of assessment include: basic reading/writing skills, mathematics (computation and problem solving)
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I hereby give my permission to have my child to be tested by the Learning Assistance Teacher for initial assessment
PARENT COMMITMENT TO SCHOOL POLICIES: Cornerstone Christian School recognizes that it cannot meet the educational needs of all children. While we love all children, the school may not be equipped to meet all special needs requirements. In such cases, and in cooperation with the parents, appropriate procedures will be used for the benefit of the student. I recognize that Cornerstone Christian School has employed Godly instructors who meet the biblical criterion for educators and have confidence in their ability to perform the educational functions due my child.I realize that from time to time children may take issue with actions they do not agree with. Should such occur, I will call in to the school and/or staff member involved for full details any time I have a question concerning an incident. I further realize that building strong relations with my child’s teacher, to aid in the educational process, is as much my responsibility as it is the schools. Therefore, I will do my best to: pray for the staff and program, cooperate with them intraining, lay a spiritual foundation through godly example in the home, follow through with any homework assign mentor notices to be signed, see that the children reach school on time, cooperate in training the children to respect the church and school’s property and pay for the irregular abuse of the same, and volunteer to serve the school in one or more areas as able (see volunteer forms for more info). I realize that attending Cornerstone Christian School is a privilege.
*
I have read and agree to the school policies (detailed policies are explained in the student handbook)
COMPUTER AND INTERNET USAGE AND ACCESS USER AGREEMENT - STUDENT AGREEMENT: I understand and will abide by the terms and conditions of the Computer and Internet Usage and Access Agreement. I further understand that any violation of these terms and conditions will be subject to the disciplinary codes set out by the Board and will be handled in accordance with those codes. The appropriate legal authorities may be contacted if the abuse deems it necessary.
*
Student: I agree to the computer and internet usage user agreement
COMPUTER AND INTERNET USAGE AND ACCESS USER AGREEMENT - PARENT AGREEMENT: PARENT/GUARDIAN AGREEMENT: If the user is a student and is under the age of 19, a parent or guardian must also read and sign this agreement. As the parent or guardian of the user named above, I have read this agreement. I have also taken reasonable steps to ensure that the child named above understands the terms and conditions of this agreement. I understand that access to the System is designed for educational purposes and that there are limitations on the use of the System. I recognize that although the Board has taken reasonable measures to limit access to objectionable and illegal materials, the Board cannot guarantee that 100% of the materials accessed via the Internet, either intentionally or unintentionally, will not include offensive or illegal contents. Further, I accept full responsibility for supervision if and when my child’s use of computers is not in a school setting.
*
Parent: I agree to the computer and internet usage user agreement
Required & Supporting Documentation:
Student's Birth Certificate
*
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Parent or Legal Guardian's Birth Certificate or Passport
*
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Status in Canada (if other than Canadian-born citizen)
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Immunization Record (if not immunization, please provide a short written notice)
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Most Recent Report Card
*
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IEP or Learning Assistance File
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Custody documentation (if applicable)
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Other documents (if more space is needed)
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I am aware that Cornerstone Christian School is a tuition school and I agree to pay tuition on time. The current tuition rate is listed below:
*
I agree to pay tuition
I need financial assistance and will fill out a financial assistance application. I understand that I am not guaranteed financial assistance.
Is there anything else you would like to share about your child and/or application?
*
Once you have submitted your application, you will receive a link to our student handbook. I agree that I will read the student handbook to better understand CCS policies.
Acknowledgment
Date Signed
*
-
Month
-
Day
Year
Date
Parent Signature
*
Apply
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