OFFICIAL old SCA Application Form (2024)

Admisssions Application - 24'-25'

International Boarding and Day School (Grades 6-12)
Student Name *

First NameMiddle InitialLast Name
Date of Birth*

MonthDayYear
Age*
Bording / Day*
Gender*
Current Grade *
Applying For Grade *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-Mail
Cell Number
Please enter a valid phone number.
Stuedent resides with*

Mother & FatherMother OnlyFather OnlyGuardian
Primary Contact*

MotherFatherGuardianConsultant
Country of Citizenship *
Educational History
Last School Attended (Most Recent) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Website URL:
SSAT Score: (optional)
Please upload your transcript

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Previous Schools Attended: *
Provide any relevant information regarding prior schools
Parent / Guardian Information
Relationship to Candidate: *
Full Name *

First NameMiddle Initial Last Name
Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment
Email*
Work Phone
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Job Title
Educational Consultant (if applicable)
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Company*
Student Overview
Future Goals & Aspirations *
Extracurriculars & Activities (Outside of School) *
Awards & Accomplishments *
Community Service *
Social Media Handles*
Please include all of your digital image links that you want to share with us for consideration of this appliaction
Sports *
Provide details about any teams please and positions played
Arts / Music *
List all school participation in the arts including performances
Parent Questions
1. Has the student ever received or will require special education services? *
Please let us know if you would like the student evaluated for special education services and if so, why.
2. Does the student have an Individualized Education Plan (IEP) or 504 Plan? *
If yes, submit a copy of IEP or 504 Plan.
IEP / 504 Plan Document Upload

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5. Student Writing Sample *
Please tell us why you would like to attend Springfield Commonwealth Academy
5. Languages *
What is your native language and what other languages do you speak or have you taken and at what level
Program Fee

SCA Application 1Application fees are paid through the online application and are non-refundable.

$95.00

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

As the parent / guardian, why do you want the candidate to attend Springfield Commonwealth Academy? *
Where did you initially hear about SCA? *
Signature

I confirm that all the information above is true and accurate.
Parent Signature *

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Date*

YearMonthDay
Date
Student Signature *

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Date*

YearMonthDay
Date
Should be Empty:

Admisssions Application - 24'-25'

Educational History

Parent / Guardian Information

Educational Consultant (if applicable)

Student Overview

Parent Questions

Program Fee

Signature