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. Format: (000) 000-0000.
Stuedent resides with
Primary Contact
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.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Educational Consultant (if applicable)
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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 1

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

$95.00

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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
Date

YearMonthDay
Date
Student Signature
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