Catalyst Study Hall Application Inquiry

1
Student's Name * This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Month
Day
Year
3
Gender* This field is required.
Please Select
Please Select
Male
Female
4
School Year Applying For:* This field is required.
Please Select
Please Select
2024/2025
5
Grade Applying to:* This field is required.
Please Select
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
6
Current Grade:* This field is required.
Please Select
Please Select
None
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
7
Current School Enrolled In:* This field is required.
8
Parent/Guardian Information* This field is required.
First Name
Last Name
9
Phone Number* This field is required.
Please enter a valid phone number.
10
Email* This field is required.
example@example.com
11
Residential Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
12
What intrigues you about Catalyst Study Hall?* This field is required.
13
Will you be enrolling more than one child? If so, what are their first names and grades in the fall?* This field is required.
14
How best does your child learn? Favorite subjects or activities?* This field is required.
15
Do you understand this is a full four day program?* This field is required.
16
Catalyst Study Hall aligns with a Statement of Faith. Are you aware this a faith-based ministry?* This field is required.
17
Do you understand this is a non-profit ministry that depends on faithful payments from each family enrolled to help the whole community thrive?* This field is required.
18
Catalyst Study Hall believes God designed the parent to be the first and foremost important teacher in their child's life. This program has the parent bear the legal responsibility of having their children enrolled as homeschoolers. Do you agree to take on this responsibility fully?* This field is required.
19
Is English your child's second language? If yes, please provide your native language:* This field is required.
20
Has your child ever been suspended/expelled from any previous schools/programs? If yes, please provide a brief explanation as to why. * This field is required.
21
Are there any behavioral or physical issues that would help us know more about your child?* This field is required.
22
How did you hear about us?* This field is required.
Please Select
Please Select
Current School
Sibling
Friend
Online Search
Local Church
Social Media
Other
23
Terms and Conditions* This field is required.
24
When is a good time to do a parent interview?* This field is required.
Any time
Monday Evenings
Wednesday Evenings
25
Do you want to schedule a facilities tour (usually during the day on Tuesdays)?* This field is required.
Yes
No
26
Application Inquiry Fee $25* This field is required.The Application Inquiry Fee is required to help us cover administrative fees. For a limited time only, enjoy a discounted fee!
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