Alliance Christian Academy
Application Form Please fill out one for each student.
Student Information
Student's Name
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Anticipated grade in September, 2026
Please Select
SK
1
2
3
4
5
6
Name of last school attended
Last schooling type (public school, French immersion, homeschool, etc.)
Why are you choosing alternative education for your child?
Parent Information
Name of Father
Place of employment
Father's phone number
Please enter a valid phone number.
Name of mother
Mother's phone number
Please enter a valid phone number.
Place of employment
Student resides with
Mother and Father
Mother
Father
Legal Guardian
Address where student resides
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
If you are affiliated with a local church, please indicate which one
Learning History
Is English your child's first language?
Yes
No
If you answered 'No' to the above question, please explain:
Does your child have any specific learning needs that have required additional assistance or support?
Yes
No
If you answered 'yes' to the above question, please explain:
Has your child ever been diagnosed with or do you suspect any of the following?
ADD/ADHD
Anxiety
Behavioural Issues (at home or school)
Other
Has your child ever had an IEP?
Never
Yes, previously
Yes, currently (if currently, please include a copy of the most recent IEP)
If you answered 'yes' to the above 2 questions, please explain:
If there Is anything we need to know about your child, please provide details below:
Submit
Should be Empty: