Application For Admission 2025-26

Application For Admission

2025-26
We have a list of available spots/classes on our website. Any applications we receive for full classes will be put on our waiting list and notified if spots open. If you do not hear from us, there is no space. Remember, the application fee is non-refundable regardless if the class has space or not.
I understand that Chapin Academy is a homeschool program that meets 2 days a week and parents homeschool/co-teach with provided lesson plans the other 3 days.*

Yes
I understand the application fee is non-refundable. Any applications received for a grade with no space will automatically be put on the Chapin Academy waitlist. I will only be contacted by administration if space is available.*

Yes
Family Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Father's Name (Custodial Parent):*

First NameLast Name
Business Phone:

Area CodePhone Number
Father's Email:*
example@example.com
Father's Occupation:
Briefly describe your relationship with Christ:*
If filling out for more than one child, please type See Previous Application
Mother's Name (Custodial Parent):*

First NameLast Name
Business Phone Number

Area CodePhone Number
Mother's Email:*
example@example.com
Mother's Occupation:
Briefly describe your relationship with Christ:*
If filling out for more than one child, please type See Previous Application
Name of church where you attend?*
Active?*

YesNo
Student lives with:

Both ParentsMomDadOther
Please list all names of children living in home, age, and grade. "Yes" if enrolling in Chapin Academy. "No" if not enrolling.
Example: Jane Doe, 9 years old, 3rd grade, Yes
Family References
Church Pastor or Sunday School Leader

First NameLast Name
Phone Number

Area CodePhone Number
Personal Community Reference

First NameLast Name
Phone Number

Area CodePhone Number
Teacher or Educator Reference

First NameLast Name
Phone Number

Area CodePhone Number
Student Information
Student Name:*

First NameLast Name
Age*
Gender*
Have student briefly describe his/her relationship with Christ:*
Grade Entering 2025-26:*
Applying for: (High School Students Only)

Full-Time EnrollmentPart-Time Enrollment
Student Educational Background
Please describe the type(s) of instruction that your child has previously received (i.e. home, private, public). Also, include the length of instruction (in years) for each type of school mentioned.
In general, how would you rate your child’s average academic performance on a standard grading scale (A,B,C,D,F)in the following subject areas: (N/A is for K4/K5 only)
Math*
Reading*
Writing/ELA*
Science*
Social Studies*
In what areas does your child excel? In what area does he or she have particular difficulty?
Were any grades repeated or skipped? If yes, please explain:*
Chapin Academy has limited resources to provide for the needs of students with learning disabilities. Does your child have any learning disability which would require help beyond what you are able to give at home, or which cannot be alleviated through some other independent means (tutoring, etc.)? Yes or No in box below. If yes, how do you plan to meet those needs? *
Chapin Academy is not currently equipped to provide for the needs of students with ongoing medical conditions. Does your child have any medical conditions that would require attention during a school day? Yes or No in box below. If yes, please explain. *
Who will be responsible for the education of your child during the school days completed at home? How many hours each day will the person(s) be available?*
Student Behavioral Information
Please describe any behavioral or disciplinary difficulties or special circumstances that have adversely affected your child’s prior schooling.*
Has your child ever been suspended or expelled from school for any reason?*

YESNO
If yes, please explain in detail:
Has your child ever been asked to voluntarily leave or been denied re-enrollment in a private school?*

YesNo
If yes, please explain in detail:
Add 2nd Student Application
2nd Student Information
Student Name:*

First NameLast Name
Age*
Gender*
Have student briefly describe his/her relationship with Christ:*
Grade Entering 2025-26:*
Applying For: (High School Students Only)

Full-Time EnrollmentPart-Time Enrollment
2nd Student Educational Background
Please describe the type(s) of instruction that your child has previously received (i.e. home, private, public). Also, include the length of instruction (in years) for each type of school mentioned.
In general, how would you rate your child’s average academic performance on a standard grading scale (A,B,C,D,F)in the following subject areas: (N/A is for K4/K5 only)
Math*
Reading*
Writing/ELA*
Science*
Social Studies*
In what areas does your child excel? In what area does he or she have particular difficulty?
Were any grades repeated or skipped? If yes, please explain:*
Chapin Academy has limited resources to provide for the needs of students with learning disabilities. Does your child have any learning disability which would require help beyond what you are able to give at home, or which cannot be alleviated through some other independent means (tutoring, etc.)? Yes or No in box below. If yes, how do you plan to meet those needs? *
Who will be responsible for the education of your child during the school days completed at home? How many hours each day will the person(s) be available?*
2nd Student Behavioral Information
Please describe any behavioral or disciplinary difficulties or special circumstances that have adversely affected your child’s prior schooling.*
Has your child ever been suspended or expelled from school for any reason?*

YESNO
If yes, please explain in detail:
Has your child ever been asked to voluntarily leave or been denied re-enrollment in a private school?*

YesNo
If yes, please explain in detail:
Add 3rd Student Application?
3rd Student Information
Student Name:*

First NameLast Name
Age*
Gender*
Have student briefly describe his/her relationship with Christ:*
Grade Entering 2025-26:*
Applying For: (High School Students Only)

Full-Time EnrollmentPart-Time Enrollment
3rd Student Educational Background
Please describe the type(s) of instruction that your child has previously received (i.e. home, private, public). Also, include the length of instruction (in years) for each type of school mentioned.
In general, how would you rate your child’s average academic performance on a standard grading scale (A,B,C,D,F)in the following subject areas: (N/A is for K4/K5 only)
Math*
Reading*
Writing/ELA*
Science*
Social Studies*
In what areas does your child excel? In what area does he or she have particular difficulty?
Were any grades repeated or skipped? If yes, please explain:*
Chapin Academy has limited resources to provide for the needs of students with learning disabilities. Does your child have any learning disability which would require help beyond what you are able to give at home, or which cannot be alleviated through some other independent means (tutoring, etc.)? Yes or No in box below. If yes, how do you plan to meet those needs? *
Who will be responsible for the education of your child during the school days completed at home? How many hours each day will the person(s) be available?*
3rd Student Behavioral Information
Please describe any behavioral or disciplinary difficulties or special circumstances that have adversely affected your child’s prior schooling.*
Has your child ever been suspended or expelled from school for any reason?*

YESNO
If yes, please explain in detail:
Has your child ever been asked to voluntarily leave or been denied re-enrollment in a private school?*

YesNo
If yes, please explain in detail:
Add 4th Student Application?
4th Student Information
Student Name:*

First NameLast Name
Age*
Gender*
Have student briefly describe his/her relationship with Christ:*
Grade Entering 2025-26:*
Applying For: (High School Students Only)

Full-Time EnrollmentPart-Time Enrollment
4th Student Educational Background
Please describe the type(s) of instruction that your child has previously received (i.e. home, private, public). Also, include the length of instruction (in years) for each type of school mentioned.
In general, how would you rate your child’s average academic performance on a standard grading scale (A,B,C,D,F)in the following subject areas: (N/A is for K4/K5 only)
Math*
Reading*
Writing/ELA*
Science*
Social Studies*
In what areas does your child excel? In what area does he or she have particular difficulty?
Were any grades repeated or skipped? If yes, please explain:*
Chapin Academy has limited resources to provide for the needs of students with learning disabilities. Does your child have any learning disability which would require help beyond what you are able to give at home, or which cannot be alleviated through some other independent means (tutoring, etc.)? Yes or No in box below. If yes, how do you plan to meet those needs? *
Who will be responsible for the education of your child during the school days completed at home? How many hours each day will the person(s) be available?*
4th Student Behavioral Information
Please describe any behavioral or disciplinary difficulties or special circumstances that have adversely affected your child’s prior schooling.*
Has your child ever been suspended or expelled from school for any reason?*

YESNO
If yes, please explain in detail:
Has your child ever been asked to voluntarily leave or been denied re-enrollment in a private school?*

YesNo
If yes, please explain in detail:
Thank you for your application. A $75 application fee + $2.50 transaction fee is required for each student applying.

Administration will contact you to schedule a family interview (if space is available) after reviewing your application and transcripts.

It is required to submit transcripts and/or disciplinary records before scheduling family interview.

Please submit to: Admin@chapinacademy.com
Transcripts/Disciplinary Records*

I will provide records from public/private school for all students applyingI currently homeschool and will provide records from my accountability groupMy student is entering K4 and does not have transcripts
Upload transcripts/disciplinary records here or email to admin@chapinacademy.com with subject as student name:

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Are you a parent interested in teaching or assisting at Chapin Academy? If so, please fill out an application on our website at www.chapinacademy.com/applications

Yes, I am interested in teaching and I have a 4 year degreeYes, I am interest in assisting (degree not required)No, I am not interested in teaching or assisting
Payment
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Application For Admission

We have a list of available spots/classes on our website. Any applications we receive for full classes will be put on our waiting list and notified if spots open. If you do not hear from us, there is no space. Remember, the application fee is non-refundable regardless if the class has space or not.

Family Information

Family References

Student Information

Student Educational Background

Student Behavioral Information

2nd Student Information

2nd Student Educational Background

2nd Student Behavioral Information

3rd Student Information

3rd Student Educational Background

3rd Student Behavioral Information

4th Student Information

4th Student Educational Background

4th Student Behavioral Information

Payment