Admissions Application
Please fill out the form to begin your Gracepoint enrollment process.
Family Information
Tell us about your family to help us get to know you and your students!
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Employer
*
Mother
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Employer
*
Where does your family attend church?
*
Parent email
*
example@example.com
Back
Next
Save
Student 1
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
Student Status:
New Student
Returning Student
Food and Environmental Allergies
*
Type NA if student has no allergies.
Medications
*
Type NA if student takes no medication on a regular basis.
Grade Entering
*
Please provide: Name and address of the last school attended and reason for leaving
*
Please click all that apply.
*
My student has 504 and/or IEP accommodations.
My student has been retained before.
My student has been tested and/or diagnosed for a learning disability.
My student currently receives speech, language, and/or occupational therapy.
None of the above.
Please explain any selections above.
*
Selection of any of the above statements does not automatically disqualify a student from admission. It helps our administration examine the needs of your student and GCA's ability to meet those needs.
Student 2
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Student Status:
New Student
Returning Student
Food and Environmental Allergies
Type NA if student has no allergies.
Medications
Type NA if student takes no medications on a regular basis.
Grade Entering
Please provide: Name and address of previous school attended and reason for leaving.
Please click all that apply.
My student has 504 and/or IEP accommodations.
My student has been retained before.
My student has been tested and/or diagnosed for a learning disability.
My student currently receives speech, language, and/or occupational therapy.
None of the above.
Please explain any selections above.
Selection of any of the above statements does not disqualify a student from admission. It helps our administration examine the needs of your student and GCA's ability to meet those needs.
Back
Next
Save
Student 3
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Student Status:
New Student
Returning Student
Food and Environmental Allergies
Type NA if student has no allergies.
Medications
Type NA if student takes no medications on a regular basis.
Grade Entering
Please provide: Name and address of previous school attended and reason for leaving.
Please click all that apply.
My student has 504 and/or IEP accommodations.
My student has been retained before.
My student has been tested and/or diagnosed for a learning disability.
My student currently receives speech, language, and/or occupational therapy.
None of the above.
Please explain any selections above.
Selection of any of the above statements does not disqualify a student from admission. It helps our administration examine the needs of your student and GCA's ability to meet those needs.
Student 4
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Student Status:
New Student
Returning Student
Food and Environmental Allergies
Type NA if student has no allergies.
Medications
Type NA if student takes no medications on a regular basis.
Grade Entering
Please provide: Name and address of previous school attended and reason for leaving.
Back
Next
Save
Please click all that apply.
My student has 504 and/or IEP accommodations.
My student has been retained before.
My student has been tested and/or diagnosed for a learning disability.
My student currently receives speech, language, and/or occupational therapy.
None of the above.
Please explain any selections above.
Selection of any of the above statements does not disqualify a student from admission. It helps our administration examine the needs of your student and GCA's ability to meet those needs.
Back
Next
Save
Authorized Persons
The following persons have permission to pick up your student from our GCA campus.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Back
Next
Save
I give Gracepoint Christian Academy permission to contact the previous school(s) listed for my students above to request academic, attendance, and behavioral records. I understand that this information will be used in assessing GCA's ability to accommodate my student and meet his/her needs.
*
Terms and Conditions
Completing this application does not guarantee admission to Gracepoint Christian Academy. While GCA does not discriminate on the basis of race or ethnicity, we are limited in our ability to service students with complex educational needs. Any student requesting admission to GCA will be subject to a screening process that is separate from this application. All fees and payment arrangements must be made prior to the student joining our GCA family. A GCA representative will contact you to inform you of the next steps in the admission process.
Save
Continue
Continue
Should be Empty: