Form
Christ Learning Schools-CLI Application/Interview
Parent/ Guardian Name
First Name
Last Name
Parent/ Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship to student
Student Name
First Name
Last Name
Student Age
Student Grade
What do you want or envision for your child’s formal education during the 2025-2026 school year?
What do you want, hope or envision this institution and or any institution, doing, for your child, alongside and beyond, his/her upbringing in the home?
Do your child have a preference about formal learning relevant to:Where he or she learns? What he or she learns? Size of their learning environment?
Are there conversations with your child about why he or she is attendingschool to learn?
I can say yes to this statement: I am applying to do my part in my child(ren)overall and academic well being?
Yes
No
A child may not be able to engage in routines that cause him or her to neglect sleep and rest; then proceed to get up, with some self-will, to come and function respectfully at an institution where he or she is expected to listen, watch, and engage in powerful, productive information and activities. (hear, observe, search, saturate and handle information)
Will you do your part in educating your child(ren)?Will you do your part in educating your child(ren) by ensuring:
Proper rest, sleep, nutrition, nurture
encouraging right things
CLS is helping the child with: >nutrition, nurture, interaction, speech, the thinking process, general learning. >Personal time; self-sufficient exploratory time as well as rest and sleep when appropriate. We need our children to be rested, nourished, feel safe and respected at home and school. Their voices need to be heard, then properly and lovingly by wisdom validated and or corrected.
Describe your child’s attitude and behavior.
Describe student’s special interest. Also, any special talents.
Do your child have any special needs? If yes please detail what they arebelow.
Signature
We want to support what is best for your child socially, and academically. Currently we do not have the staff, expertise, nor space to handle students that need one-on-one attention due to physical and behavioral needs that require a trained specialist beyond regular- educational instruction. CLS is an alternative learning platform that will give learners a strong start, a foundation that will remain and support their every endeavor. Thank you for applying. Pray we get the opportunity to provide academic, practical lessons and God’s Word to your child(ren). Thelma A. Casey CLI-CLS founder and Co-Director
Christ Learning Schools-CLI Student Registration Form
Student Name
First Name
Last Name
Student Birthday
Last grade attended (2024-2025 school year)
Name and address of last school attended
What grade was the student promoted to for the 2025-2026 school year?
Was the student retained to the grade for the 2024-2025 school year?
Yes
No
Does the student attend church?
Yes
No
Name and address of church student attends
Continue
Continue
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