CORNERSTONE CHRISTIAN ACADEMY NEW FAMILY APPLICATION

CORNERSTONE CHRISTIAN ACADEMY NEW FAMILY APPLICATION
1414 SW 119TH ST.
Oklahoma City, OK 73170
Phone: 405.562.7090 EXT. 1
https://cornerstonechristian.academy
Amanda Yocum
Admissions Coordinator
Email: amanda.yocum@cca-knights.com
APPLICATION FORM
FOR ADMISSION TO CORNERSTONE CHRISTIAN ACADEMY
Please note that before your child is accepted to the school and allowed to enroll, your child will have to attend a family meeting with our Administration and an assessment test. Should there be no place available in the required Grade at the time, your child will be placed on a waiting list.
Proposed Date of Admission:

MonthDayYear
Date
School Year:
Grade Applying For:
Why are you interested in CCA?
STUDENT INFORMATION
Student Name:

First NameLast Name
Student's Preferred Name:
Gender (circle):

MALEFEMALE
Student's Primary Address:
Nationality:
Date of Birth:

MonthDayYear
Date
Home Language:
Religious Affiliation:
Race:
Disabilities (if any, please specify)
Number of Children in the family:
Siblings attending CCA:

YesNo
Sibling Names:

PARENT / LEGAL GUARDIAN INFORMATION

Are parents (circle where applicable):

MarriedDivorcedSeparatedRemarriedOther
If not living with parents, child is living with:
PLEASE ATTACH THE FOLLOWING DOCUMENTS TO THIS APPLICATION
Family Photo
Copy of latest report card or transcript
Copy of IEP/504 plan (if applicable)
PARENT / LEGAL GUARDIAN NAME:
PARENT / LEGAL GUARDIAN SIGNATURE:

Clear
DATE:

MonthDayYear
Date
Should be Empty: