• Enrollment Application

    2026-2027

  • Dear Parents,

    Thank you for your interest in partnering with Community Christian Academy in your child’s education. We recognize the importance of choosing a school that supports a Christian worldview and appreciate the care given to this decision.

    Please review this application carefully and submit all required documents listed below so we may evaluate your student’s eligibility for enrollment. Once all materials are received, the administration will review the application and schedule an admissions interview.

    Please note that completion of the application and interview process does not guarantee acceptance. Final enrollment decisions are made by the administration following the interview, and Community Christian Academy reserves the right to determine whether enrollment is offered.

  • Step 1: Application

  • The first step in the admissions process is to complete and submit the enrollment application in full, along with a $150 nonrefundable application fee. Applications will not be reviewed or accepted without the required fee.

    Please note that families with multiple students must submit a separate application for each child.

  • Step 2: Documentation

  • The second step in the admissions process is to submit all required documentation listed below.

    • Student Recommendation Form (3rd-12th Grades)
    • Birth Certificate
    • School Physical (form DH3040)
    • Immunization Records (680 form) or Religious Exemption
    • Transcripts/Most Recent Report Card
    • Most Recent IEP or 504 Documentation (If Applicable)
    • Most Recent Psycho-Educational Evaluation (If Applicable)

  • Step 3: Placement Testing

  • As the third step in the admissions process, all students—Kindergarten through 12th grade—are required to complete a placement test. The assessment is designed to assist with appropriate academic placement and has a time limit of 90 minutes.

    Placement testing may not be scheduled until the completed application, the $150 nonrefundable application fee, and all required documentation have been received.

  • Step 4: Family Interview

  • Before any student is accepted for enrollment at Community Christian Academy, we value the opportunity to meet with your family to ensure that our school is the right fit for both your student and your family. The family interview allows us to get to know you, answer questions, and discuss our expectations for partnership between home and school. We request that both parents and the student(s) be in attendance at the interview.

    Please note that completion of the interview does not guarantee acceptance. Following the interview, the administration will prayerfully review all information and notify families of the enrollment decision within 48 hours.

  • Step 5: Enrollment Decision

  • Following the family interview, all materials will be reviewed, and families will receive the enrollment decision via email from Community Christian Academy within a couple days.

  • I look forward to the opportunity to meet with you and potentially partner together in the coming school year.

     

    In His Service,

    Zach Sammons

    Administrator

  • Student Information

    Please note that families with multiple students must submit a separate application for each child
  • gender*
  • Birth Date*
     - -
  • Did Student attend a school with a physical campus previously?*

  • Parent/Guardian Information

  • who does the student primarily live with?*
    • Parent/Guardian 1 Details 
    • Relationship to Student
    • Date of Birth
       - -
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Parent/Guardian 2 Details 
    • Relationship to Student
    • Date of Birth
       - -
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • address info (header not visible) 
    • Which parent does the student primarily reside with?

  • Emergency Contact Information

    • Primary Emergency Contacts 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Backup Emergency Contacts (List two) 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • have permission 
    • Does anyone else have permission to pick up your child?*
    • Are there individuals who strictly do not have permission to pick up your child?*

  • Medical Information

  • Your child will only be given medication provided by the parent(s). The medication will be kept in the school office and dispensed as indicated by the parent(s). 

  • Do you authorize Community Christian Academy to administer first aid, take your child to the hospital for treatment, or call 911?*

  • Parental Consent

  • I, (Print name below), do hereby give permission for my child to attend and participate in activities sponsored by Community Christian Academy.

    My child may ride in transportation approved by Community Christian Academy.

    I authorize an adult representative of Community Christian Academy to consent to any and all medical and hospital care and treatment as deemed necessary for the health and well-being of my child by a duly licensed physician selected by the said adult representative. I understand that I shall be fully responsible for, and agree to pay for, all costs and expenses incurred in connection with such medical services rendered to my child according to this authorization. Should it be necessary for my child to return home due to medical reasons or otherwise, I also agree to assume all transportation costs.

    I state that the information on this form is correct. I agree to assume the risk of, and release Community Christian Academy, its staff and representative, from any and all injury liability arising out of or relating to the activities conducted or sponsored by Community Christian Academy.

  • Date*
     - -

  • Ethnicity

  • It is required of CCA in our accreditation process to annually complete an ethnicity report. We need your help by marking the appropriate entry for your student. For recording purposes, please check only one entry. 

  • Parent Questionnaire

    This portion is to be completed by the applicant's parents.

  • Children diagnosed with a learning disability will be required to meet the same academic standards as all the other students in their grade level, excluding those a part of our Autism Program. All students will receive as much individual instruction and encouragement as their classmates. 

  • Has your child ever been referred for testing or placed in a program for learning disabilities?*
  • Has your child ever seen anyone for any social, behavioral, or mental problems?*
  • do you suspect that your child has a learning disability, hyperactivity, adhd, or add?*
  • does the applicant have a parent/guardian that lives at another address?*
  • does the applicant have any siblings?*
  • does the applicant have any other relatives attending, have attended, or graduated from cca?*
  • has your child ever been involved with legal problems or arrested?*
  • Have you read the school handbook?*
  • Do you agree to have your children taught in accordance with the school handbook?*
  • Do you have questions about any of the following curriculum or policies?*
  • Should a grade of "c" be a cause of praise if a student is working to the best of their potential?*
  • Do you know any families who attend community christian academy?*
  • Do you attend church?*

  • Student Questionnaire

  • This portion is to be completed by the student. Parents may help Elementary student complete questions as necessary. Please answer the following questions thoroughly. Your responses will give us the opportunity to know you better. Thank you for your honesty. 

  • have you ever been dismissed from a school?*
  • have you ever been assigned detention or suspension?*
  • have you ever consumed alcohol, used illegal drugs or tobacco, including vaping devices?*
  • have you ever been in a physical altercation?*
  • i have read the parent/student handbook and i agree with it and commit to abide by it.*
  • Are you a christian?*
  • do you have any social media profiles, personal websites, or blogs? (i.e., facebook, instagram, tiktok, etc.)*
  • do you understand that willful disobedience of the covenant principles and the parent/student handbook guidelines may result in dismissal from community christian academy?*

  • School Covenant Agreement

  • Parents

    Our desire is that the students of CCA are confronted with the gospel and come to follow the Lord Jesus Christ. To function harmoniously and provide a Christ-exalting experience, we ask that a parent/guardian check the box next to each statement and sign below to indicate your acknowledgment and agreement.

  • *
  • Date*
     - -

  • Student

    We ask that the student check the box next to each statement and sign below to indicate acknowledgment and agreement. If the student is in Kindergarten, 1st, or 2nd grade, the parent may read each statement, explain to child, check each box, and sign for the student. 

  • *
  • Date*
     - -

  • Documentation

    Please submit all documentation here
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  • Payment*

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        Application Fee

        The application fee is non-refundable and covers the cost of reviewing and processing your application. Submission of this fee does not guarantee enrollment or acceptance into the program.

        $150.00$150.00
          
        Processing Fee
        $4.79$4.79
          
        Total
        $0.00$0.00

        Payment Methods

        creditcard
        After submitting the form, you will be redirected to Apple Pay to complete the payment.
        After submitting the form, you will be redirected to Google Pay to complete the payment.
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