GREAT PLAINS CHRISTIAN SCHOOL
PRE-ENROLLMENT APPLICATION
Thank you for your interest in Great Plains Christian School. This application helps us learn more about your family and determine if our school is a good fit for your child's educational and spiritual growth.
Student Name:
Date of Birth:
-
Mes
-
Día
Año
Fecha
Grade Applying For:
Current School:
Student Address:
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name:
Relationship to Student:
Phone Number:
Format: (000) 000-0000.
Email Address:
ejemplo@ejemplo.com
Parent/Guardian Name:
Relationship to Student:
Phone Number:
Format: (000) 000-0000.
Email Address:
ejemplo@ejemplo.com
CHURCH & FAMILY INFORMATION
Church Name:
Pastor's Name:
Church Phone Number:
Format: (000) 000-0000.
How often does your family attend church?
Weekly
2-3 Times Per Month
Monthly
Occasionally
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Not Currently Attending
PASTOR OR CHRISTIAN LEADER RECOMMENDATION
Please provide the name of a pastor, youth pastor, church leader, or Christian mentor who knows your family and can serve as a reference.
Reference Name:
Relationship to Family:
Phone Number:
Format: (000) 000-0000.
Email Address:
ejemplo@ejemplo.com
STUDENT HISTORY
Has your child ever received any of the following services?
IEP (Individualized Education Program)
504 Plan
Academic Accommodations
Speech Therapy
Occupational Therapy
Counseling Services
Behavioral Intervention Plan
None of the Above
If yes, please explain:
Has your child ever been:
Retained a Grade
Homeschooled
Suspended
Expelled
Asked to Withdraw from a School
None of the Above
If yes, please explain:
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STUDENT STRENGTHS & NEEDS
What are your child's greatest strengths, talents, or interests?
What areas does your child struggle with academically, socially, or behaviorally?
FAMILY GOALS
Why are you interested in Great Plains Christian School?
What are your educational goals for your child?
What are your spiritual goals for your child?
MISSION AGREEMENT
Great Plains Christian School exists to use the platform of education to train up disciples in the truth of God's Word, equipping them to fulfill their unique purpose through a personal relationship with Jesus Christ.
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We partner with families who desire academic excellence, Christ-centered discipleship,
and biblical character development for their children.
Please indicate your agreement:
I have read and understand the mission of Great Plains Christian School.
I support the mission and values of Great Plains Christian School.
I understand that biblical truth and Christian principles are integrated throughout the educational program.
Parent/Guardian Initials:
PARENT ACKNOWLEDGMENT
I certify that the information provided in this application is true and complete to the best of
my knowledge.
I understand that submission of this pre-enrollment application does not guarantee
admission. I understand that Great Plains Christian School reserves the right to determine
admission based upon its mission, policies, and ability to meet the educational needs of
the student.
Parent/Guardian Signature:
Printed Name:
Date:
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Mes
-
Día
Año
Fecha
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