Re-enrollment Form

Application for Re-enrollment

FOR RETURNING STUDENTS ONLY. Please submit application fee with form. To pay online, select re-enrollment fee.
Date*

MonthDayYear
Date
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Emergency Phone Number*

Area CodePhone Number
Church:*
Attend regularly?*
Pastor:*
Church phone number*

Area CodePhone Number
Name & ages of other children in family*
"I understand that the educational program is an integral part of the church ministry which I am expected to support."

"I hereby commit to assume my Scriptural responsibility to financially support the church's educational ministry."

"I understand that my child is expected to take part in church educational activities, including sports and sponsored trips away from the educational facility, and I absolve the church from liability to me or my child because of any injury to my child at supervised church activities."

"I agree to uphold and support the high academic standard of the educational ministry by providing a place at home for my child to study and by encouraging my child to study and by encouraging my child in the completion of any homework or assignments.

"I appreciate the standards of the educational ministry and do not tolerate profanity, obscenity in word or action, dishonor to the Godhead or the Word of God, or disrespect to the staff of the church. I hereby agree to support regulations published in the church educational handbook in the applicant's behalf and authorize the church to employ discipline as it deems wise and expedient for the training of my child.

"I understand that the church reserves the right, after parental conference, to dismiss any child who fails to comply with the established regulations and discipline or whose parents do not assume their responsibility to the educational ministry."

"I have read the church educational handbook, agreed to complete Parent Orientation PACEs, signed a Corporal Correction Release, and understand and agree to the terms stated on this application."
Father's Signature*

Clear
Date*

MonthDayYear
Mother's Signature*

Clear
Date*

MonthDayYear
STUDENT STANDARD OF CONDUCT FORM

6th - 12th GRADE ONLY
Student's Name:

First NameMiddle NameLast Name
Age:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade:
Parent's Names:
Mother & Father
Phone Number

Area CodePhone Number
The student’s attitudes, conversation, and behavior reflect the character of the institution from which he derives his training, both home and church. This form reflects the church-school’s attempt to secure students who would best adjust to the rigor of a highly disciplined training program which must set high standards. These standards will result in a charactered student to lead in reformation for our nation and the world.
Do you attend church?Yes or No Where? Name of Church
Are you a Christian?Yes or No
Do you accept the Bible as God’s Word and submit yourself to its principles as a final authority?Yes or No
Do you sincerely pledge allegiance to the Christian and national flags? Yes or No
Have you ever smoked?Yes or No If yes, do you smoke presently? Name of Church
Have you ever used narcotics (dope, pills, marijuana, etc.) of any kind in the past?Yes or No If yes, how recently? Name of Church
Have you ever run away from home?Yes or No If yes, how recently? Name of Church
Will you promise not to draw, wear, or display in any way anti-Christian symbols? Yes or No
Do you listen to secular rock, country, heavy metal, rap, or any other music which promotes violation of Christian principles?Yes or No If yes, will you agree to refrain from music which promotes violation of Christian principles while enrolled in Christian school? Name of Church
BOYS: Will you in good spirit keep your hair trimmed neatly according to the church-school code? Yes or No
GIRLS: Will you agree to refrain from wearing tinted make-up of any kind at school or school functions? Yes or No
Will you honestly agree to keep all the church-school rules and respect authority without being critical and finding fault? (read rules) Yes or No
Do you WANT to attend this church-school?Yes or NoWhy? Name of Church
General Policy:

                        Students are expected to abide by these standards of conduct throughout their enrollment. Students found to be out of harmony with church-school ideals of work and life may be invited to withdraw whenever the administration determines that it is necessary.

                        As a student of the church-school, I pledge to uphold this church-school’s standards against cheating, swearing, smoking, gambling, drinking alcoholic beverages, using or talking favorably about narcotics, or using indecent language and will act in a very orderly and respectful manner. I will strive to be of unquestionable character in dress, conduct, and other areas of life. I will adhere to the academy’s policy of sexual abstinence.

                        I agree to abide by the above standards of conduct and other regulations expected of each student enrolled in this Christian education program while I am a student attending the church-school and will not give the impression to student’s parents, or faculty that I am not in harmony with the goals, aims, and standards of the church-school.
Date

MonthDayYear
Date
Student's Signature

Clear
Principal's Signature

Clear
Should be Empty:

Application for Re-enrollment