Academy Admission

Personal Information

Student's Name

First Name *

Last Name *

Student's Address

Mailing Address

Mailing Address Line 2

Mailing City

Mailing State

Mailing Postcode

Student's Info

Gender

Date of Birth

Email Address

Phone Number

Mobile Number

Family Information

Father

Father's Full Name *

Father's Address (If different from Student)

Mother

Mother's Full Name *

Mother's Address (If different from Student)

Home Church

Home Church Name

How often does the student attend church? *

How often does the father attend church?

How often does the mother attend church?

Academic

School District

What is the name of the school the student most recently attended?

School Grade

History

Please check the box corresponding to the any grade the student may have been held back or retained.

Never

Please check the box next to the grade where the student changed schools.

Tip: Where the student changed school districts or to a different school system.

Behavior

At New Life Christian Academy, we recognize that everyone is capable of making mistakes and deserves a second chance. However, we are not staffed to deal with ongoing difficult behavior. Please answer these questions truthfully, so we can be fair in our assessment.

Please describe any unusual factors in the student's life, which could affect his/her learning or behavior?

Has the student ever...

If yes to the above question, please explain here.

Please descibe any difficulties the student has had with the law.

Last Question!

Why do you wish to enroll your student in New Life Christian Academy?