Academy Application
Date
-
Month
-
Day
Year
Date
School Term
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Students Grade Current Grade Level
Student's Age
Brith Date
-
Month
-
Day
Year
Date
Sex
Male
Female
School Last Attended (include address)
Fathers Name
Mother's Name
Marital Status
Married
Divorced
Widow
Separated
Children in family of school age if not applying
Reason they are not applying
Church Attending with address and contact information for the Pastor.
Father profess to be a Christian?
Yes
No
Mother profess to be a Christian?
Yes
No
Has the applicant ever make a profession of faith in Christ?
Yes
No
Has student ever been expelled, dismissed, suspended, or refused admission to another school?
Has student ever had disciplinary difficulty at school?
Does the student have a juvenile or arrest record?
Has student ever used tobacco or nonprescription drugs?
Type a question
Please indicate the academic level of student's previous work:
Excellent
Excellent
Good
Average
Poor
How did you hear about this school? And the reason for selecting this school.
Submit
Should be Empty: