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  • Application for Enrollment

  • All fields marked with a * (red star) are required and must be completed.

  • Student

  • Parents

  • If parents are divorced with joint custody, please provide information for second parent.


  • ( If student has been suspended or expelled in the current school year enrollment in an additional study course may be required.)

  • I am in agreement with the statement of faith, procedures and policies of 3J4 Acedmy. I acknowledge my responsibilities to 3J4 Academy and herby obligate myself to the fulfillment of its policies.

  • Attention:  Students enrolling in Kindergarten or 6th grade must send immunization records to our office.

  • Student-Parent-Administration Agreement

  • (To be completed by students in grades 6-12)

  • I promise to uphold the standards of the school in dress and conduct. I will in honesty and good spirit, accept correction in these areas knowing it will be given for my benefit.

    I will abstain from any activity inconsistent with my Christian testimony.

    I will work diligently on all schoolwork, striving for the hightest grade I can possibly make. I will always do my own work and not cheat. I will not help another student cheat.

    As a student of 3J4 Academy, I will act in an orderly and respectful manner, maintaining Christian standards in courtesy, kindness, morality, and honesty at all times. I will remember that how I act reflects on the Lord Jesus Christ and reflects the testimony of 3J4 Academy.

    I will do my best to be close to the Lord through attending a Bible-believing church, reading my Bible regularly (hiding the Word in my heart), and praying and telling others about the Lord.

    I will honor my parents as the Bible instructs me to do, and will honor my teachers and tutors, as well. I will attend all functions I am required to attend and in proper attire.

    I agree to abide by the above standards and other regulations expected of students of 3J4 Academy. I will not give the impression to students, parents or school administration that I am not in harmony with the goal or standards of 3J4 Academy. This contract must be signed annually by the student. 

  • Course of Study

  • For high school students course title is required. i.e. Algebra 1, Geometry, etc.

  • For high school students course title is required. i.e Earth Science, Biology, Chemistry, etc.

  • For high school students course title is required. i.e. World Geography, U.S. History, Government, etc.

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      • Student #2

      • Parents

      • If parents are divorced with joint custody, please provide information for second parent.

      • (If student has been suspended or expelled in the current school year enrollment is required in an additional study course.) 

      • I am in agreement with the statement of faith, procedures and policies of 3J4 Academy. I acknowledge my responsibilties to 3J4 Academy and herby obligete myself to the fulfillment of its policies.

      • Attention:students enrolling in Kindergarten or 6th grade must send immunization records to our office.

      • Student-Parent-Administration Agreement

      • (To be completed by students in grades 6-12)

      • I promise to uphold the standards of the school in dress and conduct. I will in honesty and good spirit, accept correction in these areas knowing it will be given for my benefit.

        I will abstain from any avtivity inconsistant with my Christian testimony.

        I will work diligently on all schoolwork, striving for the highest grade I can possibly make. I will always do my own work and not cheat. I will not help another student cheat.

        As a student of 3J4 Academy, I will act in a n orderly and respectful manner, maintaining Christian standard in courtesy, kindness, morality and honesty at all times. I will remeber that how I act reflects on the Lord Jesus Christ and reflects on the testimony of 3J4 Academy.

        I will do my best to stay close to the Lord through attending a Bible-believing church, reading myBibly regularly (hiding the Word in my heart), and praying, and telling others about the Lord.

        Iwill honor my parents as the Bible instructs me to do, and will honor my teachers and tutors, as well. I will attend all functions I am required to attend and in proper attire.

        I agree to abide by the above standards and other regulations expected of students of 3J4 Academy. I will not give the impression to students, parents or school adminstration that I am not in harmony with the goalsor standards of 3J4 Academy. This contract must be signed or initialed annually by the student.

      • Course of Study

      • For high school students course title is required. (Algebra 1, Geometry, Algebra 2, etc.)

      • For high school students course title is required. (Earth Science, Biology, Chemistry, etc.)

      • For high school students course title is required. (World Geography, World History, U.S. History. etc)

      • Student #3

      • Parents

      • If parents are divorced with joint custody, please provide information for second parent.

      • (If student has been suspended or expelled in the current school year enrollment is required in an additional study course)

      • I am in agreement with the staement of faith, procedures and policies of 3J4 Academy. I acknowledge my responsibilities to 3J4 Academy and hereby obligate myself to the fulfillment of its polocies.

      • Attention: Students enroll to our office.ing in Kindergarten or 6th grade must send immunization records.

      • Student-Parent-Administration Agreement

      • I promise to uphold the standards of the school in dress and conduct.  I will in honesty and good spirit, accept correction in these areas knowing it will be given for my benefit.

        I will abstain from any activity inconsistent with my Christian testimony.

        I will work diligently on all schoolwork, striving for the highest grade I can possibly make.  I will always do my own work and not cheat.  I will not help another student cheat.

        As a student of 3J4 Academy, I will act in an orderly and respectful manner, maintaining Christian standards in courtesy, kindness, morality and honesty at all times.  I will remember that how I act reflects on the Lord Jesus Christ and reflects on the testimony of 3J4 Academy.

        I will do my best to stay close to the Lord through attending a Bible-believing church, reading my Bible regularly (hiding the Word in my heart), and praying, and telling others about the Lord.

        I will honor my parents as the Bible instructs me to do, and will honor my teachers and tutors, as well.  I will attend all functions I am required to attend and in proper attire.

        I agree to abide by the above standards and other regulations expected of students of 3J4 Academy.  I will not give the impression to students, parents or school administration that I am not in harmony with the goals or standards of 3J4 Academy.  This contract must be signed or initialed annually by the student.

      • Course of study

      • For high school students course title if required (Algebra 1, Geometry, Algrebra 2, etc.) 

      • For high school students course title is requird (Earth Scicence, Biology, Chemistry, etc.)

      • For high school students course title is required (World Geography, World History, U.S. History, etc.)

      • Student #4

      • Parent

      • If parents are divorced with joint custody, please provide information on second parent.

      • (If student has been suspended or expelled in the current school year enrollment is required in an additrional study course.)

      • I am in agreement with the statement of faith, procedures and policies of 3J4 Academy.  I acknowledge my responsibilities to 3J4 Academy and hereby obligate myself to the fulfillment of its policies.  

      • Attention: Students enrolling in Kindergarten or 6th grade must send immunization records to our office.

      • Student-Parent Administration Agreement

      • I promise to uphold the standards of the school in dress and conduct.  I will in honesty and good spirit, accept correction in these areas knowing it will be given for my benefit.

        I will abstain from any activity inconsistent with my Christian testimony.

        I will work diligently on all schoolwork, striving for the highest grade I can possibly make.  I will always do my own work and not cheat.  I will not help another student cheat.

        As a student of 3J4 Academy, I will act in an orderly and respectful manner, maintaining Christian standards in courtesy, kindness, morality and honesty at all times.  I will remember that how I act reflects on the Lord Jesus Christ and reflects on the testimony of 3J4 Academy.

        I will do my best to stay close to the Lord through attending a Bible-believing church, reading my Bible regularly (hiding the Word in my heart), and praying, and telling others about the Lord.

        I will honor my parents as the Bible instructs me to do, and will honor my teachers and tutors, as well.  I will attend all functions I am required to attend and in proper attire.

        I agree to abide by the above standards and other regulations expected of students of 3J4 Academy.  I will not give the impression to students, parents or school administration that I am not in harmony with the goals or standards of 3J4 Academy.  This contract must be signed or initialed annually by the student.

      • Course of Study

      • For high school students course title is required (Algebra 1, Geometry, Algebra 2 etc.)

      • For high school students course title is required (Earth Science, Biology, Chemestry, etc.)

      • For high school students course title is required (World Geography, World History, U.S. History, etc.)

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