K3-12th Grade Application

Interested in joining TCA?

Welcome! We are excited that you are applying to The Christian Academy. We will be in contact after reviewing your application.

Prerequisite for Admission to TCA

These documents must be submitted to administration prior to the beginning of the school year.

Birth Certificate
Prior School Record (if applicable)
Social Security Card

Please read and review this document before proceeding to application.

Statement of Cooperation and Agreement

Application Information

Student's Name

First Name

Last Name

Grade Level for 2024-2025 School Year

Student's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Birth Date

YYYY

Last School Attended

Parent Information

Parent/Guardian 1

First Name

Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 Phone

(###)

###

####

Parent/Guardian 1 Work Phone

(###)

###

####

Parent/Guardian 1 Employer

Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

(###)

###

####

Parent/Guardian 2 Work Phone

(###)

###

####

Parent/Guardian 2 Employer

Education Information

Has student ever failed a grade or been held back?

Does student have an IEP (Individualized Education Program) issued from previous school?

Does student have a current 504 plan or any other plan recommending accommodations?

Is student in good standing and eligible to re-enter current school at the next grade level?

Has student ever been suspended or expelled from school?

Medical

List any physical limitations including allergies:

Does student require medication that will be administered while at school?

If yes, a medical authorization form is required to be completed prior to admission.

Child's Physician

First Name

Last Name

Physician's Phone Number

(###)

###

####

Emergency Contact Information

Person 1 to contact in case of emergency (other than parents):

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Relation to student

Person 2 to contact in case of emergency (other than parents):

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Relation to student

Other Information

Church student currently attends and Pastor's name

Reason(s) for selecting The Christian Academy

Will you require financial aid for tuition?

Has student ever been disciplined by any other school for the use of drugs or for promiscuous behavior?

I understand student's possession of contraband will result in immediate expulsion with no right to appeal. I understand that students of TCA are expected to keep high standards and to have high moral conduct. No student sexually active will be admitted to TCA. I further understand that any violation of this rule will result in expulsion.

I have read and agree with the Statement of Cooperation and Agreement.

Yes

I verify that all the information listed above is correct to the best of my ability.

Please enter your name below as the digital signer of this document.

First Name

Last Name

Today's Date

YYYY