New Student Application
Student Legal Name *
Date Of Birth *
Applying For Grade *
Has the student been awarded a McKay Scholarship? *
Has the student been awarded Step Up For Students or Family Empowerment Scholarship? *
Father Full Name
Father Address
Father Phone Number
Father Email
Father Occupation
Does Father Have Custody?
Clear selection
Mother Full Name
Mother Address
Mother Phone
Mother Email
Mother Occupation
Does Mother Have Custody?
Clear selection
Child Resides With *
School applicant is attending or last attended: *
Attendance Dates *
Has the applicant ever been retained? *
Has the applicant ever been tested for a learning difficulty? *
If Yes, please explain
Has the applicant ever been enrolled in a special program or special education program (A.D.D., L.D., etc) *
If Yes, please explain
Has the applicant ever been referred for or received psychological or personal counseling? *
If Yes, please explain
Has the applicant had behavioral problems at a previous school? *
If Yes, please explain
Has the applicant ever been suspended, expelled or withdrawn from any school for any reason? *
If Yes, please explain
What special needs does he/she have?
Is there a language other than English spoken in the home? *
A. In signing this application I/we acknowledge a commitment to the following:
1. To accept teacher and administrative authority.
2. To support the Christian philosophy of education as taught at SPCS.
3. To support SPCS policies as stated in this application and the student handbook.
4. To participate in fund-raising projects.
5. To actively participate in the Parent Teacher Fellowship. (PTF)
6. To provide tax-deductible gifts to the school as God leads and provides.
7. To follow God’s line of authority: When differences exist, we will first go to the person with whom we have a problem. If it is not resolved, we will go with the person to his/her supervisor. (Matthew 18:15-17)

B. If I/we choose to withdraw or are requested to withdraw the applicant from the school, we are responsible to pay the tuition and fees for the month in which we do so, as well as any remaining balance of fees.

C. I/we understand that final grades, diplomas and report cards will be retained by the school until accounts are paid in full. Report cards will be held at the end of each grading period if accounts are not current.

D. The applicant may participate in scheduled field trips and other school-sponsored activities.
By typing your name here, you agree to the commitment above. *
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