2020-2021 CBA Application Form (Use Google Chrome to complete)
5032 Lackawanna Blvd, North Charleston, SC 29405 (843-779-2472)
www.charlestonbilingualacademy.org

Our Mission: In partnership with parents, CBA exists to inspire world changers through Christ-centered, intercultural, immersion-based education.

Dear parents,
Thank you for completing an application and for your interest in our school!

Important Notes:
You will need to finish the application in one session and submit it in order to avoid losing your work.
If N/A, please enter N/A.
Please submit one application form per student.

Returning CBA families, our Admissions Team will contact you with a request for updated records as needed.

Prospective CBA families, our Admissions Team will review your application and contact you within 2-3 business days to discuss the next steps in the admissions process. If you have not already visited our school, we invite you to book a tour. If your child has previously attended another school, please request that the school fill out our reference form, found here
https://docs.google.com/forms/d/e/1FAIpQLSe6gJDnDkaLhGYzjBVdbPaHbiLsCvvtOGgNUQcx2LjATz1upQ/viewform.

Please note, a completed application is not a guarantee of enrollment.

Inspiring World Changers together,
CBA Admissions Team
I am registering for: *
*Please make only one selection
Required
CHILD'S FIRST AND LAST NAME *
Your answer
What do you prefer we call your child? (ex: Kate for Katherine, Ben for Benjamin)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Church Affiliation *
You do not need to join a church in order to enroll at CBA. We are very open with parents with what we share with the children from the Bible, which is discussed during the school tour. Families who are active members of Friendship Baptist Church receive a 10% discount on tuition (not included with other scholarships or for lunch bunch or other programs).
Your answer
Current relationship between child's mother and father *
Required
Parent/Guardian Name (1st person to be contacted) *
Your answer
Is this the mother or father? *
Primary phone number in this format xxx-xxx-xxxx *
Your answer
Alternate phone number in this format xxx-xxx-xxxx *
Your answer
Email address (used for CBA-related information and class lists) *
Your answer
Occupation *
Your answer
Parent/Guardian Name (2nd person to be contacted) *
Your answer
Is this the mother or father? *
Primary phone number in this format xxx-xxx-xxxx *
Your answer
Alternate phone number in this format xxx-xxx-xxx *
Your answer
Email address (used for CBA-related information and class lists) *
Your answer
Occupation *
Your answer
Names and birth dates of other children in the family *
Your answer
Parents/Guardian Address, including city, state and zip code *
Your answer
Any special circumstances of which our school should be aware: (single parent, adoption, grandparents living in home, etc.) *
Your answer
Please note any serious illnesses, injuries, surgery, allergies, conditions, etc. If your child does not have any allergies, please note "NO ALLERGIES." *
Your answer
Is your child a returning Charleston Bilingual Academy student? *
If your child is NOT a returning CBA student, please list any prior school/daycare experience (Name of school/daycare, dates attended) and complete the following form https://docs.google.com/forms/d/e/1FAIpQLSe6gJDnDkaLhGYzjBVdbPaHbiLsCvvtOGgNUQcx2LjATz1upQ/viewform *
Your answer
Physician's name and phone number *
Your answer
Child's insurance carrier and number **All students are required to have insurance *
Your answer
Emergency Information
Please list the names of the two persons in the local area who will accept responsibility for the care of your child if you cannot be reached.
First Emergency Contact: Name, phone number in the following format xxx-xxx-xxxx and relationship to child *
Your answer
Second Emergency Contact: Name, phone number in the following format xxx-xxx-xxxx and relationship to child *
Your answer
Please select your child ethnicity/race *
Authorization
I hereby authorize Charleston Bilingual Academy to secure emergency medical treatment for my child if the parents, guardians, or family physician cannot be reached. *
(By typing in your full name you provide legal authorization to Charleston Bilingual Academy)
Your answer
Throughout the year, we take the children's pictures. We would like to use some of these pictures on our school website, newsletter, social media pages, and school apps. It is also possible that local news stations will feature our classrooms. Please indicate your permission to put your child's picture in these venues. *
Pick up Policy- Only Mom or Dad, or the people listed below as having parental permission, will be allowed to pick up your child. Any other arrangements, either temporary or permanent, must be given in writing. In case of a last minute emergency, a parent must call the Charleston Bilingual Academy office, and the message will be relayed to your child's teacher. A picture ID is required for anyone other than a parent. *
**Enter the name, relationship to the child, and phone number
Your answer
New families: How did you find out about our school? Returning families: Please enter "Returning Student" or "Sibling," etc. *
Your answer
Briefly, why are you interested in enrolling your child at CBA?
Your answer
How long do you anticipate your child attending CBA?
What is your superpower? This school exists, in part, because of parental involvement. What are your strengths and how could you see yourself using them to help the school? *
Your answer
Where do you live in Charleston (closest)? We use this information to help families network. *
Do you have any military affiliation? *
Required
Is there any Networking information you would like to share with other families in our Parent Directory (carpooling, occupation, interests, etc.)
Your answer
Signature: Your signature legally confirms that all of the information you have given is accurate. *
Your answer
Date *
MM
/
DD
/
YYYY
Teacher: Student Ratios
Based on class size, 0-1, 2-3, and 4-5 year olds will be combined in a class until there are enough students to open classes for each age. Teacher- student ratios will not be greater than:

1:4.5 20-month-olds+
1:7 2-year-olds
1:8 3-year-olds
1:9 4-year-olds
1:10 5-year-olds
1:15 1st-5th graders
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