School Application
For Grades 1-12
Last Name
First
MI
Date
Street Address
Apt/Unit #
City
State
Zip
Phone
E-Mail Address
Age
Sex
Birth Date
Last School Attended
Last Grade Completed
FAMILY INFORMATION
Father's Name
Employer
Position
Cell Phone
Emergency Phone
Mother's Name
Employer
Position
Cell Phone
Emergency Phone
Marital Status:
Children Not Applying
Name:
Age:
Reason Not Applying
Name:
Age:
Reason Not Applying
RELIGIOUS INFORMATION
It is a requirement for admission to our Christian School that at least one parent of the student must be a professing, born-again Christian
Church Attending
Pastor
Address
Father: Christian - 
How do you know?
Mother: Christian - 
How do you know?
Has applicant ever made a profession of faith in Christ?
This Christian school has a racial nondiscriminatory policy and, therefore, does not discriminate against members, applicants, students, and others on the basis of race, color or national ethnic origin.

The school depends upon financial gifts above and beyond the tuition and thus may conduct annual fund campaigns.  The school depends on 100% participation by all parents in the campaign.

“I hereby pledge to pay my financial obligation to the school on the due date and understand that it may be necessary to with draw my student if proper arrangements are not made on a past due account”.

“I understand that, if I voluntarily withdraw my child or my child is dismissed from school once classes have begun, I am responsible to pay the full month’s tuition for the month used.  I also understand that records cannot be forwarded to another school until all financial obligations have been satisfied”. 

“I appreciate the standards of the school and do not tolerate profanity, obscenity in word or action, dishonor to the Godhead and Word of God, or disrespect to the personnel of the school.  I hereby agree to support all regulations of the school in the applicant's behalf and authorize this school to employ discipline it deems wise and expedient for training of my student.”

“I understand that this application does not constitute a contract for enrollment until formally accepted by the school administration’s sole discretion, has failed to comply with the established regulations and discipline or whose financial obligation remains unpaid

APPLICATION AGREEMENT
I Understand And Agree To These Terms:
SHCOLASTIC INFORMATION
Has the student ever been expelled, dismissed, suspended or refused admission to another school?
Why?
Has the student ever had disciplinary difficulty at school?
Why?
Does the student have a juvenile or arrest record?
Explain:
Has the student ever used tobacco or nonprescription drugs of any kind?
Explain:
Has the student ever failed an academic subject in school?
Explain:
Please indicate the academic level of the studnt's previous work:
How did you hear about this school?
General Information
Reason for selecting this school?
Agape' Christian Academy
2425 N. Hiawassee Rd.
Orlando, FL. 32818

Phone: (407) 298-1111
Fax: (407) 298-0400
Married
Widow
Divorced
Seperated
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Excellent
Good
Average
Poor
Yes
No