Apply – Excelsior Classical Christian Academy

Student Application

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Step 1 of 3

Mother's Name

First

Last

Mother's Email

Mother's Phone

Mother's Employer and Position (writing Homemaker is fine)

Mother's Schools, Degrees, Areas of Education (write N/A if not applicable)

Father's Name

First

Last

Father's Email

Father's Phone

Father's Schools, Degrees, Areas of Education (Post-High School)

applicants, Layout know

Address Where Important Information Should Be Mailed

Address Line 1

Address Line 2

City

State

Zip Code

How many children will be applying?

Name of Church, City of Church

Church Website / URL

How Did You Learn About ECCA?

Please list any Excelsior families that referred you.

What you to apply to ECCA? Why are you interested in our school?

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Name of Student

First

Last

Current Grade of Student

Date of Birth

Gender

Current School or Homeschool, City, State

School

Start Date

Finish Date

GPA

Describe any pertinent educational history that would be good to know (i.e. cursive, Latin, Math level, etc)

For 3rd-12th grade applicants, describe extracurricular interests and/or achievements.

Has Any Applicant

Been tutored
Repeated a Grade
Had learning difficulties or received academic accommodations
Had behavioral, anxiety, or attention difficulties
Been subject to disciplinary action
Missed more than 10 days in a school year
Been diagnosed with a serious illness or physical, mental, or learning disability
None of the Above

Please Explain

Are there other children in your household who will NOT be applying?

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Excelsior Classical Christian Academy

Student Application

First Student Applying for Admission

Second Student

Second Student Applying for Admission (copy)

Third Student

Third Student Applying for Admission

Fourth Student

Fourth Student Applying for Admission

Student Not Applying

Student Not Applying (copy)

Student Not Applying (copy) (copy)

Please submit the following to complete your application: