ADMISSIONS New Student Application We can’t wait to meet you! Fill out the form below to begin the application process Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Application for Admission to Grade:What grade will your student be attending?For Academic Year What academic year will your student be attending?Student Name *FirstLastStudent Birthdate: (MM/DD/YYYY) Father's Name *FirstLastMother's Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFather's PhoneFather's EmailMother's PhoneMother's Email Student lives with (check all that apply):FatherMotherStepfatherStepmotherOtherIf other, Please Explain:What are your child’s hobbies, abilities, or interests?In what subject(s) does your child excel?In what subject(s) does your child need improvement?What are your concerns academically, socially, or spiritually for your child?What do you hope for your child to accomplish at St. Michael’s Christian Academy?Is there anything else you would like to tell us about your child? Previous EducationLast School Attended (If Applicable)Grade LevelYears AttendedAverage GradesReason for leaving current school:Has your child ever skipped or repeated a grade? If yes, please explain:Has your child had behavior issues or been suspended or expelled from a previous school? If yes, please explain:List any learning disabilities your child may have:Has your child ever been in RSP class or had an IEP?RSPIEPNeitherMedical InformationHas your son/daughter ever been diagnosed as having a physical limitation and/or allergy? If yes, please describe:YesNoIf Yes, Please ExplainDoes your child take any medications?YesNoIf Yes, Please ExplainFinal InformationHow did you hear about St. Michael’s Christian Academy?Whom may we thank for referring you to St. Michael’s Christian Academy?Parent SignatureDateSubmit