2024/25 K-12 Student Application - Cedar Valley Christian School

Child's Information:

Child's Full Name:

Date of Birth

Name child goes by:

Gender

Grade for which child is applying:

Child's Mobile:

Child's email:

With whom does the child live?

Mother's Information:

Mother's Name

Mother's Address:

City, Zip

Home phone:

Employer:

Occupation:

Business phone:

Mobile:

E-mail:

Church:

Church Attendance:

Weekly Sporadic Holidays Never

If active, who can we contact to verify (Name and Email)

Who is authorized to pick up your child?

Father's Information:

Father's name:

Father's address:

City, Zip

Home phone:

Employer:

Occupation:

Business phone:

Mobile:

E-mail:

Church

Church status

Weekly Sporadic Holidays Never

Child's Background:

Child's church

Has your child accepted Jesus Christ as his/her personal Savior?

Is your child enthusiastic about attending Cedar Valley Christian School?

Previous school?

Reason for transfer?

Has your child ever been suspended or expelled from a school?

Yes No

If yes, explain:

Has your child ever been screened or evaluated for: ADD, ADHD, learning disabilities, or other areas which can impact learning? If yes, explain

Has your child ever been enrolled in a special education class?

Yes No

If yes, what was the reason for this placement?

Please share any major events that have occurred during your child's life that CVCS should be aware of (relocation, death in the family, divorce, major illness/surgeries, etc.)

Public School District:

Public school child would attend:

HEALTH ISSUES - Please identify any special health concerns/ allergies about which we should be aware:

ADMISSIONS POLICY: Cedar Valley Christian School admits students of any race, sex, color, national and ethnic origin to all the rights and privileges, progress and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, sex, color, national and ethnic origin in administration of its educational policies and athletic or other school administered programs.

APPLICATION PROCEDURE:

Families interested in enrolling their child(ren) at CVCS schedule an educational consultation with the principal.
An application submitted for each child a family wishes to enroll with any report card, transcript, IEP, 504.
The Principal may interview the parent(s) and the student.
The admission committee decides whether or not to accept a child based on space available and our ability to serve the child well.
Parents will be notified of a decision via phone and/or letter in the mail.

PARENTAL PLEDGE OF SUPPORT: We, the parents (primary caregivers), pledge our full support and cooperation to the faculty of Cedar Valley Christian School with regard to the work and conduct required of our child. We further pledge our support to Christian education in our home through our example. We agree to make tuition payments on time and to promptly meet other financial obligations as they arise. We have read the Family Handbook and agree to abide by the policies and procedures.

Father's Signature: (type full name)

Date Label

Mother's Signature: (type full name)

Date Label

www.cedarvalleychristianschool.org

Any additional information you'd like to share or provide:

Enter Your Email Address: *