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SRCCHA 2021-2022 Application for Enrollment_Test

1 Parent
2 Student
3 Additional Family Information
4 Prospective Family Questions
5 Signatures
6 Payments
  • Items marked with an asterisk are required.
  • Are you a current, returning, or prospective family to SRCCHA? Current Family is a family currently enrolled in SRCCHA. Returning Family is a family previously enrolled, not currently enrolled, but would like to enroll for the next school year. Prospective Family is a family never enrolled at SRCCHA.
  • Note, enrollment for prospective families does not begin until March 1, 2021. Applications submitted prior to March 1 will not be considered or processed until after March 1.
  • Parent Information

    Is the mother's primary phone number the same as the father's?
  • Enter the name of the church you are attending.
  • Enter the pastor's name of the church you are attending.
  • Enter the church or pastor's phone number.
  • Both the father's and mother's name is missing. Please add at least one before proceeding.
  • Both the father's and mother's address is missing. Please add at least one before proceeding.
  • Both the father's and mother's email address is missing. Please add at least one before proceeding.
  • Both the father's and mother's primary phone number is missing. Please add at least one before proceeding.
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  • Enrollment Options

    K-G6 - Art & Music: K–G6 students will be taught the grammar of art and music and introduced to the great artists and composers. Students will also learn to draw and sing. K and G1 students will have their own individual classes. G2 and G3 students will play the recorder. No homework will be assigned for Art and Music.

    Math Lab (K-D2): Open to all students. Math Lab will be directed tutoring in all levels of math. This will be an after-school lab from 2:10pm-3pm one day a week on Thursdays. This is an additional $250 in tuition.

    Dialectic (D1 & D2): students have the choice of Math and/or Advanced Latin. If the student does Math AND Advanced Latin, you will be charged another $300 in tuition for a second elective.

    • *Pre-Algebra, Algebra and Geometry (D1 – D2) students will receive classroom instruction and homework assignments. Students will be assessed by the Math Tutor and placed in an appropriate course level.
    • Advanced Latin students (D1–D2) will receive classroom instruction and homework assignments.

  • How many students are you registering?
  • Student 1 Information

  • What is the student's date of birth?
  • What grade is the first student entering?
    Choose enrollment options for student.
    Would you like to enroll the student in Math Lab?
  • Student 2 Information

  • What grade is the second student entering?
    Choose enrollment options for student.
    Would you like to enroll the student in Math Lab?
  • Student 3 Information

  • What grade is the third student entering?
    Choose enrollment options for student.
    Would you like to enroll the student in Math Lab?
  • Student 4 Information

  • What is the student's date of birth?
  • What grade is the fourth student entering?
    Choose enrollment options for student.
    Would you like to enroll the student in Math Lab?
  • Student 5 Information

  • What grade is the fifth student entering?
    Choose enrollment options for student.
    Would you like to enroll the student in Math Lab?
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  • Additional Family Information

  • Full NameAgeGrade EnteringSchool Attending 
    Add a new row Remove this row
    Click the plus to add additional students.
  • In the space above, please write anything you think would be necessary or helpful to us to care for your child(ren) while in class (e.g., allergies, glasses, learning disabilities, behavior problems, etc.). Please note that SRCCHA is not equipped to educate students with serious medical conditions or emotional, physical, or learning disabilities.
  • Briefly describe your goals for the upcoming Academy Year.
  • Check all that apply. See Family Handbook for descriptions.
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  • Prospective Family Questions

    You said you were a prospective family. Please complete these additional questions for prospective families only.
  • Please list preschools/schools/tutorials previously attended, starting with the most recent.
    School Name and Contact Informationfrom Gradeto Grade 
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  • Has instruction been received by your child(ren) for Phonics and Grammar?
  • What curriculum was used for Phonics and Grammar?
  • Has instruction been received by your child(ren) for Latin?
  • What curriculum was used for Latin?
  • Has instruction been received by your child(ren) for Logic
  • What curriculum was used for Logic?
  • Why have you chosen to homeschool your child(ren)?
  • What is your understanding of the Classical Christian approach? Have you used this in your own schooling?
  • Note: We would appreciate your support in answering the following questions as candidly as possible. SRCCHA is not staffed to handle children with serious learning disorders, behavioral issues or physical disabilities. We provide only group tutoring and a safe environment for children to learn. (If more than one child is applying, please note which child you are referring to when answering.)
  • Does your child have any condition (learning disorders) that may affect his/her academic achievement or class involvement and would require regular or special attention? If so, please specify:
  • Does your child have any behavioral issues that may affect his/her class involvement and would require regular or special attention?
  • Has your child ever been suspended by a previous academic setting? If so, please specify:
  • For the father, briefly summarize your personal testimony of salvation. Please include your views on Jesus Christ.
  • For the mother, briefly summarize your personal testimony of salvation. Please include your views on Jesus Christ.
  • Do you know anyone who currently attends SRCCHA? This person(s) may be used as a reference for your family.
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  • Signatures

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  • Payment Information

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    You're almost finished! Once you click the Submit button you will receive instructions on how to pay the application fee via check and move your family along in the next step in the process.
  • Please let us know of how this form can be improved.
  • This field is for validation purposes and should be left unchanged.
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