Student Application

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Cherokee Christian Schools, Inc. (Cherokee Christian Primary School and Cherokee Christian Secondary School) admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Please fill out the application completely to prevent any delays. Our Admissions Coordinator will contact you shortly after receiving your application.

NOTE: This application has a "Save and Finish Later" option available.

Student Information

Accepted

Applying For School Year

Grade Applying for

Gender

Boy

Girl

NOTE: By indicating gender, you understand that Cherokee Christian Schools permits no discrepancy between biological and identified genders.

Race (Gov. Requirement)

First Name

Middle Name

Last Name

Suffix: (if any. e.g Jr, III, IV)

Preferred Name (Goes by...)

Same as First Name

Date of Birth (mm/dd/yyyy)

Current Age (in years)

Birthplace (City, State)

Current Address

City

State

Zip Code

County

Home Phone

Please decribe any health or medical concerns that would affect the education of your child (if none, leave blank)

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Family Information

Your family is:

	New to CCS
	Current CCS Family
	Former CCS Family
	Employed at CCS

Current Marital Status

	Married
	Divorced
	Separated
	Widowed
	Single

Custodial Authority

Select all who are authorized, or have a legal right, to direct the educational affairs of the student. Contact inforamation for each individual selected will be collected on following pages. In the case of divorce where joint-custody is awarded, both father and mother must be selected.

	Father
	Mother
	Step-Father
	Step-Mother
	Grandfather
	Grandmother
	Other Guardian

Student Lives With

Designated Point of Contact (Primary Guardian)

Send all official school correspondence to ...(usually Student Address)

Note: The school sends all communication to only one official address. We are unable to support mailings to multiple addresses for a particular student.

	Student Address
	Father Address
	Mother Address
	Step-Father Address
	Step-Mother Address
	Grandfather Address
	Grandmother Address
	Other Guardian Address

Address all communication to (e.g. John and Jane Doe)

Primary Phone Number

Primary Email Address

Siblings

Number of Siblings

Sibling 1

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 2

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 3

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 4

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 5

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 6

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 7

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

Sibling 8

Name

Relationship to Student

Age

Current or Last Completed Grade

Current or Last Attended School

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Father Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary email

Work Information

Work Status

Full Time

Part Time

Company Name

Occupation

Business Name

Work Phone

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Mother Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Business Name

Occupation

Work Phone

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Step-Father Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Business Name

Occupation

Work Phone

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Step-Mother Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Business Name

Occupation

Work Phone

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Grandfather Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Business Name

Occupation

Work Phone

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Grandmother Information

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Occupation

Business Name

Work Phone

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Other Guardian Information

Relationship to Student

First Name

Middle Initial

Last Name

Residence

Same as Student

Address

City

State

Zip

Home Phone

Cell Phone

Primary Email

Work Information

Work Status

Full Time

Part Time

Company Name

Business Name

Occupation

Work Phone

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Church Information

I/We:

	Haven't attended church in the past year
	Haven't attended church in the past three years
	Attend Church

Current/Previous Church

Denomination

Church Address

City

State

Zip

How often do you attend Church services or Bible studies?

Pastor's Name

Church/Pastor Phone Number

Please describe your family's involvement in your church.

Why do you want your child in a Christian school?

Do you believe the Bible is important and if so, why?

Please describe how you practically apply the Bible in your home and family life.

Given the scriptures call parents to raise children in the discipline and instruction of the Lord, please give a recent example of a situation where you applied this principle.

Parent Testimony: Please describe how dad became a Christian

Parent Testimony: Please describe how mom became a Christian

Additional Comments

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Educational Information

Current School

Current or Last Completed Grade

Type of School

	PreK
	Public (K-12)
	Private (K-12)
	HomeSchool Support
	HomeSchool

School Name

Years at this School?

School Address

City

State

Zip

School Phone

Why are you leaving your current school setting?

Background Data

Please answer the following questions. Explain all “yes” responses in the Comments section below.

Has your student ever repeated a grade?

Yes

Have you ever been asked to withdraw this student from any school?

Yes

Has your student ever been suspended, expelled, or refused admission to any school?

Yes

Has your current school disapproved re-enrollment?

Yes

Does your student have a learning, social, physical, or emotional disability that may affect learning or school activities?

Yes

Has your student ever been referred for or received professional educational, psychological, or personal counseling?

Yes

Has your student ever been tested for giftedness or learning disabilities?

Yes

Has your student ever had any behavior problems?

Yes

Has your student ever had relationship problems with a peer?

Yes

Has your student ever been involved with drugs or alcohol?

Yes

Has your student ever been brought before a law enforcement agency or court?

Yes

Does your student take any medication on a regular basis?

Yes

Please explain if you answered yes to any of the questions above.

How many schools has your child attended in the last 3 years?
(Please list school, grade, and year attended.)

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Final Information

What are your top three reasons for applying to Cherokee Christian Schools?

2. Please indicate the extra-curricular activities your child may be interested in.

	Baseball
	Basketball
	Cheerleading
	Cross Country
	Football
	Soccer
	Volleyball
	Wrestling
	Drama
	Student Council (High School)
	Choir/Chorus
	Art Club
	TrailLife
	None of the Above

How do you see your family contributing to the CCS community?

Please provide any other information you feel is important concerning the education of your child.

How did you hear about Cherokee Christian Schools?

What is your view on how a school and parents can partner together in the education of a child?

Registration Fee

A $350 registration fee is required as part of the application. The registration fee may be paid online or by check. Please identify the method of payment below:

	Fee will be paid online via the School Web Site
	Check will be mailed to the School
	Check will be "hand carried" to the School Office

Finanial Aid

Will you be requesting any type of financial assistance?

	No
	Yes

Approximate amount needed:

A financial aid (FA) application must be submitted concurrently with this enrollment form. A link to the FA application will be provided in an email upon submittal of this form. As our FA funds are limited, it is imperative that the FA application be submitted as soon as possible.

Certification

To the best of my knowledge, the information provided in this application is true and accurate.

Covenant Response From The Parent

We have read Cherokee Christian Schools’ (CCS) Statement of Faith, Doctrinal Statement, and Family/School Covenant, and are in support of CCS’ educational philosophy, objectives, standards of conduct (as written in the Parent-Student Handbooks), theology, and principles therein. We are evidencing that support and willingness to cooperate with the teachers and administration in a spirit of partnership by our signatures below.

If at any time during the training of our child, we can no longer work together in a spirit of unity, and all reasonable avenues of communication are exhausted, we will withdraw our child from Cherokee Christian Schools.

We understand that willful disobedience by our child to these principles and guidelines may result in dismissal from Cherokee Christian Schools. We also understand that any parental/guardian behavior which is divisive or damaging to CCS may also be grounds for dismissal.

Parent Signature
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IP Address

PDF Value (New Student Application)

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Covenant Response From The Student (7th grade & up)

I will support and willingly cooperate with the teachers and administration in a spirit of partnership and abide by the CCS Student Honor Code.

I desire to attend Cherokee Christian School, or am willing to be under the authority of my parents in submitting and deferring to their wishes concerning enrollment. I understand that Christian teachers are in partnership with my parents. I will strive to obey them also as they seek to train me according to God’s Word. I will seek to live a Godly life in and out of school in order that Jesus Christ be glorified. I understand that willful disobedience to these principles may result in my dismissal from Cherokee Christian Schools.

Student Signature
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