This application does not ensure final enrollment, but provides information upon which a decision will be based. Please fill out as completely as possible. All fields are required; if a field is not applicable, please enter “n/a”.

 

    STUDENT INFORMATION


    MaleFemale

    SCHOOL HISTORY

    Is this your child’s first school experience?

    List previous schools attended:

    School 1

    School 2



    How would you describe your child as a student? Check all that apply: excels academicallyabove averageaveragedislikes schoollikes schoolhighly motivatedindifferentstruggles academically



    Does your child receive medication?
    YesNo

    Does your child have allergies to:
    Medication:YesNo
    Food:YesNo
    Other:YesNo

    FAMILY INFORMATION

    FATHER:


    MOTHER:



    If the student does not live with both parents, the student lives with: (indicate below)

    Is either parent forbidden by court order from having equal access to the child or the school records?
    (Written documentation required)

    SIBLINGS:
    Applying to CSH?

    Applying to CSH?

    Applying to CSH?
    PATERNAL GRANDPARENTS:

    MATERNAL GRANDPARENTS:



    CHRISTIAN COMMITMENT AND CHURCH INVOLVEMENT

    Church Members?: YesNo Has your child made a personal decision for Christ? YesNo
    Interest in spiritual matters: stronggrowing interestindifferentantagonistic

    SUPPLEMENTAL INFORMATION


    Are you here as a result of a referral from a CSH family? YesNo
    If your child is seeking admission at this time and will enter the 6th grade or above, please have him or her complete the following question.


    By submitting this application I accept the policies of Calvary Schools of Holland and I authorize the school to hold my child accountable to Calvary standards and policies. Further, I agree to have my child taught according to the doctrinal position of the school. I accept the policies detailed in the Student Handbook and agree to abide by the school’s discipline policies. I promise to pay my financial obligations to Calvary on or before the due date or accept the consequences of the delinquent tuition policy. I give consent for my child to take part in all school activities, including sports and school-sponsored trips away from school premises, and absolve the school of liability because of injury to my child during school activities accept for the willful, wanton, or reckless misconduct of Calvary, its employees, or volunteers. I pledge my cooperation in regular tuition payments, practical service, prayer, and special gifts as the Lord enables me. I understand that any false information or significant omissions may disqualify my child from admission and may be justification for dismissal from Calvary if discovered at a later date. Finally, I give permission to have my son or daughter’s photograph used in school related print and web-based publications.

    NON-DISCRIMINATORY POLICY
    In accordance with Title VI of the Civil Rights Act of 1964, it is the policy of Calvary Schools of Holland to admit students of any race, color, national 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, class assignments, scholarship programs, and other school-administered programs.