Nampa Christian Schools • Admissions

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Online Application

I HEARBY APPLY FOR ADMISSION TO NAMPA CHRISTIAN SCHOOLS FOR THE FOLLOWING GRADE AND YEAR:
Grade:
Semester Applying For:

STUDENT INFORMATION
Last Name:
First Name:
Middle Name:
Preferred Name:
Home Address:
City:
State
ZIP Code:
Telephone Number: (xxx-xxx-xxxx)
Date of Birth: (mm/dd/yyyy)
Birthplace: (city/state)
Gender:	Male Female
Current School:
Current Grade:
School Address:
School Phone Number: (xxx-xxx-xxxx)
Have you applied to Nampa Christian Schools before? Yes No
If yes, what year?

STUDENT HISTORY
Check the following which apply to your student: Suspended Expelled Asked to withdraw Had extended absences Disciplined for drugs Failed a grade in the last two years Received D or F in any subject in the last two years
If you selected any of the above, please provide a complete explanation.
What is the reason for leaving current school?
Has your student ever been tested for any type of disability? Yes No
Check the following which your student has been identified as having: ADD/ADHD Behavioral Disorder Learning Disorder Mental Impairment Emotional Impairment/Disturbance Physical Impairment Gifted/Talented Speech/Language
Has your student received any type of personal counseling within the past two years? Yes No
If yes, please explain.
*IF ANY PRIOR INFORMATION IS WITHHELD AT TIME OF ENROLLMENT, IT MAY RESULT IN IMMEDIATE DISMISSAL FROM NAMPA CHRISTIAN SCHOOLS*

FAMILY INFORMATION
Father/Stepfather/Guardian Information
Alumni?	Yes No Year:
Full Name:
Occupation:
Employer:
Business Address:
Business Phone:
Cell Phone:
E-mail Address:
Address if other than that of student:
Mother's/Stepmother/Guardian Information
Alumni?	Yes No Year:
Full Name:
Occupation:
Employer:
Business Address:
Business Phone:
Cell Phone:
E-mail Address:
Address if other than that of student:
List siblings in school: (Name, age, grade and whether they currently attend NCS)

If both parents are not living in the home with the student, clarify briefly
Who is financially responsible for payments to the school and should receive the statements, and what is their relationship to the student?

CHRISTIAN COMMITMENT
Are you a Christian? Yes No
If yes, what is your relationship to Jesus Christ?
Do you take your child(ren) to weekly worship services? Yes No
If no, please explain:
Name of Church:
Name of Pastor:
Church Address:
Church Phone Number:
Does your child attend Sunday school? Yes No
Please write a brief statement on why you chose Nampa Christian Schools for your student:
*This application will not be considered until the non-refundable* Application Fee of $25 has been received. It is understood that the Application for Admission** is an expression of intent only, and is not binding upon the family or school. I certify that my son or daughter is of good character, and indicate my subscription to the purposes and regulations of Nampa Christian Schools. It is also understood that any offer of enrollment subsequently accepted is contingent upon the essential accuracy of the statements made in this application, and is further contingent upon the applicant's successfully completing his/her present academic program.

Please initial below to acknowledge that you have reviewed the information above and agree that it is accurate. By initialing below you endorse this document as legally binding in accordance to the e-sign bill S.761 and release the below initials in lieu of signature. *Initial Here:

STUDENT INFORMATION

STUDENT HISTORY

FAMILY INFORMATION

CHRISTIAN COMMITMENT