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Georgia Christian School |
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Admissions Policy |
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Georgia Christian School |
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Admissions Policy |
Definitions
“Applicant(s)” – The child or children making application to Georgia Christian School.
“Responsible Party”, or “Responsible Parties” – The parent or guardian of the applicant. This may include, but is not limited to the person(s) with whom the applicant resides, or the person(s) who accepts the financial responsibility of the applicant’s account with Georgia Christian School.
Policy
Before being considered for acceptance into Georgia Christian School, an applicant and all responsible parties must agree to, and attest to the following:
The applicant named is of good character and amenable to discipline and guidance: that he/she is not currently dismissed, suspended or expelled from any school; that he/she has not appeared before a juvenile or criminal court; that he/she does not exhibit any addictive behavior in that he/she does not use any illegal drugs, alcohol, or tobacco.
The applicant personally desires to attend Georgia Christian School. The applicant and responsible parties must understand that the child must abide by all policies, rules and regulations of Georgia Christian School and that failure to do so could result in him/her being asked to withdraw from school. The applicant and responsible parties must understand that the violation of certain policies, such as, but not limited to, the use or possession of illicit drugs will result in the immediate dismissal of the student involved.
The applicant and responsible parties must understand that Georgia Christian School’s mission is to develop Christian goals and character in an educational environment that will include high academic expectations. They must further understand the school is staffed and equipped for students within the normal range of intelligence, conduct and achievement. GCS does not provide special learning environments or trained special education personnel.
Falsification of any application information or information given in the application interview will result in the dismissal of the applicant. The applicant (when age appropriate) and the responsible parties must complete and sign an official Georgia Christian School Application for Admission attesting all information therein is true and correct and that said parties agree to abide by the policies of Georgia Christian School.
Completion of the above mentioned application is not a guarantee of acceptance. Final decision is at the discretion of the Headmaster following the consideration of all variables surrounding application.
Georgia Christian 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 the administration of its educational policies, admissions policies, financial aid, athletic and other school-administered programs.
Application for Admission
Please Check One: ˙ New Student ˙ Current Student Student Name: ____________________________
Referred by: ____________________________________________ Date: ____________________________
ADMISSION REQUIREMENTS
1. Copy of birth certificate
2. GA. Form 3231 (Immunization Record) (This form may be completed by your family physician or the Lowndes County Health Department)
3. Completed application form and non-refundable registration fee of $250.00
4. Campus tour/class visit (is encouraged)
All pre-school and kindergarten students must meet the following requirements.
Pre-K3 - Students that will turn 3 during the school year. Must be potty trained.
K3 – Students must be 3 years old on or before September 1.
K4 – Students must be 4 years old on or before September 1.
K5 – Students must be 5 years old on or before September 1.
Please list two character references below, (should not be family members).
(Name) (Address) (Phone)
(Name) (Address) (Phone)
To be filled out by parent/guardian Date: ____________________
(Last) (First) (Middle)
Address: _______________________________________________________________________
(Street) (City) (State) (Zip)
Home Phone: _______________ Birthdate: _______________ SSN: _______________ Sex: _______
Present School: _______________________________________ Present Grade: ___________________
School Address: _______________________________________________________________________
Church Preference: _______________________________________ Member? _______________________
Father’s Full Name: _______________________________________________________________________
(Or legal Guardian)
Address: _______________________________________________________________________
Business: _________________________________ Title: ________________ Phone: __________
Business Address: ____________________________________________________________________
Other Contacts: Phone: _______________ Email: __________________________________________
Mother’s Full Name: ______________________________________________________________________
(Or legal Guardian)
Address: _______________________________________________________________________
Business: _________________________________ Title: ________________ Phone: __________
Business Address: ____________________________________________________________________
Other Contacts: Phone: _______________ Email: __________________________________________
Please give the following information (if applicable): ( ) Father deceased ( ) Mother deceased ( ) Parents separated or divorced
With whom does the applicant reside? ____________________________________________________
Name of stepfather or stepmother (if any) _________________________________________________
Other school age children in family:
Name: _______________________________________ Sex: _________ Birthdate: ________________
Name: _______________________________________ Sex: _________ Birthdate: ________________
Name: _______________________________________ Sex: _________ Birthdate: ________________
Relatives who are attending or have attended Georgia Christian School (Please give name, relationship, and years):
Address: ___________________________________________________________________________
(Street) (City) (State) (Zip)
Address: ___________________________________________________________________________
(Street) (City) (State) (Zip)
_________________________________________________________________________________________
Is there any other important information you would like to share with the Georgia Christian School admissions committee?
_________________________________________________________________________________________
_________________________________________________________________________________________
I will be applying for financial aid (Not available to Pre-School) ( ) Yes ( ) No
I certify that the applicant named below is of good character and amenable to discipline and guidance: that he/she is not currently dismissed, suspended or expelled from any school; that he/she has not appeared before a juvenile or criminal court; that he/she does not exhibit any addictive behavior in that he/she does not use any illegal drugs, alcohol, or tobacco.
The applicant personally desires to attend Georgia Christian School. I understand that my child must abide by all policies, rules and regulations of Georgia Christian School and that failure to do so could result in him/her being asked to withdraw from school. I understand that the violation of certain policies, such as the use or possession of illicit drugs will result in the immediate dismissal of the student involved.
I understand that Georgia Christian School’s mission is to develop Christian goals and character in an educational environment that will include high academic expectations. I further understand the school is staffed and equipped for students within the normal range of intelligence, conduct and achievement. GCS does not provide special learning environments or trained special education personnel.
I am aware that falsification of any application information or information given in the applicant interview will result in the dismissal of the applicant. Our signatures below attest that we affirm that all of the above information is true and correct and we agree to abide by the policies of Georgia Christian School
Please return this form along with a $150.00 non-refundable registration fee to Georgia Christian School, Office of Finance, 4359 Dasher Road, Valdosta, Georgia 31601.
Georgia Christian 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 the administration of its educational policies, admissions policies, financial aid, athletic and other school-administered programs.
Registration Fee paid: _____________________ Date Application Received: ________________________
Medical RELEASE FORM-EMERGENCY INFORMATION
Person responsible for medical expenses:
Name: _______________________________________________________________________
Address: _______________________________________________________________________
(Street) (City) (State) (Zip)
Emergency Phone Numbers: Primary ____________________ Secondary ____________________
Additional emergency contact person:
Name: ________________________________________ Phone: _________________________
Do you have health insurance coverage on this student? ( ) Yes ( ) No
Insurance Company: _______________________________________________________________________
Address: _______________________________________________________________________
(Street) (City) (State) (Zip)
Primary Cardholder: __________________________________________ ID# ____________________
Account Number: ______________________________________ Group Number: ________________
Please note any medical conditions, allergies, medications or other needs of your child that the school should be made aware of:
_________________________________________________________________________________________
My child may be treated with topical medications for minor injuries: ( ) Yes ( ) No
My child may be given Tylenol, Advil, as the need may arise: ( ) Yes ( ) No
To Whom It May Concern:
I hereby give my consent for a representative of Georgia Christian School, in an emergency, to seek medical treatment for the above named minor child. I further agree that I will be responsible for all charges for treatment related to the accident or illness that necessitates said treatment.
Parent/Legal Guardian Signature: ______________________________________________________________
Date: ____________________________________________________________________________________
Records Request Form
Georgia Christian School
4359 Dasher Road
Valdosta, GA 31601
Date ___________________________
Name and Address of School:
_______________________________
_______________________________
_______________________________
Name of Student (s): Date of Birth Grade Level
_________________________________ ________________ ___________
Dear Registrar/Counselor:
The above named student/students have registered in our school. Please forward the items that apply from their student/students file.
Transcript of Grades _________________
Withdrawal Grades _________________
Test Results _________________
Immunization Records _________________
Date of Withdrawal _________________
Birth Certificate _________________
Psychological Evaluation _________________
w/ Sp. Education Minutes & Eligibility _________________
504 Plan _________________
Discipline Records _________________
Student Support Files _________________
Standardized Test Results _________________
Summer School Transcript _________________
Has this student been suspended/expelled for any reason: YES _____ NO_____
If yes, please explain: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
According to the final rule on Educational Records, Federal Register, June 17, 1976, Volume 41, Number 118, Page 24673, it is no longer necessary to obtain written consent to release records. It states that school officials of other schools in school systems in which the student may intend to enroll may receive a student's records without written consent for such release.
