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Preschool-Application-21-22.Pdf CHRISTIAN ACADEMY A Mind for Truth and a Heart for God (808) 836-0233 ~ (808) 836-4415 fax Instructions for Application for Admission Preschool 2021-2022 • Please read instructions carefully. • Parents needing assistance should contact the Admissions Office directly at (808) 836-4480. Application for the Preschool • Preschool applicants are accepted on a first-come, first-served basis, provided there is space available in a class appropriate to the age of the applicant. • Children must be toilet-trained to be considered, and three (3) years of age when they begin school. • Please note that admission to Christian Academy Preschool does not guarantee admission to the Elementary School program. All age-eligible preschool students must re-apply to enter kindergarten. Application Fees • A non-refundable fee of $50.00 must accompany each application. Required Documents ! Completed Preschool Application ! Photo of applicant ! Copy of your child’s birth certificate ! Completed parent questionnaire ALL documents should be mailed to: Christian Academy Attn: Preschool Admissions 3400 Moanalua Road Honolulu, HI 96819 General Selection Consideration Because Christian Academy is an extension of the family, the criteria for admitting any new applicant begins with the family: • Are the parents in agreement with the mission and vision of Christian Academy? • Does at least one parent have a testimony of personal faith in Jesus Christ as Savior or are the parents open to receive Christian Academy’s ministry? • Are the parents committed to working with the school and teachers in accomplishing the best educational goals for their child(ren)? Notification and Other Enrollment Information • After the application and all required documents have been submitted, applicant families will be notified by letter of the admissions status. • If an applicant is accepted, a deposit of $250.00 is due immediately in order to hold the applicant’s space. This deposit is fully refundable upon completion of Christian Academy Preschool if all accounts are current. (In cases of early withdrawal, only $200.00 will be refunded if 30 days’ written notice is given.) • A Hawaii State Form-14 indicating current tuberculin clearance, physical, and updated necessary immunizations, is required in order to enroll. This form may be obtained from a family physician. • Return the signed enrollment contract and Family-School Covenant before applicant begins school. CHRISTIAN ACADEMY A Mind for Truth and a Heart for God PRESCHOOL APPLICATION Date of Application: _____/_____/_____ Desired Start Date: _____/_____/_____ School Day ! Full Day ! APPLICANT’S NAME ____________________________________________________ Gender (circle one): M F (Please give applicant’s full legal name) First Middle Last Home Address ___________________________________________________________________________________ Street City State Zip Home Phone ( ) Date of Birth / / Age _______ Citizenship: U.S. citizen? Yes ! No ! If no: F-1 status? Yes ! No ! I-20 form? Yes ! No ! PARENT/GUARDIAN INFORMATION Father ________________________________________ Mother ______________________________________ Home Address _________________________________ Home Address ________________________________ ______________________________________________ _____________________________________________ Employer _____________________________________ Employer ____________________________________ Position ______________________________________ Position _____________________________________ Business Phone ________________________________ Business Phone _______________________________ Alternate Phone (cell) ____________________________ Alternate Phone (cell) __________________________ Church Affiliation _______________________________ Church Affiliation ______________________________ Member? Yes ! No ! Member? Yes ! No ! Attendance 1-2x/wk ! 1-2x/mth ! 1-2x/yr ! Attendance 1-2x/wk ! 1-2x/mth ! 1-2x/yr ! FAMILY INFORMATION • Primary Family Email Address: ____________________________________________________________________ • List ALL OTHER adults with whom the applicant lives (excluding parent/guardian listed above). Name Relationship Name Relationship ______________________ _____________________ _____________________ ___________________ • List siblings and any other relatives with whom applicant lives. Name Age Attends CA? Name Age Attends CA? _____________________________ _____ ! ________________________ _____ ! _____________________________ _____ ! ________________________ _____ ! • Primary language spoken in the home ______________________________________________________________ Preschool Application ACADEMIC HISTORY Please list the last three schools attended by the applicant (list most recent school first): Name & Address of School Grades Dates Attended (Month & Year) _______________________________________________ _______________ From / to present__ _______________________________________________ _______________ From / to / ____ _______________________________________________ _______________ From / to / ____ Please tell us about your child’s strengths: ________________________________________________________________________________________________ ________________________________________________________________________________________________ Has the applicant had serious discipline problems in school? Yes ! No ! If yes, please explain: ________________________________________________________________________________________________ ________________________________________________________________________________________________ Has the applicant received any IEPs, special help, or tutoring? Yes ! No ! If yes, please explain: ________________________________________________________________________________________________ ________________________________________________________________________________________________ MEDICAL INFORMATION Christian Academy is not staffed to handle students with severe learning disabilities. For your child’s best interest, please be candid when you answer the following questions. Has the applicant any allergies or health concerns? Yes ! No ! If yes, please explain: ________________________________________________________________________________________________ ________________________________________________________________________________________________ Has the applicant ever seen a physician, counselor, psychologist or psychiatrist for any type of social, behavioral, or emotional challenge? Yes ! No ! If yes, please explain: ________________________________________________________________________________________________ ________________________________________________________________________________________________ Has the applicant ever been diagnosed with, or do you suspect that the applicant may have any learning disabilities or challenges? Yes ! No ! If yes, please explain: ________________________________________________________________________________________________ ________________________________________________________________________________________________ Assembly of God Statement of Faith* 1. We believe and teach: a. The Bible is Inspired. The Bible is the inspired and only infallible and authoritative written Word of God. b. One True God. There is only one God, eternally existent in three persons: God the Father, God the Son, and God the Holy Spirit. c. The Lord Jesus Christ is Fully God. The deity of our Lord Jesus Christ, His virgin birth, His sinless life, His miracles, His vicarious and atoning death, His bodily resurrection, His ascension to the right hand of the Father, His personal future return to this earth in power and glory to rule a thousand years. d. The Fall of Mankind. Mankind was created good and upright, however, mankind ignored God’s instructions…choosing to engage in what they knew was wrong and evil. e. The Salvation of Mankind. Salvation is deliverance from spiritual death and enslavement by sin. God provides salvation for all who believe and accept His free offer of forgiveness. The only means of being cleansed from sin is through repentance and faith in the precious blood of Jesus. f. The Ordinances of the Church. (1) Baptism in water symbolically declares to everyone that the old sinful life style of the believer died with Christ and has been raised anew in Christ. (2) The Lord’s Supper, or Communion, consisting of bread and the fruit of the vine (grape juice), is a memorial of Christ’s suffering and death. The eating and drinking of these symbols express the believer’s awareness that he has been made right with God and shares the divine nature of eternal life through Jesus Christ. g. The Baptism in the Holy Spirit. It is given to believers who ask for it. The Holy Spirit provides the power for victorious Christian living and productive service through specific spiritual gifts. h. The Initial Physical Evidence of the Baptism in the Holy Spirit. The gift of tongues (unlearned language) is spoken as the Spirit of God gives audible expression (Acts 2:4). i. Sanctification. The act of separating ourselves from evil and identifying with things that are good, upright, and morally pure. j. The Church and Its Mission. The church is a body of believers with Christ as the Head. As His church, our mission is to fulfill God’s purpose concerning mankind. k. The Ministry. A divine call to ministry is ordained through Scripture. This is provided by the Lord for the purpose of leading the church in evangelization of the world, worship of God, and building a body of believers conforming
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