APPLICATION FOR ADMISSION - Hillcrest Christian School

Thank you for your interest in Hillcrest Christian School! Please fill out the form below to apply for admission!

Please fill out a separate application for each student.

*Required fields

Upon the completion of the Application for Admission, our Admission Office will contact you and provide the information you need to continue in the enrollment process

Student Information

1. Enrollment School Year

2. Student's Legal Name *

3. Date of Birth *

4. Student Gender *

5. Student Address

Address 1
Address 2

City

State

Zip

6. Student Phone # (if applicable)

7. Student email (if applicable)

8. Grade Entering *

9. Last 4 of Student Social Security No. *

10. Ethnic Origin *

11. Other Sibling Attending HCS?

Yes No

12. Previously Applied for Admission at HCS?

Yes No

13. Previously enrolled at HCS?

Yes No

14. Family Church Name *

PARENTS/GUARDIAN INFORMATION

15. Father's Full Name *

16. Father's Address *

Address 1
Address 2

City

State

Zip

17. Phone: Home *

18. Phone: Cell *

19. Phone: Work *

20. Father's Employer *

21. Father's Occupation *

22. Mother's Full Name *

23. Mother's Address *

Address 1
Address 2

City

State

Zip

24. Phone: Home *

25. Phone: Cell *

26. Phone: Work *

27. Mother's Employer *

28. Mother's Occupation *

29. Step-Parent/Guardian Full Name

30. Relationship

Stepfather Stepmother Guardian

31. Step-Parent/Guardian Address

Address 1
Address 2

City

State

Zip

32. Phone: Home

33. Phone: Cell

34. Phone: Work

35. Step-Parent/Guardian Employer

36. Step-Parent/Guardian Occupation

Family Information

37. Student lives with:

Father Mother Legal Guardian Stepfather Stepmother

38. Student's parents are:

Married Seperated Divorced

39. Please mark any that apply

Mother deceased Father deceased

40. Any legal custody situations that the school should be aware of? If so, please explain.

41. If divorced, please indicate type of custody order by the court:

*Copies of all court documents regarding custody and educational decisions MUST be submitted along with the application.

42. Which spouse holds legal responsibility for school decisions? *

43. To whom should correspondence be sent?

General Information

44. Please list names of all Previous Schools and Dates Attended:

45. Ever retained? If so, please give the grade and reason.

46. Ever suspended, expelled, or asked to leave any school? If so, give the reason.

47. Does your student have a current IEP/504/Accommodations Plan/Diagnosis?

Yes No

48. If you child has been homeschooled, please list the grade(s):

Medical information and history

49. Does your child suffer from chronic or acute illnesses such as diabetes, epilepsy, asthma, or allergies, etc.? If so, please explain.

50. Specific Instructions for treating above:

51. Does your child have any physical problems that require reasonable accommodations?

52. Does your child take daily medication? If so, what?

53. How did you hear about Hillcrest Christian School? *

54. If you chose other in the previous question, please expain how you heard about Hillcrest. *

55. Parent/Guardian Special Notes:

56. Parent Signature (By typing your name here, you are providing an official signature) *

Non-discriminatory Policy: Hillcrest Christian School admits students of any race, color, national or ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. The school does not discriminate on the basis of race, color, national or ethnic origin in the administration of its education, admission policies, tuition assistance, athletic and other school administered programs.

57. Enter Your Email Address: *