In addition to this application, please provide the following:

A copy of the studentʼs most recent report card or transcript

A copy of the students most recent standardized test scores

A copy of any special testing reports (physical and/or psychological) A copy of the studentʼs birth certificate

A copy of the studentʼs most current immunization records

A recent photograph

A non-refundable application processing fee of $25.00

Next, deliver one pastoral, and one teacher recommendation form to the appropriate individuals with stamped envelopes addressed to Victory Christian Academy C/O Enrollment & Student Services. The pastoral form may be filled out by the childrenʼs pastor or youth pastor of the class the student regularly attends. These forms should be returned directly to Victory Christian Academy.



Upon receiving written confirmation of acceptance, a non-refundable deposit of $225 for Pre-K & Kindergarten and $325 for 1st -12th grade.



Student Information

First Name (required)

Middle Name (required)

Last Name (required)

Preferred Name

Current Grade Level:

Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th

Applying for Student to Enter Grade Level:

Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th

Age

Birthdate (yyyy-mm-dd)

Social Security Number

Phone Number

Address

Street:

Apartment:

City:

State:

Zip:

County:

Place of Birth (City, County, State)

Student's Gender

Father's Information


Full Name of Father/Guardian (Include Title: Mr., Pr., Dr., etc.)

Address

Street:

Apartment:

City:

State:

Zip:

County:

Phone Number

Cell Number

Work Phone Number

Primary Email Address

Secondary Email Address

Occupation

Employer

Business Address

Street:

Number/Suite:

City:

State:

Zip:

Mother's Information


Full Name of Mother/Guardian (Include Title: Mrs., Pr., Dr., etc.)

Address

Street:

Apartment:

City:

State:

Zip:

County:

Phone Number

Cell Number

Work Phone Number

Primary Email Address

Secondary Email Address

Occupation

Employer

Business Address

Street:

Number/Suite:

City:

State:

Zip:

Student Survey

Check All that Apply:

Student lives with fatherStudent lives with both parentsParents are separatedFather has custodyStudent lives with motherParents are divorcedFather is deceasedMother is deceasedMother has custodyGrandparent(s) has (have) custodyJoint custody (please fill out names in boxes below)Custody arrangements have been court adjudicated. (If applicable, a notarized copy of such adjudication must be filed along with the application before enrolling student.)

Joint custody names:

Person Responsible for Tuition and Fees

Name:

Phone Number

Address

Street:

Apartment:

City:

State:

Zip:

Current and previous Schools attended, dates, and reasons for leaving:

School 1:

Name of School:

Dates:

Reason for Leaving:

School 2:

Name of School:

Dates:

Reason for Leaving:

School 3:

Name of School:

Dates:

Reason for Leaving:

School 4:

Name of School:

Dates:

Reason for Leaving:

Does the applicant currently:

Use tobacco:yesno

Use alcohol:yesno

Use illegal drugs:yesno

View pornography:yesno

Has the applicant ever:

Repeated a grade?

yesno

If yes, what grade and why?



Been suspended or expelled from any school for any reason? If yes, explain and include the dates and the names of the school and principal.

yesno



Been denied admission to a school?

yesno

If yes, please explain.



Been home-schooled?

yesno

If yes, give dates, grade levels, and curriculum used.



Had a clinical diagnosis of a learning disability?

yesno

If yes, please explain.



Had any additional testing or tutoring?

yesno

If yes, please explain.



Been recommended for any special testing or services, whether or not that recommendation was followed?

yesno

If yes, please explain circumstances.



Undergone formal psychological/emotional/behavior testing or counseling?

yesno

If yes, please explain.



Demonstrated negative social behavior (i.e. disrespect, fighting, name calling)?

yesno

If yes, please explain.



Participated in regular, standardized achievement testing

yesno

Participated in advanced classes?

yesno

If yes, in which areas?



Which of the following would best describe the grades typically received by the applicant?

A'sA's and B'sB's and C'sC's and D'sD'sD's and Failing Grades

Which of the following would best characterize the amount of homework the applicant is generally doing each week?

Less than three hours per weekThree to five hours per weekFive to eight hours per weekNine or more hours per week

If the applicant has any physical limitations or chronic illnesses of which we should be aware, please explain.

Reason for applying to Victory Christian Academy:

What does your child like best about school?

What does your child like least about school?

What are your child's favorite hobbies or free time activities?

What do you believe is your childʼs greatest strength socially? Academically? Spiritually?

Notice of Nondiscriminatory Policy As to Students

Victory Christian Academy admits students of any race, color, nationality, and ethnic origin to all rights, privileges, programs, and activities generally afforded or made available to students at the school. It does not discriminate on the basis of race, color, nationality, and/or ethnic origin in the administration of its educational policies, admissions policies, and athletic and other school-administered programs.

Note: The application will not be processed without a $25.00 non-refundable application processing fee; however, payment of this fee does not guarantee admission. Once all paperwork is returned and the enrollment steps are completed, eligible candidates will be contacted. When the enrollment fee is paid, a space will be held for that student. Initially, acceptance is given on a provisional basis and is made final after records from the studentʼs former school have been received and reviewed.

I affirm that all the information in this application is true and correct to the best of my knowledge. I understand that providing false information or omission of pertinent information could be reason for the rejection of the application or dismissal of my child from Victory Christian Academy. I also understand that I may be asked to provide additional information.

Father/Guardian Signature:



Date (yyyy-mm-dd):

Mother/Guardian Signature:



Date (yyyy-mm-dd):

Important Note:

Your application has NOT been successfully submitted until you see this image:
successful

Ready to Fill out the Recommendation Forms? See below:

Teacher Recommendation Form Pastoral Recommendation Form

PDF Download

If you would rather download and print a PDF, please click here:
PDF Student Application (Download)

Please fill out and mail this form to:

Victory Christian Academy
c/o Enrollment & Student Services
PO Box 32
Decatur, TX 76234