Student's Full Name
*
First Name
Last Name
Student's Date of Birth
*
MM
DD
YYYY
Student's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Applying for Academic Year
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2025-2026
2026-2027
Other
Applying for Academic Grade
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7th
8th
9th
10th
11th
12th
Student's Gender
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Father or Guardian's Name
*
First Name
Last Name
Father or Guardian's Phone Number
*
(###)
###
####
Place of Employment
Occupation
Father or Guardian's Email
*
Mother or Guardian's Name
*
First Name
Last Name
Mother or Guardian's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mother or Guardian's Phone Number
*
(###)
###
####
Place of Employment
Occupation
Mother or Guardian's Email
*
Sibling Information (Names, ages, and schools)
*
Please list all schools and grades the applicant has attended through elementary years. Please include names, locations, grades attended, and dates of attendance
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If homeschooled, indicate child’s age when homeschooling began
Has your student ever been evaluated with a formal educational or psychological battery of testing? (Please provide copies of all test reports/results with this application)
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Does your student have an individualized educational plan (IEP)?
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Do you suspect or have you identified that your student may have a. Learning disability?
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If you selected "yes" or "other" please explain
What special talents or interest does your student have (IE athletics, art, academic, music etc)
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Does your student have any allergies or physical limitations?
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If yes, please explain
Please list any medications your student may be using during the school year
*
Is your student seeing any medical professionals on a regular basis?
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If yes, please explain
How did you hear about CHA?
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Please explain why you have chosen to apply to CHA for your student
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How can CHA best care and nurture your child through the next stage of schooling?
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How would you describe your understanding of the educational philosophy of Charlotte Mason? What are some aspects of her philosophy that you resonate with?
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Is your family involved in a local church?
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If so, what church do you attend?
Does the fact that CHA is a Christ-centered school impact your decision to apply?
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Did you read CHA’s Statement of Faith?
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I acknowledge that I have read and understand the school's statement of faith. I understand that CHA will be providing a Christ-centered education for my student and that the Bible, gospel story, and biblical principles as laid out in the Statement of Faith will be taught, referenced, and discussed daily. I also understand that these Biblical principles will impact the curriculum choice and ways of teaching. I agree to discuss any questions, concerns, or disagreements directly with CHA leadership concerning these issues prior to enrollment and throughout my student’s years at CHA.
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I have read and understand the student code of conduct. I agree to abide by these standards and understand that failing to meet these requirements will result in parent teacher conferences, warnings, and, in necessary circumstances, removal of your student from CHA.
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