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Family Admission Application

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Family Admission Application

Family Admission Application

This is a no-commitment application. The Application for admission is for new families inquiring about enrolling at Sully Christian School. This application allows us to get to know you as a family and make sure that we can meet your student’s needs and families’ expectations as a school, as well as provides student information for our office to have your family ready for registration in our JMC portal.

Step 1 of 5

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Family Information

Contact Information

Date

MM slash DD slash YYYY

Father

First Name Last Name

Father Email

Father Phone

Father Occupation

Mother

First Name Last Name

Mother Email

Mother Phone

Mother Occupation

Primary Address

Street Address Mailing Address (if different then street) City State ZIP Code

Language spoken at home

Race/Ethnicity

White/Caucasian

Hawaiian/Pacific Islander

Black-African American

Asian

American Indian-Alaskan Native

School District Where Student(s) Resides

Church you attend

Name, City

Pastor's Name

Student lives with:

Both Parents

Father

Mother

Joint Custody

Guardian

Stepparent

Student Information

Please indicate the number of students you are enrolling on this form(Required)

Student 1

Student 1 Full Legal Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Gender

Male

Female

Grade Level(Required)

Student 2

Student 2 Full Legal Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Gender

Male

Female

Grade Level(Required)

Student 3

Student 3 Full Legal Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Gender

Male

Female

Grade Level(Required)

Student 4

Student 4 Full Legal Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Gender

Male

Female

Grade Level(Required)

School Background

List all schools attended chronologically, last school first, including pre-school and kindergarten.

School Name | City,State | Years Attended

If your child has been enrolled at another school, please explain the reason for leaving.

Does any outstanding financial balance exist with another school?

Yes

No

Please Explain

Student(s) Background

Has the student(s) ever… (if yes, please give student name and explanation)

Repeated a grade?

Yes

No

Student Name & Explanation

Repeated Grade

Received tutoring?

Yes

No

Student Name & Explanation

Tutoring

Participated in a special learning program?

Yes

No

Student Name & Explanation

Special Learning Program

Participated in a gifted or talented program?

Yes

No

Student Name & Explanation

Gifted & Talented Program

Experienced difficulties in math?

Yes

No

Student Name & Explanation

Math Difficulty

Experienced difficulties in reading?

Yes

No

Student Name & Explanation

Reading Difficulty

Been dismissed or suspended from school?

Yes

No

Student Name & Explanation

School Suspension

Had discipline problems?

Yes

No

Student Name & Explanation

School Discipline

Additional comments/explanations

What are some of your child’s academic strengths, abilities, and special interests? Any information you feel would be helpful for us to know?

Christian Education

How did you hear about Sully Christian School

Internet Search/Website

Facebook/Social Media

Family/Friend Referral

Church

Check all that apply

Please Rank (number 1 – 6) the following reasons for seeking enrollment at Sully Christian School

Quality Academics

Please enter a number from 1 to 6.

Biblical Worldview

Please enter a number from 1 to 6.

Cost

Please enter a number from 1 to 6.

Safety

Please enter a number from 1 to 6.

Location

Please enter a number from 1 to 6.

Class Size

Please enter a number from 1 to 6.

Is your child(ren) accustomed to Bible reading and prayer in the home?

Yes

No

Please share why you seek to enroll your child(ren) in a Christian school?(Required)

Statement of Faith(Required)

We, the undersigned parents, agree with the below Statement of Faith, and support the mission of Sully Christian School.

Statement of Faith

The following, though not an exhaustive statement of faith, contains key elements of the belief system to which Sully Christian School
subscribes:

We believe in the infinite, personal God, eternally existent in three persons: Father, Son and Holy Spirit. He is omnipotent, omniscient and omnipresent.

We believe in the deity of the Lord Jesus Christ, His virgin birth, His sinless life, His miracles, His vicarious and atoning death through His
shed blood, His bodily resurrection, His ascension to the right hand of the Father and His personal return in power and glory to judge the living and the dead.

We believe that regeneration by the Holy Spirit, which produces an individual’s response of acceptance of the gospel message, is absolutely
necessary for the salvation of lost and sinful men.

We believe salvation is by grace through faith alone.

We believe the Christian life is possible only by the indwelling power of the Holy Spirit enabling the believer to live a godly and sanctified life.

We believe in the resurrection of both the saved and the lost – the saved to a resurrection of life and the lost to a resurrection of damnation.

We believe in the unity of believers through the sharing of common life in Christ Jesus.
We believe that God offers redemption to all who confess and forsake their sin. (Acts 3:19-21, Romans 10:9-10, 1 Corinthians 6:9-11)

We believe that God creates each human as uniquely male or female, and that each person is made in God’s own image. (Genesis 1:26-27)

We believe marriage is the union of one man and one woman in a single, exclusive union (Genesis 2:18-25; Mark 10:6-9).

We believe God intends sexual intimacy to occur between only a man and woman who are covenanted together in this unique union of marriage (1 Corinthians 6:18; 7:2-5; Hebrews 13:4).

We believe that any form of sexual immorality (including, but not limited to, adultery, fornication, homosexual behavior, bisexual or
transgender conduct, bestiality, incest, polygamy, as well as orientation or identity with these behaviors) is sinful and outside of God’s will
(Matthew 15:18-20, 1 Corinthians 6:9-10)

We believe that all human life is precious as created in God’s image. We believe this extends to the fetus, the aged, the physically and
mentally challenged and every other stage of human life from conception through natural death. We are therefore called to defend,
protect and cherish all human life (Psalm 139)

We believe that, while we cannot condone, endorse, or in any way participate in the expression of beliefs or lifestyles that are at odds with this statement of faith, all persons must be afforded compassion, love, kindness, respect and dignity (Mark 12:28-31). In this context, we do not believe that disagreement with another’s beliefs is to be equated with intolerance or a form of “hate speech”. While God sets clear ethical standards through His infallible word – the Bible – for which we are to stand without compromise, He loves all men and women, even those who reject His moral imperatives.

We believe that in order to preserve the ministry, values and integrity of Sully Christian School’s mission, and in order to maintain our
fundamental convictions as based on the Scripture, it is imperative that all parents who enroll their children and all person’s employed by
Sully Christian School in any capacity, or who serve as volunteers, must agree to and abide by this Statement of Faith, including specific
beliefs regarding marriage, gender, and sexuality (Matthew 5:16, Philippians 2:14-16; 1 Thessalonians 5:22).

As parents, we will:
1. Encourage our children to have a personal relationship with Christ and serve Him joyfully.
2. Pray daily for our children, their teachers, and Sully Christian School.
3. Work with our children to teach them respect for their teachers, fellow students, and themselves.
4. Work with the teachers to promote academic excellence by assisting our children with their homework and other projects.
5. Promote the school through our positive words and by serving on committees.

The mission of Sully Christian School is to provide Christ-centered academic excellence with the Word of God as our foundation.

Verification of Information Consent(Required)

I affirm that all the information contained in this application for admissions is accurate and complete to the best of my ability

Signature of Verification(Required)

Parent or Guardian

5+2=(Required)

Please enter a number from 1 to 100.

Security Question | Please answer & click submit below

CAPTCHA

641.594.4180
secretary@sullychristian.org
12629 S 92nd Ave E Sully, IA 50251

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