Shiloh Christian Academy - Atlanta
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Home
Our Story
Academics
Academics
Tutoring Program
Enroll
Events and Updates
Join Us
Join Us
Employment Application
Support
Contact Us
Enrollment Application
Student Age* (as of September 1st of the upcoming school year)
Student Birth Date*
What grade is your scholar entering?*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th-12th Grade
Select Grade
Student First Name*
Student Last Name*
Street Address*
City*
State*
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Select State
Zip Code*
Legal Parent/Guardian 1*
Relationship to Student*
Phone Number*
Email Address*
If home address is different from student, please enter below:
Occupation*
Current Employer*
Current Employer Address*
Legal Parent/Guardian 2:
Relationship to Student
Phone Number
Email Address
If home address is different from student, please enter below:
Occupation
Current Employer
Current Employer Address
Emergency Contact*
Emergency Contact Phone Number*
Relationship to Student*
Previous School 1*
Type of School*
Public
Charter
Private
Homeschool
Select
Previous School 2
Type of School
Public
Charter
Private
Homeschool
Select
Has your child had any attendance or tardiness concerns?
Yes
No
Has your child ever been retained?
Yes
No
Has your child ever been skipped a grade?
Yes
No
Has your child ever been suspended, expelled, or had any on-going behavior concerns?
Yes
No
If you answered yes to any of the questions above, please provide a description of the circumstances and any additional information that will be helpful to the SCA admissions team. Answering yes just gives us more information to understand your scholar's needs and is not a sole determinant in admission decisions. If you answered no to all of the questions, please type N/A.
What are your scholar's academic strengths?
What are your scholar's academic challenges?
What honors or academic awards or achievements has your scholar received?
Describe your scholar's hobbies, interests, and/or special talents.
Has your scholar been evaluated for and/or participated in any of the following special services?
Gifted/Talented
Speech Services
Early Intervention Program(EIP)
Occupational Therapy Services
Response to Intervention (RTI/SST)
Special Education (IEP)
English as a Second Language (ESL)
504 Plan
None of the Above
Other
If you checked Special Education, do you have your scholar's special education records including the most recent IEP?
Yes
No
Select
If you checked 504 Plan, indicate if the plan is for academic or health reasons:
Academic
Health
Select
Please upload the following documents or email them to info@shilohchristiansaints.org. Appllications are not considered complete until payment and alll documents are received. Required Documents: Current Report Card, All Disciplinary Records, Copy of IEP, Most Recent Standardized Testing Results
Truthful Information
My e-signature below affirms that all of the information contained in this application is correct, complete, and honestly presented. I understand that withholding information or misrepresenting information in this application may jeopardize my scholar's admission.
Release of Records
I waive my right to access confidential information contained in my scholar's admission file.
First Name
Last Name
Date
How did you hear about Shiloh Christian Academy?
Please enter any additional comments related to your scholar's application.
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