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Text Box: Please click on the icon to view application: APPLICATION FOR ADMISSION Please complete this form and return it with the $75.00 application fee. Applying for Grade ______September ______, 20_____ STUDENT INFORMATION Applicant Name ____________________________________________________________________________ Last First Middle Applicant Address __________________________________________________________________________ City ______________________________ State__________________________ Zip ______________ Date of Birth _______________________ Place of Birth _______________________ Male Female Are you a US citizen? Yes No If no, explain your status. ________________________________ PARENT INFORMATION Father’s Name _____________________________________________________________________________ (Mr., Dr., etc) Title Last First Middle Nickname Home Address _____________________________________________________________________________ (If different from applicant’s) Home Telephone ________________________________ Email __________________________________ Occupation _____________________________________ Firm Name _____________________________ Business Telephone ______________________________ Cell (Optional) __________________________ Mother’s Name ____________________________________________________________________________ (Mrs., Ms., Dr., etc.) Title Last First Middle Nickname Home Address _____________________________________________________________________________ (If different from applicant’s) Home Telephone ________________________________ Email __________________________________ Occupation _____________________________________ Firm Name _____________________________ Business Telephone ______________________________ Cell (Optional) __________________________ If separated or divorced: Custody has been awarded to Mother Father Joint School Information should be provided to Mother Father Both Brothers and Sisters of Applicant Age Grade School Applying to SFA _________________________________ _____ _____ ____________________________ Yes No _________________________________ _____ _____ ____________________________ Yes No _________________________________ _____ _____ ____________________________ Yes No _________________________________ _____ _____ ____________________________ Yes No Family members enrolled at SFA in previous years ________________________________________________ Signature of parent or guardian _______________________________________ Date ____________ Office use only Date Application received____________________ Method of payment _________________ GENERAL INFORMATION Present School __________________________________________________ Currently in grade _____________ Address ______________________________________________________________________________________ Head/Principal __________________________________________________ Telephone ___________________ Previous schools applicant has attended Grade completed (Note grades skipped or repeated) __________________________________________________________________ ____________________________________________ __________________________________________________________________ ____________________________________________ __________________________________________________________________ ____________________________________________ Educational Background Is English the primary language spoken at home? Yes No List other languages spoken at home. ______________________________________________________________ Please tell us about your child’s special interests, lessons, talents, awards, etc. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Has your child ever been referred and/or undergone any evaluative testing for developmental skills (speech, language, motor, cognitive, attention, emotional, behavior, etc)? Yes No If yes, please attach a copy of the most recent testing. Date __________________________________ Reason for testing ____________________________________ _______________________________________________________________________________________________ Was tutoring/counseling recommended? Yes No Was tutoring/counseling received? Yes No If you would like special accommodations for your child during the admissions process, describe these accommodations. Please attach supportive documentation by a qualified professional for these accommodations. Comments ____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ PARENT QUESTIONNAIRE Applicant Name _________________________________ Applying to grade _____________ Describe you child’s academic strengths and areas needing growth. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Describe your child’s personal strengths and areas needing growth. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ StudentFirst Academy believes parents have a commitment to the school their child attends. Describe your family’s anticipated level of commitment to your child’s educational environment if admitted to SFA. _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Signature of parent or guardian ________________________________ Date ______________

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