APPLICANT'S NAME__________________________________________________ GRADE________________

APPLICATION FOR ADMISSION
Cresset Christian Academy
3707 Garrett Rd.
Durham, NC 27707
(919) 489-2655
Fax (919) 493-8102
...They shall mount up with wings as eagles;
they shall run, and not be weary; and they
shall walk and not faint.
Isaiah 40:31
We would like to take this opportunity to thank you for considering Cresset Christian Academy in the educational future of your child. Our program here at Cresset is one that will provide for your child a well-rounded, complete education with a strong Christian emphasis. As a ministry of Cresset Baptist Church, the Academy has been providing quality Christian education in the Durham, Chapel Hill, Carrboro, Hillsborough area since 1975. We are concerned about your child and feel that it will be our honored responsibility to be a positive influence on your child's life in all areas - spiritual, intellectual, physical, and social. We look forward to being of service to you. Nondiscriminatory with regard to race, color, sex, or national origin. A Ministry of Cresset Baptist Church
STUDENT-PARENT INFORMATION
Child's legal name (last, first, middle)____________________________________________________________________
Preferred name _______________________________ Grade to enter _____________ For school year _____________
_____ Male _____ Female ~ Birthdate _____________ Social Security no.___________________________________
Citizenship, if other than U.S. ______________________________ Home telephone ___________________________
Home address (street, apartment number)__________________________________________________________________
(city, state, zip)_____________________________________________________________________________________________________________________
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FATHER |
MOTHER |
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Title/Name |
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Employer |
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Position |
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Business Telephone |
Parents' marital status _____ married _____widowed _____divorced _____ separated _____ remarried
If the student does not live with his biological parents, supply information of guardianship below. (The academy must have a true copy of the custodial agreement.)
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STEP-FATHER OR GUARDIAN |
STEP-MOTHER OR GUARDIAN |
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Title/Name |
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Relationship to child |
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Employer |
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Position |
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Business Telephone |
Person responsible for school account
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Title/Name |
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Street Address |
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City/State/Zip |
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Phone |
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Relationship to child |
This person is responsible for _____ Tuition only _____ Tuition as well as all other charges.
Do you wish to apply for scholarship assistance? _____yes _____no
Please list all other children who live in the home and give the requested information on each
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DATE OF BIRTH |
GRADE NEXT |
ENROLLING IN CCA |
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YES |
NO |
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Have other children previously attended Cresset? _____yes _____no
Year graduated _______________ Year withdrawn _______________
STUDENT-SCHOOL INFORMATION
School enrollee last attended ______________________________________________Phone___________________
School address_________________________________________________________________________________
List chronologically all other schools attended, including kindergarten_______________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Did your child previously attend Cresset? _____ yes _____ no
Has your child ever repeated a grade in school? _____ yes _____ no. If yes, what grade and for what reason?
_____________________________________________________________________________________________
Has your child ever been expelled or suspended from another school? _____ yes _____ no
If yes, please explain:____________________________________________________________________________
____________________________________________________________________________________________
Does your child have any history of:
_____ ADD, ADHD
_____ Taking Ritalin (give dosage ______ mg. and frequency _______ /day)
_____ Learning Disability (A copy of psychological testing must be on file at Cresset.) Describe __________________
____________________________________________________________________________________________
Applicant's extracurricular interests, abilities, achievements, and musical instruments played 9; ______________________
____________________________________________________________________________________________
Parent's confidential remarks: If you have further information which may assist in our guidance of your son or daughter
at Cresset Christian Academy, please use this space below or attach a separate sheet
_____________________________________________________________________________________________
_____________________________________________________________________________________________
CHURCH INFORMATION
Do you as parents profess faith in Jesus Christ for eternal salvation?
Mother _______yes _______ no Father _______yes _______ no
Do you desire that your child be trained in the principles of the Word of God?___________________________________
Church family now attends__________________________________________________________________________
Do both parents attend this church? _____ yes _____ no Pastor's name________________________________________
Church membership (where?)_________________________________________________________________________
Does child attend Sunday school? _____ yes _____no Do parents attend Sunday school? _____ yes _____ no
Explain your involvement in church activities_____________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
If you are not currently involved in a local church, may Cresset Baptist church visit you? _____ yes _____ no
GENERAL INFORMATION
Please explain why you want your child to attend Cresset__________________________________________________
______________________________________________________________________________________________
What was your source of reference to CCA? (newspaper, realtors, church, friends, students, etc.)
______________________________________________________________________________________________
For grandparents to receive school communications, please give the necessary information below
Name_____________________________________ Address______________________________________________
Name_____________________________________ Address______________________________________________
Name_____________________________________ Address______________________________________________
Name_____________________________________ Address______________________________________________
PARENTAL COMMITMENT TO CRESSET CHRISTIAN ACADEMY
A. In signing this application, we acknowledge our commitment to
B. Withdrawals: if we voluntarily withdraw or are requested to withdraw from the school, we are responsible to pay our account in full, realizing that fees for enrollment, electives, etc., and an early withdrawal fee are non-refundable once enrolled. I understand that tuition will be prorated.
C. Final grades, credits, and/or diplomas will be held until accounts are paid in full.
D. Our student may participate in all school-sponsored activities. (List exceptions, if any.) _________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
E. We understand our student will be under a 9-week probation period.
Signatures of commitment
Father or legal guardian __________________________________________Date_______________________________
Mother or legal guardian _________________________________________Date_______________________________
Note If student lives with both parents/guardians, both parents/guardians must sign.