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Student Application
First Name
*
Last Name
*
Birth Date
*
Gender
*
Male
Female
Academic Year Applying For?
*
To help us plan for future expansion, please select any additional grade levels you would like to see offered?
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
None
Home Address
*
Street2
City
*
Zip
*
States
*
Country
*
Parent/Guardian 1 Name
*
Relationship to Student 1
*
Phone Number 1
*
Email Address 1
*
Parent/Guardian 2 Name
Relationship to Student 2
Phone Number 2
Email Address 2
Is at least one parent or guardian an active member of a Christian Denomination?
*
Yes
No
Church Name
*
Does your family agree to support the school's Orthodox Christian environment and Statement of Faith?
*
Yes
No
Describe your family's faith background.
*
Frequency of church/worship service participation
*
Why do you want your child to learn in a Christian/Orthodox environment?
*
Do you support the integration of Christian teaching, prayer, and scripture into daily school life?
*
Yes
No
How do you nurture faith at home?
*
What role does Jesus Christ play in your family's daily life?
*
Why do you feel Arizona Christian's Orthodox based hybrid model is the right fit for your child?
*
Are there particular Christian virtues you are working on cultivating in your child?
*
Does your child have a diagnosed learning difference or support need?
*
Yes
No
If Yes, Check all that apply
ADD/ADHD
Dyslexia
Autism Spectrum
Speech Therapy
Occupational Therapy
Behavioral Supports
Does your child currently have an IEP, 504 Plan, or Private Evaluation?
*
Yes
No
Please describe any academic, behavioral, or medical needs we should be aware of?
Register
Program
Do you commit to participating in the hybrid school model?
*
Yes
No
Our Hybrid Model requires students to have at home learning on Mondays and Fridays.
Will you commit to maintaining open communication with your child's teacher and Head of School?
*
Yes
No
Parent/Guardian Signature
*
Submit