Date APPLICATION FOR ADMISSION Administrator Guidance Fees Northside Christian School 7800 Northside Drive Charleston, SC 29420 (843) 797-2690 2015-2016 BCert SCImm AchTest TrReq TrRec SchDyn Student’s name____________________________________________________________________________________ Last First Middle Name called by Person with whom student lives _________________________________Phone ________________________________ Address ___________________________________________________________________________________________ Age _____ Sex _____ Birth date ___________________ SS# ______ ____ ______ Grade entering _________________ If K3, K4, or K5: half-day ______ full-day ______ Date entering _______________ Do you have other children currently enrolled in NCS? ________________________ E-Mail address _________________________________ ________________________________________________ Last school attended ________________________________________________________________________________ Address ___________________________________________________________________________________________ Through what grade level do you intend for this child to be enrolled at NCS? __________________________________ How did you learn about Northside? ___________________________________________________________________ What is the primary reason you chose Northside over other private schools? __________________________________ Father’s name _______________________________ Employer ___________________________________ Mother’s name _______________________________ Employer ____________________________________ Home phone _______________________________ Work phone _______________________________ Home phone _______________________________ Work phone _______________________________ Church family attends ________________________ Are you a member? _________________________ Pastor’s name _______________________________ Attend Sunday AM? ___ PM? ___ Other? ______ Has the student made a profession of salvation? ______ Please be sure to complete the back of this form, sign it, and bring what is needed for the interview. Northside Christian School does not discriminate on the basis of race, color, or national origin in its admissions procedures or in any other of its policies or practices. ALL STUDENTS Has the child ever been expelled? _____ Suspended ? _____ Is he currently suspended? _______ Is there a balance due at another school ? _______ Name of school ________________________ Does the child have significant health problems? __________ allergies? _____ seizures? _______ Is he currently on any medication? _____ which one(s)? __________________________________ Does he have emotional problems of which we should be aware? ___________________________ Behavioral problems? _______________ Learning disabilities? ____________________________ STUDENTS IN GRADES 4-12 ONLY Has the student smoked? ____ used alcohol? ____ used illegal drugs? ____ been arrested? ____ Has the student parented a child? __________ Is the student married? _____________________ STATEMENT OF COOPERATION It is my intention to have my child complete the school year at Northside unless otherwise indicated. It is my intention to pay fees when due and to pay tuition according to the terms of my Financial Agreement. Report cards and transcripts are not released if the account is past due. I understand that if my account becomes 30 days in arrears, my children will be placed on financial probation; at 45 days, financial suspension. My child has permission to participate in all school activities, such as field trips, fine arts competition, and athletics. I have read pertinent sections of the Parent and Student Handbook and am in agreement with its contents, especially the “Goals in Christian Education” reproduced on the attached sheet. I pledge to encourage my child in his homework and other special projects, as well in the application of Bible principles to his life and learning. I will help my student attend church regularly. For students in 7-12, commitment to attend church regularly on at least a weekly basis is an enrollment requirement. If I have a question regarding a classroom issue, I will speak first to the teacher, then to the administration, rather than to other parents. If I have a question regarding a matter of policy, I will approach the administrator. If I cannot continue to support Northside, I will withdraw my child without seeking to undermine or discredit the ministry or its personnel. For students in grades K3-4, I grant the school permission to administer appropriate discipline in order to maintain an orderly atmosphere conducive to learning. Paddlings may be used, always with prior warning and administrative contact. Parents may come to the school to administer the paddling, if they prefer to do so. All paddlings are recorded with the offense, date, time, and adult witness(es). In 5-12 we utilize a demerit system and student evaluations to keep parents informed of student conduct issues. I will inform the office of any changes in the following: address, personal phone numbers (home, cell phone, pager, beeper, or employer), persons (with phone numbers) authorized to pick up my children, other emergency numbers, medical information, and the custodial status of my children. If appropriate, I will provide a signed, updated Statement of Cooperation. Date ______________________ Parent’s/Guardian’s signature __________________________________________ Date ______________________ 7-12 Student’s signature ______________________________________________ For the interview, please bring _____ _____ _____ _____ _____ _____ your child the completed Application a copy of the most recent report card a copy of achievement testing results a copy of the Birth Certificate the SC Certificate of Immunization (form #1148) REGISTRATION FEES ARE NOT REFUNDABLE GOALS IN CHRISTIAN EDUCATION Spiritual goals 1. To lead each unsaved kindergarten/elementary student to trust Christ as his personal Savior. 2. To instill in each student a love for God and a personal sense of responsibility to be all He wants him to be. 3. To direct each student in the process of developing Christ-like character and actions. 4. To teach each student to take responsibility for his actions, words, and choices. 5. To prepare each student to do his very best in every endeavor. 6. To instill in each student love and honor for home and parents. Eph. 6:1,2 7. To help each student develop a close relationship with his local church. 8. To prepare each student for spiritual leadership in the home, church, school, community, state, nation, and the world. 9. To provide each student with ministry skills such as preaching, teaching, singing, and playing musical instruments. 10. To mentor, counsel, and encourage each student to find God’s will for His life and to do it with all his mind, soul, and strength. Personal goals 1. To develop each student's sense of responsibility as a Christian citizen. 2. To develop within each student a Christian world view and a Christian philosophy of life. 3. To provide each student opportunities to develop an understanding of and appreciation for the arts, as well as contributing to them. 4. To offer opportunities for each student to participate in wholesome forms of recreation and social activities. Vocational goals 1. To provide each student opportunities for developing the learning skills necessary for success in higher education and the life work to which God calls him. 2. To offer each student an instructional program that is permeated by God's Word and which meets his academic needs. 3. To motivate each student to master the fundamentals of education: comprehension, critical thinking, and communication. 4. To teach each student a comprehensive Biblical worldview, including work, rest, finance, and citizenship. 5. To encourage each student to seek and follow God’s will for his life’s work in the marketplace or church.