SchoolCues

Round Grove Christian Academy

Admission Inquiry

Student Details

Student Information

First Name^*

Last Name^*

Date of Birth (or due date)^*

Gender^*

School Year Applying for^*

Current Grade / Program Enrolled In

Current School Enrolled In

Grade / Program Applying to ^*

Parent/Guardian Information

Title^*

First Name^*

Last Name^*

Relationship to Applicant^*

Email^*

Phone^* (Primary Contact Number)

Phone Type^* (Primary Contact Type)

Address

Address Line 1^*

Address Line 2

City^*

State^*

Zip^*

Country^*

Sibling Information

Do you have a sibling who is currently attending or had attended our school in the past?

Currently attending

Attended in the past

First Sibling Name

First Sibling Year Attended

Second Sibling Name

Second Sibling Year Attended

Questionnaire

References

Please provide three references who are not related to the family. At least one reference should be an academic reference.

Reference #1: First and Last Name *

Reference #1: Relationship to Student (family friend, teacher, etc.) *

Reference #1: Phone Number *

Reference #2: First and Last Name *

Reference #2: Relationship to Student (family friend, teacher, etc.) *

Reference #2: Phone Number *

Reference #3: First and Last Name *

Reference #3: Relationship to Student (family friend, teacher, etc.) *

Reference #3: Phone Number *

Tour Schedule

SCHEDULE AN APPOINTMENT

Tour Name

Comments/Questions

How did you hear about us?

Please specify

4174522324

877 Highway UU, Miller, MO 65707