SchoolCues

Rochester Classical Academy

Admission Inquiry

Student Details

Dear Parent, Thank you for your interest in Rochester Classical Academy (RCA). Parents seeking admission for their child(ren) must fill out the form below as part of our admissions process. Please view the Admission section of our website for all of the required steps. Please feel free to email us at admissions@rochesterclassicalacademy.org if you have questions. Sincerely, The RCA Team

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^*

Questionnaire

Households

Student primary residence address *

Public school district *

Name and ages of other siblings (including non-RCA students): *

Parent/Guardian 1 full name *

Relationship to student *

Marital status *

Birth date (of Parent/Guardian 1) *

Home address (or "Same as student") *

Home/Cell phone *

Home email address *

Place of employment *

Position title

Employer address *

Work phone

Emergency contact for student (Y/N) *

Receives correspondence (Y/N) *

Parent/Guardian 2 full name

Relationship to student

Marital status

Birth date (of adult)

Home address (or "Same as student")

Home/Cell phone

Home email address

Place of employment

Position title

Work phone

Emergency contact (Y/N)

Receives correspondence (Y/N)

Entrance standards

The following section refers to RCA's entrance standards (https://www.rochesterclassicalacademy.org/entrance-standards/) and New York State's Immunization Requirements for School Entrance (https://www.health.ny.gov/publications/2370)

Please acknowledge that you have read our entrance standards located at the link above. (Y/N) *

Will the student be completely bathroom independent by the first day of school? *

Is the child(ren) for whom you are applying for admission to RCA up to date on vaccinations referenced at the link above? (Y/N) *

Financial Responsibility and Financial Aid

The following section refers to the person(s) financially responsible for the student applying for admission.

Is Parent/Guardian 1 above financially responsible for the student? (Y/N) *

Is Parent/Guardian 2 above financially responsible for the student? (Y/N)

Is there another person taking financial responsibility for the student? If so, please provide his/her name.

Families seeking financial aid must apply before their interview. RCA cannot interview or extend an invitation to join without all the financial information necessary. Do you understand? (Y/N) *

Do you plan on applying for financial aid? (Y/N) *

Theology/Christian Conviction

As a Christian institution, Rochester Classical Academy is an institution that partners with Christian parents for the purpose of helping them raise their children unto the Lord. RCA expects all households to be regular attendees in good standing at a local Bible believing church. RCA also recognizes that some families may be in transition at time of application.

How do you think parents participate in the education of their children? *

What was your knowledge of classical Christian education prior to encountering RCA? *

Do both parents/guardians support the choice for Christian education? *

Please explain:

Is there anything in the RCA Statement of Faith that is inconsistent with your own beliefs or theological convictions? *

Please explain:

Why do you want your child(ren) to attend Rochester Classical Academy? *

Please indicate below your current or most recent home church (please see statement at the top of this section regarding RCA's expectations regarding church attendance and standing). *

How recently have you attended regularly? (please input date or write "current") *

Are/were you members? (this question assumes a membership status which we recognize not all churches have) *

Denomination, network, affiliation. Please write "independent" if the church has no external affiliations. *

Pastor name *

Church mailing address *

Church phone *

Church/pastor email address *

Special Academic Circumstances

Has the student ever been referred for academic testing or been placed in a special program for either extra support or enrichment? (Y/N) *

Please explain.

Has the student received special honors or awards for scholastic achievement? (Y/N) *

Has the student received any other special help or tutoring? (Y/N) *

Has the student repeated a grade for any reason? (Y/N) *

Has the student been suspended or expelled by a previous school? (Y/N) *

Has the student seen a counselor/doctor/psychiatrist for any type of social, behavioral or mental concerns? (Y/N) *

Has the student been examined or treated by a counselor/doctor/psychiatrist for Hyperactivity or Attention Deficit Disorder (ADHD or ADD)? (Y/N) *

Do you suspect or have you been told that your child might have dyslexia, dysgraphia, or both? (Y/N) *

Current RCA Families

Do you know other families that attend Rochester Classical Academy? (Y/N) *

Please list the family names.

How did you hear about us?

Please specify

5853407470

info@rochesterclassicalacademy.org