Faith Christian Academy2555 W. Valencia RoadTucson, AZ 85746520-883-4999

Admissions Procedure for Returning Students2011 - 2012

Faith Christian Academy

This packet contains your school application forms. The forms must be complete and submitted to the school office. We are not able to guarantee space until your student has been officially accepted. Your portion of the application packet must be complete before it will be accepted by the school office.

A Complete Application Includes:

Returning Student APPLICANTS 6th - 10th

Please read and sign Statement of Faith Student Application Attach Student Photo Special Health / Learning Information Form Student Health History Form Medical and Student Health Information Form Emergency Information and Immunization Record Card (Yellow) Tuition Contract Application Fee - $80 per student (non-refundable) Medication Release Form (if necessary – see the school office)

SCHOLARSHIP INFORMATION is available in school office.Thank you for your continued interest in Faith Christian Academy

Updated March 2011

Faith Christian Academy

STATEMENT OF FAITH

Vision Statement

FCA is building ambassadors for Christ, to impact their community for the glory of God.

Mission Statement

FCA is a Covenantal School: We require that at least one parent or legal guardian of the student sign our Statement of Faith and adhere to the principles therein.

Faith Christian Academy will provide and maintain an independent, interdenominational, parent-supported, board-directed Christian school where:

1. Students strengthen their personal relationship with God by yielding their hearts, minds and spirit to His authority. (Deuteronomy 6:5)

2. Students trust Jesus Christ with the totality of their lives through a life of service and obedience. (Matthew22:37)

3. Students excel in academics. (Proverbs 8:10-11)

4. Families receive support in their God-given responsibility to bring up their children in the discipline and instruction of the Lord. (Ephesians 6:4)

Core Values:

Truth: Because God is a God of truth (John 14:6)

Righteousness and Justice: Because God is Holy (I Peter 1:14-16)

Sacrificial Relationships: Because God is love (Romans 5:8)

Obedience: Because God is Lord (Luke 6:46)

Beauty and Excellence: Because God is beautiful and does things well. (Psalm 50:2, Mark 7:37)

People: Because God created man in His image (Genesis 1:27)

Faith: Because without Faith in the Son of God, it is impossible to please God (Galatians 2:20, Hebrews 11:6)

Initial______

Updated March 2011

Statement of Faith

We believe the Bible to be the inspired (II Timothy 3:16), the only infallible, authoritative Word of God. God’s Word is truth (John 17:17). All learning must have an integrative relationship with God’s Word (John 15:4).

We believe there is one God, eternally existent in three persons: Father, Son and Holy Spirit (John 15:23-26). The Father, Son and Holy Spirit reveal God. Learning must avail itself to this revelation. God’s revelation must take precedence over man’s reason.

We believe in the deity of our Lord Jesus Christ (Colossians 2:9), in His virgin birth (Matthew 1:18-23, Luke 1:26-35), in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood (I Peter 2:24-25), in His bodily resurrection (Acts 1:9-11), in His ascension to the right hand of the Father, and in His personal return in power and glory (I Thessalonians 4:16-18). Jesus Christ is the reconciliatory between a Holy God and a sinful man. A relationship with Christ is imperative to a complete education (Col 2:2-3; Philippians 2:5-11).

We believe that for salvation of lost and sinful man regeneration by the Holy Spirit is absolutely essential (Romans 6:3-4; Titus 3:5; I Corinthians 12:13).

We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a holy life. The indwelt Holy Spirit teaches and guides a believer into learned truth. It is He who teaches what is good and what is evil so that it is possible for a Christian to live a holy life (John 16:7-11).

We believe in the resurrection of both the saved and the lost (Revelation 4-6; Revelation 20:11-15); they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation. Education must teach how to live life on earth, as well as teach and prepare students for resurrected life.

We believe in the spiritual unity of believers in our Lord Jesus Christ (John 17:20-23). Christians of various backgrounds and doctrinal persuasions must be taught to live in unity so that the world will observe the body of Christ in its fullness.

WE UNDERSTAND AND COMMIT OURSELVES TO FULFILLING THE FOLLOWING UPON ACCEPTANCE OF OUR CHILD AT FAITH CHRISTIAN ACADEMY.

1. We will strive to maintain a healthy home life with meaningful and regular church life.2. We understand our cooperation is expected in (a) submitting to school policies as stated in the parent/student

handbook, including the Statement of Faith and Philosophy of Education (see attached); (b) Faithful prayer; (c) timely tuition payments according to our tuition contract; (d) volunteered time; (e) Special gifts when possible; (f) support school policies.3. We understand that the school reserves the right to dismiss any student who does not (a) respect and observe spiritual and/or behavioral standards and (b) cooperate in our educational goals.4. We understand that any false or unreported information is grounds for immediate dismissal.

We certify that all of the information in this application is, to the best of our knowledge, complete and accurate and we are not withholding any information available to us that would be pertinent to the enrollment of this child at FCA. We understand that FCA Administration reserves the right to make changes to this document as needed. We have read the FCA Statement of Faith and are in agreement.

Applicant’s Signature______________________________________________ Date___________________

Father / Stepfather / Guardian Signature_______________________________ Date ___________________

Mother / Stepmother / Guardian Signature_______________________________ Date___________________

Updated March 2011

STUDENT APPLICATION: 2011–2012 School Year Faith Christian Academy2555 W. Valencia RoadTucson, Arizona 85746

DATE: _______________ Phone: (520) 883-4999

Applicants of all races, color, and national or ethnic origin are welcome to apply and are considered for admission without discrimination.

APPLICANT NAME _____________________________ PREFERS TO BE CALLED _______________

DATE OF BIRTH _____/_____/_______ SEX _________ APPLYING FOR GRADE 6 7 8 9 10

PARENT(S) OR GUARDIAN(S) RESPONSIBLE FOR APPLICANT: (NOTE: MUST BE PRIMARY CONTACT(S) AND FINANCIALLY RESPONSIBLE FOR THE APPLICANT’S FEES AND TUITION IF ACCEPTED)

YOUR RELATIONSHIP TO APPLICANT: (check all that apply)___ LIVE WITH APPLICANT ___FATHER ___MOTHER ___STEPFATHER ___STEPMOTHER ___LEGAL GUARDIAN ___CUSTODIAL PARENT

Name: ____________________________________ Email: ____________________________________Address: __________________________________ City, State & Zip: __________________________Employer: _________________________________ Home Phone: ______________________________Occupation: ________________________________ Work Phone: ______________________________

YOUR RELATIONSHIP TO APPLICANT: (check all that apply)___ LIVE WITH APPLICANT ___ FATHER ___ MOTHER ___ STEPFATHER ___ STEPMOTHER ___ LEGAL GUARDIAN ___ CUSTODIAL PARENT

Name: ____________________________________ Email: ____________________________________Address: __________________________________ City, State, Zip: ____________________________Employer: _________________________________ Home Phone: ______________________________Occupation: ________________________________ Work Phone: ______________________________

CHECK ANY THAT APPLY: Applicant’s

Parents are separated ____ Parents are divorced ____ Father is deceased____ Mother is deceased____

PLEASE LIST SIBLINGS LIVING AT HOME, WITH AGES AND CURRENT SCHOOL:______________________________/__________/______________________________________________________________________________/__________/______________________________________________________________________________/__________/________________________________________________

STUDENT: Where do you attend church? _____________________________ How often? ______________

Who do you attend church with? ___ Parents ___ Friends ___ Siblings ___ Grandparents ___ Other

What church activities are you involved in? ___ Bible Study ___ Sunday school ___Youth Group

___ Missions Trips ___ VBS helper ___ Local outreach activities Other: _________________

Initial______

Updated March 2011

SPECIAL HEALTH/LEARNING Faith Christian Academy

APPLICANT NAME: _____________________________________ APPLYING FOR GRADE: 6 7 8 9 10

Does applicant have any physical disabilities or special health conditions? __________If yes, please explain: ________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________

Does applicant regularly require any medication? __________If yes, please list medications and explain: _______________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________

Has applicant received counseling for emotional issues within the past three years? __________If yes, please explain and have the applicant’s therapist/counselor provide FCA with a letter describing the nature of the difficulty and a current assessment of the applicant’s ability to deal with the rigors and structure of middle/ high school life at Faith Christian Academy. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Has applicant required any modification to instruction, special learning assistance or tutoring within the past three years? __________If yes, please explain: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Has a professional evaluation ever been recommended for applicant for any learning, attention or emotional issues? __________ Has applicant ever been evaluated by any professional for any learning, attention or emotional issues? __________If yes, please explain and have the professional who provided any evaluation provide FCA with a letter describing the nature of the difficulty and a current assessment. __________________________________________________________________________________________________________________________________________________________________________________________________________________________

We understand that any false or unreported information is grounds for immediate dismissal from FCA.

__________________________________________________ ____________________Parent Signature Date

Updated March 2011

STUDENT HEALTH HISTORY FORM Faith Christian AcademyThis form is required for all new students, prior to the start of the school year.

STUDENT NAME _____________________________ SEX __________ DOB __________ GRADE _____

Parent/Guardian Name ______________________________ Phone __________ Today’s Date __________

1. Have you ever been medically advised not to participate in any sport? YES____ NO____

If yes, explain: _____________________________________________________________________________

2. Are you presently under a physician’s care for any reason? YES____ Name:__________________ NO____

If yes, explain: _____________________________________________________________________________

3. Have you had any INJURY or SURGERY in the last 12 months which resulted in loss of time from practice,

game or school? YES____ NO____ If YES, explain and include date, location (i.e. left knee), diagnosis and

physician._________________________________________________________________________________

4. Are you taking any medications/inhalers? YES____ NO____ If yes, what medications and for what

condition(s)? ______________________________________________________________________________

5. Are you allergic to any medications/foods/etc.? YES____ NO____ If yes, explain:

__________________________________________________________________________________________

6. Do you have a history of a family member having sudden cardiac death? YES____ NO____

If yes, explain:_____________________________________________________________________________

7. Do you have any problems that bother you only when you participate in athletics? YES____ NO____

If yes, explain:____________________________________________________________________________

8. Do you wear glasses/contact lenses? YES____NO____ Do you wear them when participating in sports?

YES_____ NO____

9. Do you have a hearing loss? YES ____ NO____ If yes, please explain: ___________________________

_________________________________________________________________________________________

________________________________________________ ____________________Parent/Guardian Signature Date

Updated March 2011

MEDICAL AND STUDENT HEALTH INFORMATION Faith Christian Academy

Immunizations: FCA must comply with Arizona state law regarding immunizations for school children. See Emergency Information and Immunization Record Card.

Communicable Diseases: FCA and the Pima County Health Department (AZ Admin. Code R9-6-203) require that certain communicable diseases are tracked and reported. Please report the following to the school office.

Campylobacteriosis Escherichia coli Influenza** ShigellosisChicken Pox Haemophilus influenza Measles/Mumps/Rubella1 ShinglesConjunctivitis (Pink Eye) Head Lice Meningitis Strep InfectionCryptosporidiosis Hepatitis A Salmonellosis Whooping CoughDiarrhea, Nausea, Vomiting Impetigo Scabies

**Please inform the school office if your student is ill with a temperature > 100 degrees Fahrenheit and at least one of the following: cough, sore throat, nasal congestion, and/or runny nose.

MedicationsIf it is necessary for a student to take ANY medication during school hours, Arizona Law requires parents to take the medicine to the office and complete a “Medication Request Form” (available through the school office) explaining the dosage and frequency of administration. All medications must be in their original containers; prescription medications must have the pharmacy label. No medication can be administered without written permission and instruction from a parent. Students are NOT allowed to have ANY medications in their possession during school hours.

Illness or InjuryIf a student becomes too ill to attend class or is injured, a parent will be notified. Because FCA does not have health care professionals on staff, only basic first aid will be given. It is most important that the school be notified of any change of address or phone number, including unlisted numbers, so that contact can be made immediately in case of an emergency. DO NOT send sick children to school. DO NOT send a child to school for diagnosis of an illness. Students who have been ill with a fever may NOT return to school until their temperature has remained normal for 24 hours (unless directed otherwise by a doctor) without the use of fever reducing medications.

Serious/Chronic ConditionsFCA is willing to accept students with serious illnesses or chronic conditions (such as asthma, allergies, diabetes, attention disorders, heart disorders, leukemia, etc.) provided that:1. The condition has been brought to the attention of the administrator upon submitting an application for

admission or upon diagnosis once the student is enrolled.2. FCA is able to meet the physical and/or educational needs of the student within the established program of

the school.3. The child is under the care of a physician.4. The parents are willing to remain in close communication with the school regarding needs and changes in

the student’s condition.5. The parents work with the administration in creating a “care plan” for the student and those involved with

the child in caring for his/her special needs. 6. I have read and agree to these policies.

___________________________ ____________________________ ________________Print Name of Parent/Guardian Signature Date

Updated March 2011

FCA 2011-2012 Tuition ContractGrade Entering ______

Student’s Full Name _________________________________ Birth date _____/_____/______

Student’s Home Address______________________________ Zip ____________Home Phone________________

Father’s Full Name____________________________________ Business Phone _______________________

Father’s Address ___________________________________ Zip _____________ Cell Phone_________________

Father’s Email Address _______________________________________________

Mother’s Full Name ___________________________________ Business Phone___________________________

Mother’s Address _____________________________________ Zip ____________ Cell Phone_______________

Mother’s Email Address _______________________________________

Name of financially responsible person if other than parent: Financially responsible person’s address: __________________________________________________________

Financially responsible person’s phone number: _____________________________________________________

Student Enrollment: By signing this contract, I/we request that the school reserve a place for the above-named student for the entire school year beginning August 16, 2011 and ending May 19, 2012, or for the remainder of the school year if the student enrolls during the current school year.

Nonrefundable $80 Registration Fee - Date Paid _____ Ck# _____ CC ___ Cash ___ Staff Initials _______ (Parent Initials) ____ (Parent Initials) (ABOVE TO BE COMPLETED BY SCHOOL OFFICE)

Tuition Monthly Payment- Annual tuition is $3,500.00. The monthly tuition is $350 based on a ten month payment plan. I/we agree to pay the $350.00 monthly tuition payment due and payable on the first of every month for the entire school year (August through May). A $25.00 late fee will be assessed to my/our account at the close of business on the 10th (tenth) day of the month if my/our account balance is not paid in full. An additional $25.00 late fee will be assessed to my/our account on the 20th (twentieth) day of the month if my/our account balance is not paid in full. _____ Initials _____ Initials

Discount PoliciesMulti-Child Discount - A $15 discount per month, per family will apply for 2 enrolled students. A $25 discount per month, per family will apply for 3 enrolled students. Annual Tuition Paid In Full Discount - A 2% discount will be given when an annual tuition is paid in full by August 16, 2011. The 2% discount will apply to the full annual tuition BEFORE the family discount is applied. In the event a student is withdrawn, a refund will be calculated based on the withdrawal policy as outlined below.

Exclusion of Student for Unpaid or Delinquent Account – The school may exclude a student from class on the first day of the new month if any tuition and late fees remain unpaid. Academic records will be withheld pending payment in full. _____ Initials _____ Initials

Re-Enrollment - My/our account (including all late fees) must be paid in full and a re-registration fee of $50.00 will be required before student can return to the school.

Withdrawal Policy – I/we understand this contract is for the entire 2011-2012 school year. I/we understand the following withdrawal policy: If a student needs to be withdrawn from Faith Christian Academy before or during the school year, a formal withdrawal form must be completed in the school office. Failing to attend class does not constitute withdrawal, nor does it end financial responsibility. If a student is withdrawn before the end of August 2011, I/we understand that I/we are still responsible for the entire month of August tuition of $350. ____ Initials _____ Initials

Updated March 2011

If your child is withdrawn during: Amount due is:1st quarter ending 10/15/11 25% of annual tuition less tuition already paid2nd quarter ending 12/17/11 50% of annual tuition less tuition already paid3rd quarter ending 3/18/12 75% of annual tuition less tuition already paid4th quarter ending 5/20/12 100% of annual tuition less tuition already paid

Rules & Regulations – I/we agree to accept and comply with the school’s rules and regulations as adopted by the School Board and administration as explained in the parent/student handbook. These include rules of conduct and rules for academic requirements to be met by the student.

Permission for students to participate in activities- I/we agree that the above-named student may leave the school premises under the supervision of a teacher for neighborhood walks or field trips in an authorized vehicle. I/we understand that I/we will be notified of all trips in advance, and that an additional field trip permission form, giving all details of the trip will be posted or sent to me/us prior to my/our child leaving the school campus. I/we agree to give advanced written notice if I/we wish to restrict any of the above named student’s activities at any time.

Permission For Medical Care- I/we agree that the School Administrator or representative has my/our permission to take steps deemed necessary to obtain emergency medical care when warranted. These steps may include, but are not limited to the following:

Call 911Attempt to contact a parent or guardianAttempt to contact the child’s physicianAttempt to contact a parent through any of the persons listed on the emergency information form

completed by the parentIf the administrator cannot contact me/us or my/our child’s physician, she will do one of the

following: a) call another physician, b) call an ambulance or c) take the child to the emergency room or the hospital indicated on my/our health form.

Permission For Testing – I/we agree to allow the above-named student to participate in any criterion-referenced testing. I/we understand that a copy of the results of all testing will be given to me/us as part of the evaluation process.

Cancellation and Waiver- With the recommendation of the School Administrator and with the approval of the School Board, the school reserves the right to immediately cancel this contract in the event that:

The above-named student poses a threat to the safety of any student or faculty memberThe above-named student or family expresses or displays noncompliance with the parent/student

Handbook (see Rules & Regulations as outlined above.)

Signature- When the child resides with both parents who are financially responsible, the school requires that BOTH PARENTS (OR GUARDIANS) MUST SIGN this contract. If the child resides with one parent (or guardian), the school requires that the financially responsible person AND the custodial parent (or guardian) must sign, if not the same person.

Parent Handbook – I/we agree to follow all policies and procedures as outlined in the 2011-2012 Faith Christian Academy handbook.

Effective date of contract- This contract will become effective with my/our signature(s) and payment of the registration fee.

_____________________________________/__/___ ________________________________/__/____Signature of Person Financially Responsible Date Signature of Parent Date

_________________________________________________________ Date: ___/___/___

Updated March 2011

Signature of School Director

Updated March 2011