Title__________________________________________. Preferred Email_________________________________________________ Phone
INTERNATIONAL
Return Application & Fee ($35) to: 413 East Tabor Rd. Philadelphia, PA 19120 U.S.A Email:
[email protected] Fax: 215.455.7198
CHRISTIAN HIGH SCHOOL
APPLICATION FORM Local Student International Student
School District _____________________
Student’s Full Legal Name _________________________________________________________________________________________ Last
Birth Date __________________________ Month
Day
Family Information:
Year
First
Age _________
Student lives with: (check all that apply)
Middle
Male
Preferred Name
Female
Both Parents
Father
Grade Entering ________________
Mother
Guardian
Father / Guardian Full Name ______________________________________ Father’s Preferred Name__________________________ Home Address _________________________________________________ Guardian Relationship ___________________________ City/State/Zip __________________________________________________ Employer ______________________________________ Phone (Home) _________________ (Cell) ___________________________ Title__________________________________________ Preferred Email_________________________________________________ Phone (Business) _______________________________ Mother / Guardian Full Name ______________________________________ Mother’s Preferred Name _________________________ Home Address _________________________________________________ Guardian Relationship____________________________ City/State/Zip __________________________________________________ Employer_______________________________________ Phone (Home) ____________________ (Cell) ________________________ Title __________________________________________ Preferred Email_________________________________________________ Phone (Business) _______________________________
Family Members who currently attend or have attended ICHS Name ______________________________________ Grade__________ Year(s) _____________
Previous School Information: Name __________________________________________________ Address ________________________________________________
Last grade completed ___________________ (Include the most recent transcript)
Phone No. ______________________________________________ Fax No. ________________________________________________
Any grade repeated? Yes No If Yes, which one? ______________________
Has the student ever been diagnosed with a learning disability? Yes No If yes, by whom? _____________________________ Date of Testing _____________________________________ (Please submit the most recent tests and reports) Religious Preference _____________________________________ Church Name ____________________________________________ Pastor’s Name _______________________________________ Address _________________________________________________ Phone _____________________________________________ Attendance
Weekly
Once a month
413 East Tabor Rd. Philadelphia, PA 19120 Fax 215.455.7198, Phone: 267.900.2000, Email:
[email protected]
“The Fear of the LORD is the beginning of Wisdom” - Psalm 111:10
Reasons for seeking enrollment at ICHS (Please check all that apply) Dissatisfied with public / charter academic standards Worry about safety in school Worry about drugs in school Worry about negative peer pressure Desire moral instruction
Desire Bible instruction Interest in small, caring, family atmosphere Interest in International diversity Desire for Master level teachers Interest in Dual Enrollment / College Credits Interested in afterschool activities Interested in international mission trips Other _________________________________________
College Interests: (Briefly describe / name the university or college that you are interested in attending and reasons)
Career Interests: (Briefly describe what interests of study after high school you are interested in as well as possible career interests.)
I give permission for my child’s photo or video clip to be reprinted and/or used in school or related organization’s materials, brochures, news releases, newsletters, and classroom or school websites. Yes No ICHS, Parent, & Student Agreement: International Christian High School stands firmly upon the historical truth claims and moral foundations of Christianity. This includes, but is not limited to, the biblical definition of marriage, the attendant boundaries of sexuality and moral conduct, and the clear biblical teaching that gender is both sacred and established by God’s design. Parents or the legal guardians, who choose to enroll their children at ICHS, are agreeing to support these and other basic biblical values derived from historical Christianity and the relevant Christian positions embraced by the Scriptures, under whose authority ICHS rests. Parents understand and agree that International Christian High School will teach these principles and biblical values. In addition, the Board of Directors urges parents to recognize their scriptural responsibility (Deuteronomy 6:1–9, Psalm 78:5, 6, Proverbs 22:6) to provide their children with a Christian education and to understand that the primary responsibility for this task rests with the parents (Ephesians 6:4). International Christian High School was founded and continues to operate upon biblical values and the desire and commitment for Bible-believing Christian parents to enroll their children in an intentionally Christian environment. International Christian High School will consider admission for students from any family who, despite their religious background or beliefs, is willing to support ICHS’s philosophy of Christian education, student conduct requirements, and the school’s above-stated positions and who is willing to allow their children to be educated and influenced in an intentionally Christian environment. Continued enrollment at ICHS is contingent upon this same understanding and support.
Parent / Guardian Signatures Print __________________________________ Signature ___________________________________________ Date ____________ Print __________________________________ Signature ___________________________________________ Date ____________ Student Signature Print __________________________________ Signature ___________________________________________ Date ____________ 413 East Tabor Rd. Philadelphia, PA 19120 Fax 215.455.7198, Phone: 267.900.2000, Email:
[email protected]
“The Fear of the LORD is the beginning of Wisdom” - Psalm 111:10
