Family Admission Application Step 1 of 5 20% Thank you for investigating the possibility of a quality Christian education at Westlake Christian Academy. We welcome your interest in enrolling your children because we believe that the process of education is a partnership between the Christian home and the school. Our Mission is what makes us unique: Our Vision Every student a disciple of Jesus Christ. If you are looking for a school that will reinforce the Christian, Biblical values you teach at home, Westlake Christian Academy is the place for you! Family Profile You and your child may feel most comfortable at Westlake Christian Academy if you: Understand and are committed to Christian education for your children. Are in agreement with the Westlake Christian Academy Statement of Faith (see back page of packet), and seek to live a life that is consistent with that profession. Will support the school’s mission, policies, procedures, standards, and Parent-School Agreement of Westlake Christian Academy. Regularly attend a Bible-believing church whose statement of faith is not inconsistent with Westlake’s Statement of Faith. Decisions have been made trusting Jesus Christ as personal Savior. Can obtain favorable references as indicated within this packet. All students seeking admission are in good standing at their previous school. Secondary students must express a genuine desire to attend Westlake Christian Academy. Packet Contents Admission to Westlake Christian Academy is based on the Admissions Policies and Procedures stated on the inside cover of this packet. It is important that the contents of this packet be read carefully and completely. Admissions Policies and Procedures Application For Admission Statement of Faith Tuition & Fee Schedule Pastoral Recommendation Principal/Teacher Recommendation Records Request Form Student Application (Grades 7-12 only) Student Commitment (Grades 7-12 only) Admission Policies And Procedures The Board of Trustees has established the following guidelines for admission to Westlake Christian Academy: The Administration is given the authority to admit qualified students to WCA. The processing of applications cannot be started without the receipt of all required application forms and fees. One or both parents must subscribe to the policies, procedures, philosophy, standards, and statement of faith of Westlake Christian Academy as outlined in admissions materials and the parent/student handbook. Normally, a student will not be admitted who: Has educational, physical, or emotional needs beyond our ability to meet those needs. Has failed the most recent grade level or semester prior to application. Has not been in good standing at their current school(s) for at least the prior semester. Has a recent history of emotional or disciplinary problems. Has been suspended or expelled within the last year. Has a court record. Comes from a non-Christian home—a Christian home being defined as: a home where one or both parents have received Jesus Christ as their personal Lord and Savior (1 Cor. 7:14). Lives a life that is inconsistent with the faithful and historical teachings of God’s Word. Children applying for the two-day Pre-School program must be 3 years of age by September 1; and 4 years of age by September 1 for the three-day Pre-K program. Children applying for admission to Kindergarten must be 5 years of age on or before September 1. Any child applying for First grade must be 6 years of age on or before September 1. Westlake Christian Academy admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. We do not discriminate on the basis of race, color, national or ethnic origin in administration of educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs. Westlake Christian Academy admits students only on the condition that both they and their custodial parent(s) maintain a lifestyle based on faithful biblical standards of moral conduct related to human sexuality. In this instance, moral misconduct includes, but is not limited to, promiscuity, homosexual behavior, or any other violation of the unique God-given roles of male and female (Rom. 1:21-27; 1 Cor. 6:9-20). Westlake Christian Academy believes that biblical marriage is limited to a covenant relationship between one man and one woman. Application For Admission A non-refundable $25 Application Fee must accompany this completed application. All forms related to the Admissions Packet must be submitted before this application will be considered. Current Grade*Applying For Grade*Date to Begin* (Pre-School Only, Age 3 by September 1) 2 Day Morning T / TH (Pre-Kindergaten Only, Age 4 by September 1) 3 Day Morning M / W / F 5 Day Morning M - F Student Name* First Last Middle Name*Nickname (If Applicable)Student's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Date of Birth* Age*Gender*MaleFemaleWith whom does the student live?*Relationship to the student?* Parent/Guardian InformationFather's InformationFather's Name First Last Does the Father Work? Yes No OccupationWork PlaceEmail Work PhoneCell PhoneMothers's InformationMother's Name First Last Does the mother work? Yes No OccupationWork PlaceEmail Work PhoneCell PhoneHow did you become interested in WCA?Family / FriendPastorInternetAdvertisementSignWhy do you wish to send your child to Westlake Christian Academy?*Describe your child's interests, talents, and abilities*Are there areas (academic, social spiritual) where you feel that your child may need special assistance in adjusting to his/her new school situation?*Last school attendedSchool Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code School PhoneHas the student ever been retained in a grade?* Yes No What grade?*Does the student receive special student services, have an IEP (Individualized Education Plan) or 504 plan?* No Yes, IEP Yes, 504 Does the student regularly require medication?* Yes No What medication?*Has the student ever been suspended?* Yes No Please explain with details* Parent Statements Parents/Guardian: Please make a full statement describing your personal faith in Jesus Christ for your salvation.FatherMotherWhat is the martial status in your home?* Married Divorced Single Parent Unmarried couple living together Who has custody for decision making? Joint Father Mother Other If your child is not living with both parents, please explain the custodial arrangements and send the office a copy of the most recent appropriate legal documents which clarify these arrangements.If applicable: according to the most recent court order, who is allowed to make contact with your child at school and/or pick up at school?If there are other children in your family, please complete the following:NameGradeSchool ReferencesPlease list the names and phone numbers of two families (preferably one WCA family) who knows you well. Do not list relatives.Contact 1 First Last Contact 1 PhoneContact 2 Name First Last Contact 2 PhoneSpiritual BackgroundName of church your family/student attendsAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Years AttendingPastor First Last Youth Pastor First Last What is the frequency of your family's attendance? Weekly Frequently Infrequently PLEASE RESPOND TO THE FOLLOWING QUESTION FOR EACH INDIVIDUAL BELOW: Has there been a time in your life when you have realized your spiritual need of Jesus Christ and accepted Him as your personal Savior? Child:* Yes No Uncertain Not Ready Yet Father Yes No Uncertain Not Ready Yet Mother Yes No Uncertain Not Ready Yet Parent - School Agreement1. I realize that Westlake Christian Academy cannot take the place of regular spiritual instruction in the home and my child's regular attendance and participation at church, and I further understand that my regular attendance and involvement in a sound gospel-preaching church is necessary for my child's continued enrollment in this school. 2. I agree to uphold and support the academic standard of the school by encouraging my child to study and complete all homework and assignments. 3. I understand the tuition arrangements and agree to make payments according to that schedule. 4. I understand that the school may not transfer transcripts and other records, except as required by law, until all financial obligations have been met. 5. I agree to resolve any issues or concerns related to the school, its policies, procedures, or interactions with any member of the school community (teacher, administration, student or parent) by following the biblical principles found in Matthew 18:15-20. I will first discuss my concerns privately, prayerfully and in the love of Christ with the other person involved. I will in no case discuss or complain to another person regarding my concerns. 6. I understand that I am to learn, uphold, and support the standards, policies, procedures, rules and regulations pertaining to student life and parental responsibilities for my child at WCA. This includes, but is not limited to, my child not dishonoring the Trinity and the Word of God, and/or disrespect to classmates or personnel of the school. It also includes totally abstaining from the use of illegal drugs, alcohol, tobacco, and to refrain from immoral and illegal behavior (including profanity, obscene gestures, sexual activity, gambling, weapon possession, criminal activity, etc.) as long as my child is enrolled at WCA whether at school or off campus, whether during the school year or summer. (i.e. 24/7/365) I/we authorize the school to employ such discipline as it deems wise and expedient for the training of my child. (Proverbs 22:6, Ephesians 6: 1-2, Hebrews 12:6) 7. I understand that assessments will be made to my account to cover damage to school property caused by my child (Including breakage of property, abuse of books, etc.). 8. I understand that the school reserves the right to dismiss any child who fails to comply with the established regulations and discipline or if financial obligations remain unpaid. 9. I agree not to use the school telephone and address directory for the purpose of advertising, personal gain, or to spread influence. 10. I am in personal agreement with Westlake Christian Academy’s Statement of Faith. 11. I am in support of the school’s mission, as well as policies and procedures, including those in the Westlake Christian Academy’s School Parent-Student Handbook. 12. I am willing for our child to receive Biblical training. 13. I relieve the school board and any WCA employees from liability in connection with the school activities and instructions. 14. I give permission for my child to take part in all school activities, including sports and school-sponsored trips away from the school premises (except as specifically communicated in written form and attached to this application). Further, in the event my child becomes ill or is injured while under school supervision, I approve the school authorities to will: A. Contact a parent of the student and follow his/her instructions. B. In the event neither parent can be reached, contact the student's physician and follow his/her instructions (input fields below). C. If the student's physician cannot be reached, the school authorities will use their own discretion in contacting a properly licensed practicing physician and follow his/her instructions. Physician's Name* First Last Physician's Phone Number*Statement of Faith We believe the Bible to be the inspired and only infallible, authoritative written Word of God. (II Timothy 3:16-17) We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. (Matthew 28:18, II Corinthians 13:14) We believe that the universe originated by the creative act of God as revealed in Holy Scripture, and that the form of every kind of life was fixed at the time of its creation. (Genesis 1:1, John 1:1) We believe in the true deity and true humanity of our Lord Jesus Christ, His pre-existence, His virgin birth, His sinless life, His miracles, His vicarious and atoning death through His shed blood, His bodily resurrection, His ascension to the right hand of the Father, and His future visible return in power and glory. (Colossians 1:13-22, John 1:14) We believe that the Lord Jesus Christ is the only mediator between God and man. (I Timothy 2:5) We believe that all men are lost and sinful, and that salvation is received through personal faith in the Lord Jesus Christ and by the act of regeneration of life by the Holy Spirit of God. (Romans 3:23-26, Titus 3:5) We believe that by the present indwelling ministry of the Holy Spirit, the Christian is enabled to live a Godly life, and that every believer should practice the holiness which God requires. (Ephesians 1:13-14, Romans 8:1-4) We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life, and they that are lost unto the resurrection of damnation. (John 5:24-25, 28-29) We believe in the spiritual unity of believers in our Lord Jesus Christ. (John 17:20-23, 1 Corinthians 12:12-13) We believe that support of and participation in the task of fulfilling the great commission is an obligation of all believers in our Lord Jesus Christ. (Matthew 28:19-20) We recognize that there are other doctrines held by various Christian believers, which they believe to be consistent with the above. However, such teachings shall not be incorporated as approved by this school.Parental CommitmentsARE YOU: 1) In personal agreement with Westlake Christian Academy’s Statement of Faith? 2) In support of the school’s mission (see page1), as well as policies and procedures outlined in the Westlake Christian Academy’s School Parent-School Agreement? (see above) 3) Willing for your child to receive Biblical training? 4) Agree to relieve the school board and any WCA employees from liability in connection with the above listed activities and instructions. Are you in agreement with the statements above?*YesNoFather/Guardian SignatureMother/Guardian SignatureWestlake Christian Academy does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admissions policies, tuition assistance, athletic policies, personnel policies, or other school administered programs.Professional Membership Westlake Christian Academy is member school of the Association of Christian Schools International (ACSI) with headquarters in Colorado Springs, Colorado. It is the largest association of Christian schools in the world and also serves as an aid in legal and legislative matters and the educational ministry of Christian schools. Our school benefits from the special bulletins and periodicals which are issued by the association. Our faculty takes part in the professional growth conferences which are conducted annually. Our students benefit from the association by having the opportunity to participate on a broader basis with students from other Christian schools in speech, academic, math, music, and athletic meets. ACSI provides certification for teachers based on their qualifications in their academic area, Biblical studies, and the Christian philosophy of education. Full-time teachers are required to be certified by ACSI. We believe that requiring teacher certification and appropriate professional credentials is another area of excellence for which we can strive in doing our best for the Lord. Furthermore, Westlake Christian Academy is recognized by the Illinois State Board of Education. This recognition affords the school opportunities to excel in several areas without jeopardizing our autonomy as an independent Christian school. Such benefits include but are not limited to increased recognition within the local community and throughout the state, and enhanced scholarship opportunities. OUR SCHOOL IS A MEMBER OF THE ASSOCIATION OF CHRISTIAN SCHOOLS INTERNATIONAL AND RECOGNIZED THE BY THE ILLINOIS STATE BOARD OF EDUCATION.