Secondary Student Application Form

To be completed by all prospective students seeking admission in grades 7-12. This application is to be completed without the assistance from a parent or guardian.
Name*
First Last
Middle Name*
Preferred First Name / Nickname*
Name of Present School Attending
Church
Youth Pastor's Name
First Last
Youth Pastor's Phone Number
What grade are you applying admission for?*
Please enter a number from 7 to 12.
List your friends who are or have been students at Westlake Christian Academy
Name Grade
Describe yourself in 100 words or less*
Why would you like to attend Westlake Christian Academy?*
How would you expect this school to be different from the one you currently attend?*
Describe your involvement in church or other Christian organizations*
How would one become a Christian?
Are you a Christian?*
- Yes
- Uncertain
- No
- Not ready yet
Please explain
Describe any problems you have had in your last school(s)

Name	Grade