APPLICATION FOR ENROLLEMENT

PERSONAL INFORMATION

“Excellence in Education for Now & Eternity”

Student’s Name:

First

Middle

Last

Age :

Date of bith :

Home Address

Home Phone #:

P. O. Box #

House #

Street Address

Nationality

Last School Attended:

Was withdrawal from previous school due to suspension or expulsion?

Does the student have a history of physical or emotional conditions or learning disabilities that have required professional attention or which might require special attention at Teleos? If yes, give details

Church Membership (if any):

Does the student have a social media account such as Facebook, Instagram, Twitter etc.? If yes, please specify.

SIBLING INFORMATION

Siblings Attending Teleos Christian Schools:

Name :

PARENT/ GUARDIAN INFORMATION

Other

Who is responsible for school fees?

Father/Guardian

Name:

Place of Employment:

Cell Phone #

E-mail

Work Phone #:

If different from student:

Home Phone #:

Sélectionnez une adresse

Mother/Guardian

Name:

Place of Employment:

Work Phone #:

Cell Phone #

E-mail

If different from student:

Home Phone #:

Home Address

EMERGENCY CONTACT (other than parents)

Name :

Phone #:

Relationship:

MEDICAL INFORMATION

Does student have any health problems? If yes, give details

SUBMISSION OF DOCUMENTS

The following documents are required for enrollment:
1. A copy of student’s birth certificate or passport.
2. A copy of student’s immunization records.
3. A signed parent agreement form

Parent/ Guardian Signature

Date

FOR OFFICIAL USE ONLY

Date of Diagnostic Test:

Date of Enrollment:

Book Level:

# of Gaps:

Check if on file:

Birth certificate or passport

Immunization records

Parent Agreement Form

Office Staff Signature

Thank you for your submission

welcome to
TELEOS CHRISTIAN SCHOOLS

"Excellence in Education for Now and Eternity!"

APPLICATION FOR ENROLLEMENT

“Excellence in Education for Now & Eternity”

First

Middle

Last

House #

Street Address

SIBLING INFORMATION

Siblings Attending Teleos Christian Schools:

PARENT/ GUARDIAN INFORMATION

Who is responsible for school fees?

Father/Guardian

If different from student:

Mother/Guardian

If different from student:

EMERGENCY CONTACT (other than parents)

MEDICAL INFORMATION

SUBMISSION OF DOCUMENTS

The following documents are required for enrollment:
1. A copy of student’s birth certificate or passport.
2. A copy of student’s immunization records.
3. A signed parent agreement form

Parent/ Guardian Signature

Date

FOR OFFICIAL USE ONLY

Check if on file:

Office Staff Signature

APPLICATION FOR ENROLLEMENT

“Excellence in Education for Now & Eternity”

First

Middle

Last

House #

Street Address

SIBLING INFORMATION

Siblings Attending Teleos Christian Schools:

PARENT/ GUARDIAN INFORMATION

Who is responsible for school fees?

Father/Guardian

If different from student:

Mother/Guardian

If different from student:

EMERGENCY CONTACT (other than parents)

MEDICAL INFORMATION

SUBMISSION OF DOCUMENTS

The following documents are required for enrollment: 1. A copy of student’s birth certificate or passport. 2. A copy of student’s immunization records. 3. A signed parent agreement form

Parent/ Guardian Signature

Date

FOR OFFICIAL USE ONLY

Check if on file:

Office Staff Signature

The following documents are required for enrollment:
1. A copy of student’s birth certificate or passport.
2. A copy of student’s immunization records.
3. A signed parent agreement form