School Application Form | 3angelschristianschool.org

Parent Information

From Must Be Complete

Please fill out the application completely, and answer all required questions. Incomplete or false information on applications may be grounds for rejection.

The application must be filed by the parent (or legal guardian) with which the child resides if a single parent household.

Are you a Single Parent Household? *Used solely to determine eligibility for the Wisconsin Parental Choice ProgramYesNo

Parent 1 - Name: First - MI - Last *

Parent 1 - Email Address *

Parent 1 - Cell Phone *

Parent 1 - Street Address *

Apartment #

City *

State/Province

ZIP / Postal Code *

Parent 1 - Are You a Madison Adventist Church Member? *YesNo

Parent 2 - Name: First - MI - Last *

Parent 2 - Email Address *

Parent 2 - Cell Phone *

Parent 2 - Are You a Madison Adventist Church Member? *YesNo

Parent Employment Information

Please enter information as accurately as possible - proof of income is required for eligibility of tuition resources.

Enter current employment information for each parent, and add as many as are applicable.

Employment Information

Parent Name *

Employer Name *

Employer Phone *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code

Start Date *

Wage *Enter your Hourly, Monthly, or Annual Income

Hours Worked per Week *

Student Information

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Please enter information for as many students that you would like to enroll.

Number of Children *How many elementary school age children do you have at home?

Student Information

First Name *

Middle Name

Last Name *

Sex *MaleFemale

Age *

Grade Entering for Enrollment *

Emergency Contact

List up to 2 emergency contacts, that are not a parent.

Field Group

Emergency Contact Name *Enter the First and Last Name of the Contact Person

Relationship to Student *

Cell Phone *

Applicant Authorization

I warrant and represent that I am at least 18 years of age and that all information and answers to the questions in the application are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application.

I also understand that I have only completed an Application for student enrollment, which does not constitute actual enrollment in the school.

I hereby authorize Three Angels Christian School to investigate my credit and financial responsibility, employment, income, and any statements made in this application, and at their discretion to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis.

Signer - First Name *

Signer - Last Name *

Date *

Upload Image of State Issued ID *Upload an ID for each applicable parent - maximum two ID's