Online Student Application K-12

Thank you for your interest in Heritage Christian Academy. Heritage’s greatest reason to exist is to fulfill the mandate given by God to raise our children in a manner that honors Him and prepares them for success in the future. To that end, our mission statement is: To offer Authentic Faith, Academic Excellence and a Nurturing Environment HCA also exists to provide an academic education that will prepare our children for post-secondary success. Therefore, we are focused on preparation to perform well at the university level and in the globally competitive employment market. Thus it is our vision that… We equip and nurture students to be servant leaders with a Christian Worldview who will impact their world for Christ.

Please download the printed copy of the application form for more information about the process and next steps. All required fields in the printed form are provided here for your convenience. Please contact Heritage Christian Academy with any questions or comments at communications@heritagechristian.info or 970-494-1022.

Download the Student Application.

A. Student Information

Student Name

First Middle Last

Date of Birth

MM slash DD slash YYYY

Age

Grade entering

Gender

Male

Female

Child lives with:

Both Parents

Mother Only

Father Only

Joint Custody

Mother & Step-Father

Father & Step-Mother

Grandparents

Guardian

Other

Optional Ethnic Information:

Alaska Native/American Indian

Asian/Pacific Islander

Black

Hispanic

White

Other

Parent Information

Father's Information

Father's Full Name

Home Phone

Cell Phone

Work Phone

Father's Address

Street Address Address Line 2 City State ZIP Code

Father's Employer

Father's Occupation

Father's Work Address

Street Address Address Line 2 City State ZIP Code

Mother's Information

Mother's Full Name

Home Phone

Cell Phone

Work Phone

Mother's Address

Same as Father's

Street Address Address Line 2 City State ZIP Code

Mother's Work Address

Street Address Address Line 2 City State ZIP Code

Email Communication

HCA uses email as a main source of communication. Please list the most frequently checked emails. Indicate parent or guardian.

Email address

Email for Parent or Guardian?

Father

Mother

Guardian

Email address

Email for Parent or Guardian?

Father

Mother

Guardian

Email address

Email for Parent or Guardian?

Father

Mother

Guardian

Email address

Email for Parent or Guardian?

Father

Mother

Guardian

Family Information

List all brothers and sisters, their ages, and the school they attend.

Sibling's Name

Sibling's Age

School Sibling Attends

Sibling's Name

Sibling's Age

School Sibling Attends

Sibling's Name

Sibling's Age

School Sibling Attends

Sibling's Name

Sibling's Age

School Sibling Attends

Personal Information

In order of priority, please list and explain three (3) reasons why you as parents are seeking admission to Heritage Christian Academy:

Are you acquainted with anyone attending Heritage Christian Academy?

Yes

If yes, whom?

If you are new to Heritage, how did you learn about us?

Guardian and Parent Testimony

Tell us what being a Christian means to you.

Father/Guardian:

Mother/Guardian:

Does your family attend church?

Yes

If so, church attending:

Pastor's Name

Chruch Address

Street Address City State ZIP Code

Does the student attend regularly?

Yes

Involvement:

Character Development

Parents, please respond on the following, giving us an idea of how you view your child. Check the applicable boxes using #4 as the strongest and #1 as the weakest.

OBEDIENCE:

Responds willingly and immediately to wishes of authority

RESPECTFULNESS:

Shows esteem and honor for God, others, self and toward property

DILIGENCE:

Has steady energetic effort; makes good use of time; completes tasks and gets work in on time

NEATNESS:

Is clean, organizes and cares for personal possessions, work and appearance

COURTEOUS:

Is polite, kind, considerate, gracious, patient, forgives, shares

ATTENTIVENESS:

Pays careful attention; listens fully

RELIABLE:

Is trustworthy and dependable in word and deed

SELF-CONTROL:

Keeps hands to self; controls talking, emotions and behavior

Student Academic Profile

What are the student’s academic strengths?

What are the student’s academic weaknesses?

Has the student ever been recommended for testing, tested and/or diagnosed for any of the following? Check all that apply. If any are checked, please explain the situation below giving specific information.

Attention Deficit Disorder

Dyslexic

Hyperactivity

Learning disability

Speech/language impairment

Hearing impairment

Visual impairment

Other

Explanation of the above condition(s) to include "other" if selected:

Has the student received special academic help (such as tutoring) or a modified curriculum? If so, please describe.

Please complete the following information regarding the school the student last attended:

Name of School

Dates attended

Has your child been suspended or dismissed from any school?

Yes

If yes, please explain.

List any activities in which the student has participated or any awards received.

List any community involvement.

Student Testimony to be filled out by the student (K-3 optional, 4-12 mandatory)

Do you have a personal relationship with Jesus Christ?

Yes

Explain your relationship with Jesus Christ and how it influences the decisions you make and the friendships you have.

I am applying to Heritage Christian Academy because:

Do you wish to enroll for one year only?

Yes

If you would like to attend additional years, please explain.

Statement of Cooperation

The concept of the school and home working together is not a new one, but it is vital to the Christian growth and development of your student. As we understand one another and work together, the Lord can do great things in the life of your student and in the life of the school.
There are some key areas in which we must cooperate:
1. In sending your student to Heritage, it is important that you realize we are seeking to provide an excellent education for them. We believe in testing, giving homework assignments and requiring students to be diligent workers. Your support in this area and your encouragement of your student will become a positive reinforcement to them.
2. The attitude, which your student has toward the school, is also a vital area. If a conflict or problem arises, please encourage your student to meet with the teacher. If not appeased, feel free to schedule a parent-teacher meeting. This approach promotes responsibility and averts complaining about the standards of Heritage Christian Academy. If things need to be corrected, we want to provide the necessary opportunities whereby you and the school can work toward successful solutions.
3. Respect is important in the Christian life. Respect for parents, teachers, peers, and those in authority is vital to proper thinking in the Christian life. We, therefore, expect respect and consideration from our students and parents and will seek to make this reciprocal. When people lose respect for one another, it breaks down communication and hinders confidence. When we respect one another, we will be able to discuss problems rationally and constructively. Matthew 18:15-22 teaches us the principle of how to properly handle complaints and offenses. Respect for property that does not belong to us is also extremely important. We would like each parent to stress with their students the need for taking care of equipment and refraining from marring or in any way being destructive to school and church property.
4. At Heritage, we believe in discipline that seeks to help students develop responsibility for their own actions. Steps that may be used to elicit proper behavior include prayer, sharing Biblical mandates, firm reprimands, detentions, restriction of activities, suspension, probation, and possibly expulsion. Your signature on this form authorizes us to use disciplinary action, as it seems wise and necessary for your student. We are committed to keep you abreast regarding such procedures.
5. During the normal course of the year, many forms, slips, papers, and reports will be sent home. It is extremely important that report cards and special forms needing your signature be signed and returned promptly. Your cooperation in this area is important. Notices will be sent for failure of the student to return such forms on time. If you have delayed the return of such a form for a particular reason, please contact us concerning the matter.
In the above statements, we were not able to list all the rules and regulations, but we have sought to emphasize the areas that will develop a good relationship between the school and home. It is imperative that the school and home are in agreement concerning the philosophy and goals of educating and molding the life of a student. In signing this document you are agreeing to adhere to the policies and decisions of Heritage Christian Academy.
Our office is always available if you have a question or problem.

I agree to the Statement of Cooperation.

HERITAGE CHRISTIAN ACADEMY STATEMENT OF COOPERATION

The concept of the school and home working together is not a new one, but it is vital to the Christian growth and development of your student. As we understand one another and work together, the Lord can do great things in the life of your student and in the life of the school.

Please download the Statement of Cooperation ---HERE--- and sign it. Then upload it in the space designated below.

Please upload the Statement of Cooperation

Max. file size: 50 MB.

HERITAGE CHRISTIAN ACADEMY STUDENT LIFESTYLE STATEMENT

Heritage Christian Academy (HCA) is a religious, non-profit Christian school representing Jesus Christ. HCA expects students in grades 4 – 12 to have an understanding and testimony of the impact of Jesus in their life. It is our desire at HCA, for the instruction and nurturing environment of our institution to produce the fruit of confession (Ro 10:9-10), boldness (1 Tim 4:12), and submissiveness in the disciple-making process (Luke 6:40).

Please download the Student Lifestyle Statement ---HERE--- and sign it. Then upload it in the space designated below.

Please upload the Student Lifestyle Statement

Max. file size: 50 MB.

HERITAGE CHRISTIAN ACADEMY STATEMENT OF FAITH

Please download the Statement of Faith ---HERE--- and sign it. Then upload it in the space designated below.

Please upload the Statement of Faith

Max. file size: 50 MB.

PREVIOUS SCHOOL INFORMATION

Please download the Previous School Information Sheet ---HERE--- and fill it out. Then upload it in the space designated below.

Please upload the Previous School Information Sheet

Max. file size: 50 MB.

STUDENT REFERENCE FORMS

Please download the Student Reference Form ---HERE--- and fill it out. Then upload them in the space designated below.

**All applicants must submit at least 3 reference forms**

Please upload all Student Reference Forms

Before uploading, please rename the files to match the following format: "[Student Last Name]-[Student First Name]_Student Reference Form_[Reference First Name].pdf" For example: Smith-Johnny_Student Reference Form_Greg Smith.pdf

Drop files here or

Max. file size: 50 MB.

HERITAGE CHRISTIAN ACADEMY PHOTO AND FAMILY DIRECTORY PERMISSION/EXEMPTION

Unless otherwise notified, Heritage Christian Academy uses photos of our students in social media posts, on the website, in-house communications (emails and Heritage Happenings), and for printed promotional materials. Our students are generally not identified by name, but may on occasion be referred to by first-name only.

Please download the HCA Photo and Family DIrectory Permission/Exemption form ---HERE--- and fill it out. Then upload it in the space designated below.

Please upload the HCA Photo and Family DIrectory Permission/Exemption form

Max. file size: 50 MB.

HERITAGE CHRISTIAN ACADEMY EMERGENCY/MEDICAL RELEASE FORM

Please download the HCA Emergency/Medical Release Form ---HERE--- and fill it out. Then upload it in the space designated below.

Please upload the HCA Emergency/Medical Release Form

Max. file size: 50 MB.

Comments

This field is for validation purposes and should be left unchanged.

Student application k-12

A. Student Information

Parent Information

Father's Information

Mother's Information

Email Communication

Family Information

Personal Information

Guardian and Parent Testimony

Character Development

Student Academic Profile

Please complete the following information regarding the school the student last attended:

Student Testimony to be filled out by the student (K-3 optional, 4-12 mandatory)

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