750 Cottonwood avenue, Kamloops, BC V2B 3X2 Phone 376-6900 Fax 376-6904 STUDENT APPLICATION Gr 8-12 Student Information LegaI Name: _______________________________................_____________________ _____________________ Last First Middle Name Used (if different): ___________________. FamiIy Information Marital Status: Married ________ Widowed ________ Divorced ________ Single.
750 Cottonwood avenue, Kamloops, BC V2B 3X2 Phone 376-6900 Fax 376-6904 STUDENT APPLICATION Gr 8-12 Student Information LegaI Name: _______________________________................_____________________ _____________________ Last First Middle Name Used (if different): ___________________. FamiIy Information Marital Status: Married ________ Widowed ________ Divorced ________ Single.
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750 Cottonwood avenue, Kamloops, BC V2B 3X2 Phone 376-6900 Fax 376-6904 STUDENT APPLICATION Gr 8-12 Student Information LegaI Name: _______________________________................_____________________ _____________________ Last First Middle Name Used (if different): ___________________. FamiIy Information Marital Status: Married ________ Widowed ________ Divorced ________ Single.
Direitos autorais:
Attribution Non-Commercial (BY-NC)
Formatos disponíveis
Baixe no formato PDF, TXT ou leia online no Scribd
STUDENT APPLICATION Gr 8-12 Student Information LegaI Name: _______________________________________________________________________________________________ Last First Middle Name Used (if different): ___________________________________________________________________________ Address: ________________________________________________________________________________________ City: ____________________________ Postal Code: _________________ Telephone: ___________________ Sex: ______ Birthdate: ________________ Grade applied for: ________ For School Year: (ie 01/02)_______________ DD/MONTH/YY
Date of this application: ___________________ School Last Attended: _______________________________________ School Address: ________________________________________ School Phone Number _______________________
FamiIy Information Parents/Guardians Names:________________________________________________________________________ Marital Status: Married ________ Widowed ________ Divorced ________ Separated ________ Single ___________ Father's Employment:______________________________________________________________________________ Job Employer and Phone # Mother's Employment: _____________________________________________________________________________ Job Employer and Phone # Email (for school newsletter) ________________________________________ Emergency Contacts: (This should be a local person, someone who is usually home) 1._______________________________________________________________________________________________ Name Phone
2._______________________________________________________________________________________________ Name Phone
Other children in family of school age if not applying:
Reason they are not applying: _______________________________________________________________________
s there one person who was actively instrumental in your decision to enroll at KCS? ____________________________ FOR OFFICE USE ONLY: Date Rcd: __________Interview Date: ___________ Reg Fee Rcd: ___________ Chq #:__________ August Tuition Rc'd _________ Chq #:________ Student Accepted: ________Date ___________ Copies of: Birth Cert: ____Rpt Crd:_____Med nfo: _____ LegaI Residency Form: _______ Parent Participation Program: Chq# _____ Date: ____ KCSA Fee____Chq #_____ Student #___________ KAMLOOPS CHRISTIAN SCHOOL Aboriginal Ancestry: Yes Status Non-Status Metis Band Name: _________________ On Reserve Yes, No Church Information Church Attending: ___________________________________________ Pastor: _______________________________ Youth Pastor: __________________________ Address of Church: __________________________________________ Phone: _______________________________
Father: Christian? _____Yes ______ No Mother: Christian? _____Yes ______ No
Has applicant ever made a profession of faith in Christ? _____Yes ______ No f yes, when? _______________________________________ (For students in Grade 8 and above, please include a written personal testimony detailing your reasons for ap- plying to KCS and your current relationship with the Lord.) MedicaI Information Family Physician: _________________________________________________________________________________ Name Phone s the applicant on any regular medication? ____ Yes ____ No. Explain: ____________________________________ _______________________________________________________________________________________________ Does the applicant have any physical limitations, serious or life threatening allergies, or medical conditions?__Yes __No Explain: ________________________________________________________________________________________ _______________________________________________________________________________________________ Does the applicant have any contagious or infectious diseases that might affect their enrollment in our school? ____ Yes ____ No Explain: _________________________________________________________________________ _______________________________________________________________________________________________
GeneraI Information Has the applicant ever been expelled, dismissed, suspended or refused admission to another school? ______________ Explain: __________________________________________________________________________________ Has the applicant ever had disciplinary difficulties? __________ Explain: __________________________________________________________________________________ Has the applicant ever been in trouble with the law (arrested, etc)? __________ Explain: __________________________________________________________________________________ Has the applicant ever used tobacco, alcohol or drugs of any kind? __________ Explain: __________________________________________________________________________________ Please indicate pupil's most recent letter grade in the following academic areas: English _____, Math _____, Science _____, Social Studies _____, French _____ (where applicable) Has the applicant ever been retained or repeated a grade in school? __________ Explain: __________________________________________________________________________________ Has the applicant received tutoring or Learning Assistance time? f so, what subjects and how many sessions per week? __________________________________________________________________________________ Has the applicant received Speech, Occupational or Physiotherapy? f so, when and how often? _________________ __________________________________________________________________________________________ How did you hear about our school? _________________________________________________________________ Please indicate your reasons for selecting this school. ___________________________________________________ _______________________________________________________________________________________________
This appIication must be fiIIed out compIeteIy before it can be processed. An appIication fee of $75.00 must ac- company this form and is not refundabIe. An interview with the parents and chiId wiII be required before finaI acceptance. Parent Observations Please rate your child with respect to each of the characteristics listed below by checking one or more items under each heading which most nearly represent your evaluation. PHYSICAL CONDITION _____ Rugged and vigorous _____ Good health _____ Fairly healthy _____ Somewhat below par _____ Partially incapacitated due to physical disability _____ Frequently incapacitated _____ No observation
EMOTIONAL STABILITY _____ Maintains balance and control under difficult circumstances _____ Well-balanced and controlled _____ Usually well-balanced _____ Somewhat overemotional _____ Frequently worried, anxious, nervous or tense _____ Highly excitable _____ Frequently depressed or discouraged _____ nclined to be apathetic _____ No observation
SELF DISCIPLINE _____ Shows excellent self discipline _____ Shows good self-discipline _____ Shows normal self- discipline _____ Shows poor self-discipline _____ Avoids difficult tasks _____ Overindulges in hobby or recreation _____ Overeats _____ Does not control temper _____ Risks emotional stability with over self-discipline
EXPRESSION OF FEELING _____ Speaks well of others _____ Tactful _____ Non-argumentative _____ Tactless _____ Argumentative _____ Fault-finding _____ No observation
SOCIAL ACCEPTABILITY _____ Sought by others _____ Liked by everyone _____ Liked by most people _____ Liked by some people _____ Tolerated by others _____ Avoided by others _____ No observation
UNSELFISHNESS _____ Rarely fails to put interest of others first _____ Consistently considerate of others _____ Usually thinks of others first _____ Frequently seeks own interest even though others may be hurt _____ Thinks only of self _____ No observation
FRIENDLINESS _____ Warmly friendly with many _____ Moderately friendly with many _____ Quiet or shy _____ Cliquish _____ Easily offended _____ Generally aloof _____ Often sullen _____ No observation
LEADERSHIP _____ Display marked ability to lead others _____ Sometimes leads in important affairs _____ Sometimes leads in minor affairs _____ Seldom takes the lead _____ Probably unable to lead people _____ No observation
TEAMWORK _____ Very effective in teamwork _____ Works well with others _____ Usually cooperative _____ Seldom cooperates with others _____ Seeks to dominate _____ Frequently causes friction _____ No observation
FOLLOWING ORDERS _____ Excellent in following orders _____ Follows orders satisfactorily _____ Sometimes follows orders, sometimes not _____ Does things his own way regardless of others _____ No observation
WORKMANSHIP _____ Extremely good workmanship _____ Satisfactory workmanship _____ Usually shows satisfactory workmanship _____ Some work well done and some poorly done _____ No observation
PERSONAL APPEARANCE _____ Consistently well-groomed and neat _____ Neat _____ Usually neat _____ Careless _____ Over-meticulous _____ No observation
PERSEVERANCE _____ Perseveres in spite of difficulties _____ Consistently completes tasks _____ Usually carries on to finish _____ Finished easy tasks, but is easily discouraged by difficulties _____ Starts but habitually does not finish tasks _____ No observation
PERSONAL DEVOTIONS _____ Has regular habits of Bible study and prayer _____ Has devotions regularly _____ Usually has personal devotions _____ Frequently misses personal devotions _____ Has no regular habit of Bible reading or prayer _____ No observation
CHRISTIAN EXPERIENCE _____ Profound and contagious _____ Genuine and growing _____ Genuine but mild _____ Relatively superficial _____ No observation
LIFESTYLE-M/F ReIationships _____ Healthy/age appropriate _____ Usually healthy/age appropriate _____ Sometimes unhealthy & not age appropriate _____ No observation
LIFESTYLE-DRUGS & ALCOHOL _____ Abstains from alcohol & illegal drug use _____ Has been involved in alcohol & illegal drug use _____ s currently involved with alcohol & illegal drugs _____ No observation
LIFESTYLE-LANGUAGE _____ Avoids using profane, offensive language _____ Occasionally uses profane, offensive language _____ Regularly uses profane, offensive language _____ No observation Parent Agreement
_____ have read the handbook for parents and students and fully understand the commitment am making.
_____ have discussed all items in the handbook relating to students with my child(ren). (High school students see signature line below)
_____ agree to attend a Parent Orientation Session during my child(ren)'s first month of school.
_____ am supportive of the school's philosophy, aims and objectives. understand the standards of dress, conduct and policies set forth by Kamloops Christian School in the Student Handbook, and agree to support and uphold these standards and policies.
_____ authorize this school to employ such discipline as it deems wise and appropriate for my child and to cooperate when the school administration feels it is necessary to have a conference with both parents.
_____ agree to pay annual tuition fees by lump-sum payment, ten, eleven or twelve post-dated cheques deposited with the school on or before the first day of school in September, or by Pre-Authorized Payment. f circumstances prohibit my payments from being on time will make an appointment with the Accounting Department to work out an acceptable means of payment beforehand.
_____ realize that all students are expected to work at or close to their ability level and that all students are expected to follow the student rules of conduct. understand that Kamloops Christian School reserves the right to suspend or expel any student who fails to comply with the established regulations and discipline, or whose financial obligation remains unpaid after the due date.
_____ agree to uphold and support the high academic standards of Kamloops Christian School by providing a place at home for my child(ren) to study and pledge to give my encouragement to the end that homework and assignments will be completed.
_____ agree to attend the Parent-Teacher Conferences and will support my child by attending school functions and meetings where possible.
_____ have completed the Student Registration Form and have forwarded it to the school. now wish to proceed with registration by arranging for an interview with the principal.
_____I have attached a registration fee of $75.00 per student which I understand is non-refundabIe unIess the student is not accepted, or I decide to withdraw the appIication within 7 days of the interview. also understand that my first month's tuition is non-refundable and must be included with my application. t will be deposited on August 1.
_____ have filled out the application for Society membership. One adult member of each family is required to join the Kamloops Christian School Association if qualified.
_____I wiII bring a copy of my chiId(ren)'s report card(s), and their birth certificate(s) to the interview.
_____ understand that applicants for Grade 8 and up are required to have a character reference filled out and mailed directly to the school office by a Pastor, Sunday School Teacher or Youth Worker and have made the necessary arrangements.
_____ realize that registration in some or all grade levels may be limited due to student number and limited space and am willing to place our child(ren)'s name(s) on a waiting list if necessary.
Signature of Mother __________________________________________ Date _________________________________ Signature of Father ___________________________________________
understand the portions of the Handbook that apply to me:
Signature of Student _________________________________________ (for students in Grade 8 and up) KAMLOOPS CHRISTIAN SCHOOL Character Reference Form (To be fiIIed out by Pastor, Sunday SchooI Teacher, or Youth Worker)
_______________________________________ has applied for admission for Kamloops Christian School. Thank you for providing a character reference. This will assist us in making a wise decision. All information will be kept confidential. Please return the completed form directly to the school office (Kamloops Christian School, 750 Cottonwood Ave, Kamloops, BC, V2B 3X2) .
Please rate the applicant with respect to each of the characteristics listed below by checking one or more items under each heading which most nearly represent your evaluation. n the space to the right, give specific instances which support or interpret your judgment. Do not check items concerning which you feel uncertain or have had no opportunity to observe. PHYSICAL CONDITION _____Rugged and vigorous _____Good health _____Fairly healthy _____Somewhat below par _____Partially incapacitated due to physical disability _____Frequently incapacitated _____No observation
EMOTIONAL STABILITY _____Maintains balance and control under difficult circumstances _____Well balanced and controlled _____Usually well balanced _____Somewhat over emotional _____Frequently worried, anxious, nervous or tense _____Highly excitable _____Frequently depressed or discouraged _____nclined to be apathetic _____No observation
SELF DISCIPLINE _____Shows excellent self discipline _____Shows good self discipline _____Shows normal self discipline _____Shows poor self discipline _____Avoids difficult tasks _____Over indulges in hobby or recreation _____Over eats _____Does not control temper _____Risks emotional stability with over self discipline
EXPRESSION OF FEELING _____Speaks well of others _____Tactful _____Non argumentive _____Tactless _____Argumentive _____Fault finding _____No observation
SOCIAL ACCEPTABILITY _____Sought by others _____Liked by everyone _____Liked by most people _____Liked by some people _____Tolerated by others _____Avoided by others _____No observation
UNSELFISHNESS _____Rarely fails to put interest of others first _____Consistently considerate of others _____Usually thinks of others first _____Frequently seeks own interest even though others may be hurt _____Thinks only of self _____No observation
FRIENDLINESS _____Warmly friendly with many _____Moderately friendly with many _____Quiet or shy _____Cliquish _____Easily offended _____Generally aloof _____Often sullen _____No observation
LEADERSHIP _____Display marked ability to lead others _____Sometimes leads in important affairs _____Sometimes leads in minor affairs _____Seldom takes the lead _____Probably unable to lead people _____No observation
Page 1/2 TEAMWORK _____Very effective in teamwork _____Works well with others _____Usually cooperative _____Seldom cooperates with others _____Seeks to dominate _____Frequently causes friction _____No observation
FOLLOWING ORDERS _____Excellent in following orders _____Follows orders satisfactorily _____Sometimes follows orders, sometimes not _____Does things his own way regardless of others _____No observation
WORKMANSHIP _____Extremely good workmanship _____Satisfactory workmanship _____Usually shows satisfactory workmanship _____Some work well done and some poorly done _____No observation
PERSONAL APPEARANCE _____Consistently well groomed and neat _____Neat _____Usually neat _____Careless _____Over meticulous _____No observation
PERSEVERANCE _____Perseveres in spite of difficulties _____Consistently completes tasks _____Usually carries on to finish _____Finishes easy tasks, but is easily discouraged by difficulties _____Starts but habitually does not finish tasks _____No observation
PERSONAL DEVOTIONS _____Has regular habits of Bible study and prayer _____Has devotions regularly _____Usually has personal devotions _____Frequently misses personal devotions _____Has no regular habit of Bible reading or prayer _____No observation
CHRISTIAN EXPERIENCE _____Profound and contagious _____Genuine and growing _____Genuine but mild _____Relatively superficial _____No observation
Please give any information you can concerning the applicant's character, spiritual development or family background which might bear upon the applicant's success in KCS. LIFESTYLE-M/F ReIationships _____ Healthy/age appropriate _____ Usually healthy/age appropriate _____ Sometimes unhealthy & not age appropriate _____ No observation
LIFESTYLE-DRUGS & ALCOHOL _____ Abstains from alcohol & illegal drug use _____ Has been involved in alcohol & illegal drug use _____ s currently involved with alcohol & illegal drugs _____ No observation
LIFESTYLE-LANGUAGE _____ Avoids using profane, offensive language _____ Occasionally uses profane, offensive language _____ Regularly uses profane, offensive language _____ No observation