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Application for Enrollment 25-26

indicates a required answer

PLEASE COMPLETE THIS APPLICATION AND SUBMIT YOUR NON-REFUNDABLE REGISTRATION FEE. YOU WILL BE CONTACTED TO SCHEDULE YOUR INTERVIEW. INCOMPLETE APPLICATIONS WILL BE DENIED.

At the interview, please:

  • provide a copy of birth certificates for all children enrolling in a California school for the first time
  • bring your child(ren)'s immunization records
  • provide a copy of report cards for the past two years, if your child is 7th-12th grade
1. *

Referred to School By
2. *

Is this your first year of independent study?
Yes No
3. 

If no, how many years have you been in independent study?
4. 

If yes, list reason for leaving previous school?
5. *

Why have you chosen to home educate your child(ren)?
6. *

What is your home education philosophy?
7. *

What specific Scripture do you base your philosophy on?
8. *

Please list ALL former schools and the years your children have attended. Include home school academies.
9. *

Has any legal action been threatened or brought against your home school or anyone associated with it, or have you contacted or been contacted by any local school district official, social worker, or other government official concerning your children, your home school or absence from public school?
Yes No
10. 

If yes, please describe the threat, legal action, or contact (by whom and when).
11. 

COMMENTS: Please list any special information about your family or students that would help us understand your situation such as learning disabilities, skipped or repeated grades, special interests or abilities, or family situations. Information provided here will be kept confidential.
12. *

Has your child(ren) been enrolled in a Special Education Program in the public school?
Yes No
13. 

If yes, please list year, school name, and reason.
14. *

List special skills, knowledge, interests, or training of either parent, which you would be willing to share with other members of SBFA, for example: music, art, etc.

Father's Personal Testimony / Education Qualifications
15. *

Name
16. *

Because SBFA seeks to be a place for committed Christians and because we are comprised of so many different denominations, we are asking for a brief written testimony of yoru experience with Jesus Christ. How did you come to know Christ as your Savior and what are you currently doing to grow in your relationship with Him?

As a private school we are required by law to keep on file the qualifications of our teachers. Please list your qualifications completely. Include schools attended, degrees/credentials, teaching experience, other education, or related experience such as Sunday School teacher training, as well as a list of all materials you have read, listened to, or seminars (add year attended) you have attended pertaining to home education.

It should be noted that, while I list my educational background for the record, my conviction is that the most important qualification I have for teaching my own child(ren) is the fact of parenthood and the unlimited love I have for my child(ren).
17. *

High School Attended
18. *

Location
19. *

Year Graduated
20. 

College Attended
21. 

Location
22. 

Major/Minor
23. 

Degree(s) Received/Year

TEACHER CERTIFICATION
24. 

College
25. 

Location
26. 

Type of Certification(s)
27. 

Other Classes and Studies Undertaken

Mother's Personal Testimony / Educational Qualifications
28. *

Name
29. *

Because SBFA seeks to be a place for committed Christians and because we are comprised of so many different denominations, we are asking for a brief written testimony of yoru experience with Jesus Christ. How did you come to know Christ as your Savior and what are you currently doing to grow in your relationship with Him?

As a private school we are required by law to keep on file the qualifications of our teachers. Please list your qualifications completely. Include schools attended, degrees/credentials, teaching experience, other education, or related experience such as Sunday School teacher training, as well as a list of all materials you have read, listened to, or seminars (add year attended) you have attended pertaining to home education.

It should be noted that, while I list my educational background for the record, my conviction is that the most important qualification I have for teaching my own child(ren) is the fact of parenthood and the unlimited love I have for my child(ren).
30. *

High School Attended
31. *

Location
32. *

Year Graduated
33. 

College Attended
34. 

Location
35. 

Major/Minor
36. 

Degree(s) Received/Year

TEACHER CERTIFICATION
37. 

College
38. 

Location
39. 

Type of Certifications(s)
40. 

Other Classes and Studies Undertaken

Transfer of Records

If your child has previously attended another school, we will send for his/her cumulative record file. Please fill in the following information COMPLETELY for last school attended. Larger families, please use this supplemental form to include additional students.
41. 

Legal Name of Student
42. 

Birthdate
43. 

Last School Attended (Name, Street Address, Zip Code)
44. 

Legal Name of Student
45. 

Birthdate
46. 

Last School Attended (Name, Street Address, Zip Code)
47. 

Legal Name of Student
48. 

Birthdate
49. 

Last School Attended (Name, Street Address, Zip Code)

Additional Church Information
50. *

Would you say the Mother's church attendance is

 (1 required)
weekly occasionally
doesn't attend not applicable
51. *

Would you say the Father's church attendance is

 (1 required)
weekly occasionally
doesn't attend not applicable

Are you active in your church?
52. *

Mother

 (1 required)
Yes No
N/A
53. *

Father

 (1 required)
Yes No
N/A
54. *

How long have you attended this church?
55. *

List ways in which you participate.

If less than 1 year at this church, please list the following information for your previous church.
56. 

Name
57. 

Address
58. 

Pastor's Name
59. 

Length of Membership

I/we hereby request enrollment of the student(s) named in our family profile in the Independent Study Program of SBFA. I/we acknowledge that all the above information is completely accurate, and that any false information will result in dis-enrollment. I/we agree to pay all fees and fulfill all requirements for enrollment as stated in the handbook. (You will be given the handbook at the interview and opportunity to review it.)

South Bay Faith Academy reserves the right to terminate the registration process if any of the above information is incorrect or if the applicants do not meet the requirements of the school.

AUTHORIZED SIGNATURES
60. *

Signature of

 (1 required)
Father Stepfather
Guardian N/A
61. *

Sign (Type) Your Name
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
62. *

Signature of

 (1 required)
Mother Stepmother
Guardian N/A
63. *

Sign (Type) Your Name
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
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