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26-27 Application for Enrollment

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. *

Full Name(s) of Parent(s)
2. *

Referred to School By
3. *

Is this your first year of independent study?
Yes No
4. 

If no, how many years have you been in independent study?
5. 

If yes, list reason for leaving previous school?
6. *

Why have you chosen to home educate your child(ren)?
7. *

What is your home education philosophy?
8. *

What specific Scripture do you base your philosophy on?
9. *

Please list ALL former schools and the years your children have attended. Include home school academies.
10. *

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
11. 

If yes, please describe the threat, legal action, or contact (by whom and when).
12. 

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.
13. *

Has your child(ren) been enrolled in a Special Education Program in the public school?
Yes No
14. 

If yes, please list year, school name, and reason.
15. *

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
16. *

Name
17. *

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).
18. *

High School Attended
19. *

Location
20. *

Year Graduated
21. 

College Attended
22. 

Location
23. 

Major/Minor
24. 

Degree(s) Received/Year

TEACHER CERTIFICATION
25. 

College
26. 

Location
27. 

Type of Certification(s)
28. 

Other Classes and Studies Undertaken

Mother's Personal Testimony / Educational Qualifications
29. *

Name
30. *

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).
31. *

High School Attended
32. *

Location
33. *

Year Graduated
34. 

College Attended
35. 

Location
36. 

Major/Minor
37. 

Degree(s) Received/Year

TEACHER CERTIFICATION
38. 

College
39. 

Location
40. 

Type of Certifications(s)
41. 

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.
42. 

Legal Name of Student
43. 

Birthdate
44. 

Last School Attended (Name, Street Address, Zip Code)
45. 

Legal Name of Student
46. 

Birthdate
47. 

Last School Attended (Name, Street Address, Zip Code)
48. 

Legal Name of Student
49. 

Birthdate
50. 

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

Additional Church Information
51. *

Would you say the Mother's church attendance is

 (1 required)
weekly occasionally
doesn't attend not applicable
52. *

Would you say the Father's church attendance is

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

Are you active in your church?
53. *

Mother

 (1 required)
Yes No
N/A
54. *

Father

 (1 required)
Yes No
N/A
55. *

How long have you attended this church?
56. *

List ways in which you participate.

If less than 1 year at this church, please list the following information for your previous church.
57. 

Name
58. 

Address
59. 

Pastor's Name
60. 

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
61. *

Signature of

 (1 required)
Father Stepfather
Guardian N/A
62. *

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.
63. *

Signature of

 (1 required)
Mother Stepmother
Guardian N/A
64. *

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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