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Home › Admissions › On-line Kindergarten Application

On-line Kindergarten Application On-line 1st-10th Grade Application

Your Child

Full Name of Student:(required)
Goes by:
Gender:
Male Female

Date of Birth:||

Is your child adopted?
Yes No
Age as of September 1:
Applying for:
Full Day Half Day
School year applying for:
2012-2013 2013-2014 2014-2015 Seeking placement for current term.

Parents

Home Mailing Address:(required)
City, ST, Zip:(required)
Home Phone:(required)
Father
Title:
Mr. Dr. Rev. Other
Father's Name:(required)
Father's Occupation:(required)
Father's Employer:(required)
Father's Work No.:(required)
Father's Email:(valid email required)
Father's Mobile No.:(required)
Mother
Title:
Ms. Mrs. Dr. Other
Mother's Name:(required)
Mother's Occupation:(required)
Mother's Employer:(required)
Mother's Work No.:(required)
Mother's Email:(valid email required)
Mother's Mobile No.:(required)
Child resides with:
Father & Mother Father only Mother only Grandparents Step-parent
Parents are:
Married Separated Divorced
If divorced, custody status is:
Joint Father only Mother only
Who will pay the child's tuition?
Father and Mother Father only Mother only Grandparents Step-parent Other
How did you learn about New Covenant?

Other Family Members

Grandparents
Father's Parents
Deceased
Names:
Address:
City, ST, Zip:
Phone:
Mother's Parents
Deceased
Names:
Address:
City, ST, Zip:
Phone:
Sibling(s)
Name:

Birth Date:

Grade:
School:
Name:

Birth date:||

Grade:
School:
Name:

Birth Date:||

Grade:
School:
Name:

Birth Date:||

Grade:
School:
Name(s) of other relatives at NCS:

Background

Please check any of the following that have occurred in your child's current or former home:
Change of school Death in the family Separation/divorce Frequent moves Job change Remarriage of parent Mental illness in family Physical/sexual abuse Alcoholism/substance abuse Separation from significant family member Prolonged hospitalization of family member Serious physical illness in the family Other
If "Other" selected, please enter it here:
What types of discipline have you used with your child?
What forms are most effective?
How does your child usually respond to discipline (instruction/correction)?

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