Christian Family Academy. Family Application Packet

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1 Christian Family Academy Family Application Packet Location: Evangelistic Center Church Information: cfashawneeok.com

2 Christian Family Academy (CFA) Family Application Form The CFA Home School Co-op is set up to provide supplemental academic coursework, deadlines, and group interaction in an overtly Christian environment. In a voluntary capacity, the CFA Home School Co-op desires to glorify the Lord Jesus Christ, to promote recognition of Him in all Co-op matter, and to encourage parents in following the Biblical principle in training their children in the way they should go. *Please neatly print or type the following unless otherwise indicated. Dad s Name: Mom s Name: Students names, ages, and grade for the upcoming school year (if more space is needed, list on a separate paper): Mailing Address: Home phone number: Cell phone number: Address* *Most communication will be done via . Any type account can be utilized if available. Name of church in which you are an active member? How long have you been home schooling? What are your areas of expertise or areas in which you can teach or work?

3 Please list 2 NON FAMILY references: Name Relationship Phone Number Name Relationship Phone Number The CFA Home School Co-op requires that certain guidelines are in place for the benefit and safety of Co-op members. Upon registration for CFA, Co-op Policies and Procedures, a Parental Consent Form, a Student Behavior Form, and all other necessary forms will be provided to each family. Please note that you are ultimately responsible for the home education of your children. The purpose of the CFA is to simply support you in that endeavor. *Application due by: May 7, New families send completed application and $100 registration fee: $70 nonrefund with the remaining $30 to be refunded at the completion of the school year or applied to next year s fee s. Monthly fee is $ Returning families update application as needed and $60 registration fee. Send to : CFA Home School Co-op 5 Franklin Circle Shawnee, OK If you have any questions about the application, or if you would like further information about CFA Co-op, please inquire at: Website: cfashawneeok.com CFA Home School Co-op use only: Date application received: Application number: Last name of applicant: Enrollment Fee Paid Medical Release per child Handbook Agreement signed Statement of Faith signed Enrollment form per child Background Search started

4 Christian Family Academy Home School Co-op Directory Information Parent s full names: Address: Please list all your children in co-op including ages, grade levels for next year and birth dates: Example: Drew, age 13, 9th grade, B.D.: Mom s Address: Dad s Address: Home Telephone: Mom s Cell Phone: Dad s Cell Phone:

5 Christian Family Academy Student class Enrollment Form All students from Nursery through 12 th grade must be entered on a form. Use one form per child. Please indicate your class choice for each hour. If you don t find a class for a particular hour, your student must be enrolled in a study hall just as if it were a class. Please place your child in the class that will best meet his/her needs. Student Name: Grade: Monday Classes Class 1 st Hour 2 nd Hour 3 rd Hour 4 TH Hour 5 th Hour

6 Christian Family Academy Home School Co-op Code of Conduct It is by his deeds that a lad distinguishes himself, if his conduct is pure and right. (Proverbs 20:11) As members of the CFA Home School Co-op, we represent our families, our co-op, and most importantly, our Lord Jesus Christ. In recognition of this, we should behave in a manner consistent with the precepts presented in God s Word. The purpose of this code of conduct is to promote a Christ-like attitude in our learning environment and to encourage the development of positive, servant-like Christian relationships amongst each other. All relevant parties have read and understand the Policies and Procedures Handbook and understand the terms, and agree to abide by those guidelines, as indicated by your signature below. Parents/Guardian (Print Full Name of both parents) (Signature of both parents) (Date signed) Student(s) (Print Full Name) (Signature) (Date signed)

7 Christian Family Academy Home School Co-op Job Point Sign-up sheet Please complete the following job point sign-up information. Each parent (or each couple, if both parents attend Co-op) is required to serve a minimum of 4 job points each co-op day; at least 2 of those points must be earned through teaching and/or assisting. Return this completed form with your enrollment packet. *See Job Descriptions handout for job descriptions, service time, and point values per job. EXAMPLE: The following is an example on how to correctly fill out this form: JOB NAME OF CLASS CLASS SERVICE POINT POSITION (if applicable) HOUR TERM VALUE Teacher English Grammar 1 st hour All year 2 points Assistant Teacher Junior High Literature 3 rd hour All year 1 points Set-up Crew Before co-op 1 point Secretary th hour 1 point TOTAL POINTS 5 points Fill out the following form: *See job opportunities below JOB POSITION NAME OF CLASS (if applicable) CLASS HOUR SERVICE TERM POINT VALUE TOTAL POINTS *Job Opportunities: * Classroom Teacher (2pts) * Supplies Coordinator (1pt) * Assistant Teacher (1pt) * Secretary Assistant (1pt) * Floating teacher (1pt) * Library Assistant (1pt) * Set-up Crew (1pt) * Study Hall Monitor (1pt) * Clean-up Crew (1pt) * Playground Monitor Co-ord. (1pt)

8 Christian Family Academy Home School Co-op Student Information and Medical Release Form Directions: Please complete and return a form for EACH student you are enrolling. Student s Name Birth Date: Grade: Address: Father s Name: Employer: Home Phone: Work Phone: Cell #: Work Name and Address: Mother s Name: Employer: Home Phone: Work Phone: Cell#: Work Name and Address: Family address: Emergency Contact Person: (if you are off site) Home Phone: Work Phone: Cell Phone: Doctor s Name Phone: Dentist s Name Phone: Please list any health problems the student may have, including allergies: Medications: Insurance Co., address and number: Medical Release I give permission to the teachers of CFA Co-op to obtain medical treatment for my child,, as needed, in the event of an emergency. We the parents or guardians agree to pay all costs associated with any medical treatment and waive all claims against the teachers and co-members. Parent/parents/guardian signature: Date:

9 Statement of Faith The Christian Family Academy Home School Co-op teachers and assistants agree to the following in an effort to cooperatively glorify the Lord Jesus Christ while training and educating the children of the Coop: A. The Bible is the inerrant, inspired, only Word of God in its entirety. The Bible is the supreme and final authority in faith and in life. (2 Timothy 3:16-17; 2 Peter 1:21) B. There is one eternally existent God, manifesting Himself as Father, Son, and Holy Spirit, each one equal in nature and equal in power. (Matthew 3:16-17; 2 Corinthians 13:14) C. Jesus was God and came in human flesh, being fully God and fully man, except without sin. (John 1:1-2, 14) D. Jesus Christ was born of a virgin, lived a sinless life on earth, offered Himself on the cross as the only sacrifice for the sins of all men. He rose bodily from the grave on the third day, ascended to the right hand of God, and intercedes for us as our High Priest. (Matt. 1:22-23, John 20:26-29, Hebrews 4:14) E. Salvation comes by grace through faith in Jesus Christ. (Acts 13:38-39) The central purpose of the coming of Jesus Christ was to pay the penalty for man s sin through His substitutionary death on the cross, the successful accomplishment of which was attested to by His subsequent bodily resurrection. All humans are sinful by nature and can only be forgiven and saved by repentance and the expression of trust in Jesus as savior. (Romans, 3:23 & 5:12, 1 Corinthians 15:3-4; Acts 1:3) F. Salvation is offered as a gift, free to the sinner. This gift must be responded to in individual faith, not trusting in any personal works whatsoever, but in the sacrificial death of Jesus Christ alone. Salvation is wholly of God s sovereign Romans 6:23, Ephesians 2:8-9) G. The Holy Spirit convicts, converts, and regenerates sinners to become true believers of Jesus Christ. The Holy Spirit dwells in the believer, teaching and guiding for holy living. (Acts 1:8) By my signature, I acknowledge that I have read and understand and agree with the tenets set out in this Statement of Faith this day of, Signature Printed Name

10 CONFIDENTIAL Request and Authorization for Background Check I hereby give Christian Family Academy, Shawnee, Oklahoma permission to run a background check using the information I have willingly provided below. I hereby release Christian Family Academy, Shawnee, Oklahoma from any and all liability resulting from such disclosure. Signature Print Name Print Maiden Name if Applicable Print All Aliases Date of Birth Home Address (street) (city) (zip code) Place of Birth (city) (state) Social Security Number (Required for background search) Today s Date Return completed form to: Christian Family Academy OFFICE USE ONLY (PLEASE DO NOT WRITE IN THE SPACE BELOW) Date sent: Sent by (name): Requested by: Name: Date: Title: an agent of Christian Family Academy

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