ADMISSIONS APPLICATION

Student Enrollment Form
Date of Application:
Month Day Year (Format: YYYY)
Year Applying for:
Grade Applying for:
Name of Student:
First Name Middle Name Last Name
Preferred Name/Nickname:
Mailing Address:
Street
City State Zip Code
Phone Number:
Date of Birth:
Month Day Year (Format: YYYY)
Gender:
Student Social Security Number:
   
Parent/Guardian Information
E-mail address:
   
Father's Full Name:
Social Security Number:
Business Name and Address:
Position:
Business phone:
   
Mother's Full Name:
Social Security Number:
Business Name and Address:
Position:
Business Phone Number:
   
Who is the legal guardian of the student?
Did either parent graduate from Davidson Academy? If yes, what year?
Year (Format: YYYY)
   
Brother(s) or sister(s) enrolled and grade(s):
Sibling(s) applying at this time and grade(s):
Local family church membership:
Minister:
Name and address of last school attended:
Has the student been asked to repeat any grade? If yes, which grade?
 
What factors most influenced you decision to apply to Davidson Academy? Please check all that apply:
Academic Quality After-School Program Athletics Christian Atmosphere
Safe and Secure Environment Location Tuition Value
Other Please list other reason:
   
State any chronic health, emotional, or physical problem the student has:
Does the applicant have a learning difference?
Does he/she require modifications to meet academic requirements? 
If yes to either, please explain:
Has the student ever been recommended for testing?
Has the student ever participated in a program for students who have special academic needs or abilities (including gifted, resource, special education)?
If yes, please describe:
Has the student ever been expelled, suspended, or asked not to return to school?
If yes, please explain:
   

Applicants are admitted to Davidson Academy subject to the acceptance by the Admissions Committee, with preference to brothers and sisters of currently enrolled students. Written notification of admission status will follow action by the Admissions Committee.

I/we, as parent(s)/guardian(s) of the above-named student, hereby authorize Davidson Academy to make whatever inquiries it deems necessary to this application.