Student Application

Student's Name

Student's SS#

Gender MaleFemale

Previous School

Date of Birth

Place of Birth

Age

Child is Living With
FatherMotherBothOther

Attending Church Name

Father/Legal Guardian's Name

E-mail

Address

City

State

Zip

Home Phone

Cell Phone

Employer

Work Phone

Captcha (required)
captcha

NOTICE - Submitting this form does not guarantee acceptance to Berean Christian Schools. This form starts the application process and you may be asked to fill out a more comprehensive form to finalize your application.


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