Mission Statement: CHRIST THE KING SCHOOL creates a nurturing, Christ-centered environment based on its

Transcription

1 APPLICATION FOR ADMISSION TO Christ the King School Kindergarten through eighth grade CHRIST THE KING SCHOOL Admissions Office 46 Peachtree Way, N.E. Atlanta, GA Mission Statement: CHRIST THE KING SCHOOL creates a nurturing, Christ-centered environment based on its Catholic tradition of fostering academic excellence, individual responsibility, spirituality, and growth of the whole child, in order to spread the Good News of Jesus in word and deed.

2 Christ the King School Admissions Office 46 Peachtree Way, N.E. Atlanta, GA ADMISSIONS DATES AT A GLANCE November 9, Fall Open House (for Prospective Students) 2:00-4:00 p.m. Kenny Hall November 9, Application packets available January 13, Prospective Parent Coffee (for Kindergarten parents) 9:00 a.m. Hyland Center January 30, Application Deadline *RSVP to admissions@christking.org by January 8, 2015 February 3, Kindergarten screening, observation and interview 8:00 a.m. - 12:00 p.m. February 5, Kindergarten screening, observation and interview 8:00 a.m. - 12:00 p.m. Applicants for Grades 3 8 screening and interview 12:30-3:00 p.m. February 10, Kindergarten screening, observation and interview 8:00 a.m. - 12:00 p.m. Applicants for Grades 1 & 2 screening and interview 1:00-3:00 p.m. February 20, Tuition Assistance forms due to FACTS February 20, GRACE Scholarship Family Application forms due to CKS April 3, Decision letters mailed April 16, New student response deadline May 5, Newcomer s Coffee 9:00 a.m. (for parents and students)

3 Christ the King School New Student Application Procedure ADMISSION INFORMATION Parish Verification of Active Membership Form must be submitted directly to your pastor for his signature, for verification of active participation in our faith and in the parish community. Your church will return the signed form directly to Christ the King School. This form must be received by the school prior to applicant screening. Applicants with a signed Parish Verification Form qualify for the reduced Catholic tuition rate. If a pastor will not sign the Parish Verification Form, the students(s) may be accepted but at the full tuition cost. Application Fee: The completed paper application should be delivered directly to Christ the King School. The $ non-refundable fee must be paid online. Checks will not be accepted Birth Certificate: A copy must accompany the completed application. Baptismal Certificate: A copy is required for all applicants and must accompany the completed application. Immunization Record: As required by Georgia law, an up-to-date Georgia Certificate of Immunization Form 3231 and DHR Eye, Ear, and Dental Exam Form 3300 must accompany the completed application. See immunization regulations below: State Law requires all students entering a Georgia school for the first time to have: Diphtheria (4+), Tetanus (4+), Pertussis (4+), Polio (3+), Measles (2), Mumps (2), Rubella (1), Hepatitis B (3), Hepatitis A (2), Varicella (2) or Documented History of Disease or Serology. Students entering 6th grade must have: Hep B (3), Measles (2), Mumps (2), Rubella (1), Varicella (2) or Documented History of Disease or Serology. Request for Release of Records Form: Parents of all applicants must submit the Release of Records form to the current school. Records must be received by Christ the King School via US Postal Service directly from the current school. Student Evaluation Form: The appropriate Student Evaluation Form (Kindergarten, Grades 1-5, Middle School Grades 6-8) must be completed by the applicant s current teacher and mailed directly to Christ the King School. No applicant will be considered for acceptance without a completed Student Evaluation Form. Tuition Assistance: Available to active Catholic families on the basis of need and the availability of funds. In addition, GRACE Scholars provides scholarships to new students from families of all faiths with financial need in grades K-12 for use at approved Catholic schools in the State of Georgia. Please see Financial Policies for further information. Custody Agreement: If applicable a copy of the most current Custody Agreement with the seal of the court is required and must accompany the completed application.

4 Christ the King School Application Checklist Please use this checklist to ensure the completeness of your application to Christ the King School. Application deadline is January 30, h Parish Verification of Active Membership Form. Applicant family delivers to their Parish. h Completed Paper Application h Non-refundable Applicant Fee of $ per student. Payment must be made online at Click on the CKS Application link to find payment instructions. h Copy of Birth Certificate h Copy of Baptismal Certificate h Immunization Records - All applicants must submit up-to-date a copies of the following: h Georgia Certificate of Immunization Form 3231 h GA DHR Eye, Ear and Dental Exam Form 3300 h Request for Release of Records Form has been submitted to current school for all applicants to grades K - 8. h Student Evaluation Form: No applicant will be considered for acceptance without the Student Evaluation Form. h Most current copy of Custody Agreement (if applicable) Completed application along with all documents and the online application fee must be received before consideration for acceptance.

5 Christ the King School FINANCIAL POLICIES A non-refundable application fee of $ per student is due at the time the application is submitted. Payment must be made online at Click on the CKS Application link to find payment instructions. 2. Upon acceptance, a non-refundable student registration fee of $1, is due and paid through FACTS Tuition. $1, is applied toward the accepted student s tuition. Families must register with FACTS.* 3. Tuition includes student fees and textbooks. There are three tuition payment options: Plan A - Annual: Full payment of tuition is due by July 1, There is a $ discount on tuition if paid annually. Plan B Semi-annual: 2 equal payments are due by July 5 or 20, 2015 and January 5 or 20, Plan C Monthly: 10 equal payments beginning July 5 or 20, 2015 and ending April 5 or 20, *All tuition payments are made through the FACTS Tuition Management Program. Tuition for the school year is as follows: TUITION AND TUITION ASSISTANCE Catholic Students who have obtained Parish Verification: Grades K-5 Grade 6 Grade 7 Grade 8 Tuition $8, $8, * $8, * $9, * Catholic students without Parish Verification and non-catholic students: Grades K-5 Grade 6 Grade 7 Grade 8 Tuition $11, $11, * $11, * $11, * *Middle School tuition includes: field trips and enrichment, religious supplies, 6th and 7th grade 1-day retreats, 7th grade technology fee, 8th grade 2-day retreat, and graduation. GRACE Scholars provides scholarships to new students from families with financial need in grades K-12 at approved Catholic schools in the State of Georgia. For more information, visit Tuition assistance is available to active Catholic families on the basis of need and the availability of funds. Tuition assistance applications are processed by FACTS Grant & Aid Assessment. This will be available through your FACTS account starting January 1, Tuition assistance applications are available in the school office, or you may apply online at by clicking on the PSAS link. The deadline for tuition assistance applications is February 20, 2015.

6 Date of Application: Grade Applying To: (photo required) Christ the King School APPLICATION FOR ADMISSION Student Information: Last Name: First: Middle: Student is Called: Sex: M F Ethnic Background (for census information only): h Asian h Hispanic h Multi-Racial h Black/African American h Indian h Native American h Caucasian h Other: please specify Address: City: County: State: Zip: Home Phone: Religion: Local public district in which you reside: Date of Birth: Parent Address: Parish: Your local public school: City/State of Birth: Child of Alumni: h Yes h No Name: Sibling at CKS: h Yes h No Name(s): Other Chilldren not at CKS: h Yes h No Names(s) and Ages(s) Sacramental Information: Date Church Location Baptism: Penance: First Communion: Parent/Guardian Information: (must check all three) 1. Marital status: h Married h Married, but separated h Divorced h Not married 2. Child resides with: h Both h Father h Mother h Other (name/relationship) 3. Who has legal custody? h Both h Father h Mother h Other (name/relationship) Christ the King School shall admit students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities made available to Christ the King School students. Christ the King School shall not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, tuition assistance programs, and all school-administered programs. Application for Admission pg 1 of 4

7 Father/Guardian: Last Name: First: Middle: Preferred Name: Religion: U.S. Citizen: h Yes h No Place of Birth: Education: h High School h College h Advanced Home Phone: Employer: Cell Phone: Work Phone: Occupation: Employer s Address: City: State: Zip: Past Professional Experience: If different from applicant s: Home Address: City: State: Zip: Mother/Guardian: Last Name: First: Maiden: Preferred Name: Religion: U.S. Citizen: h Yes h No Place of Birth: Education: h High School h College h Advanced Home Phone: Employer: Cell Phone: Work Phone: Occupation: Employer s Address: City: State: Zip: Past Professional Experience: If different from applicant s: Home Address: City: State: Zip: Previous School Attended: Name: Grade: Phone: Address: City: State: Zip: All Other Schools Attended: Name: Grade: Location: Name: Grade: Location: Application for Admission pg 2 of 4

8 Has applicant had an educational/psychological evaluation? h Yes h No If yes, indicate in what area: h Gifted h Learning Disabilities h Behavior Disorders Please give date of testing: (Please include copy of evaluation with application. All files will be kept confidential.) Has applicant been diagnosed with any of the following? h ADD h ADHD h Speech or language disorder If yes, please explain: Has applicant had remedial help? h Yes h No If yes, indicate which subject: h Math h Reading h Language Arts h Spelling Please indicate what grade(s): Has applicant ever been home schooled? h Yes h No If yes, what program did you follow? Has applicant ever been put on probation, suspended or dismissed from another school for disciplinary and/or academic reasons? h Yes h No If yes, please list name of school, grade and school year: Has applicant had any previous unusual socialization or behavioral problems with other children? h Yes h No If yes, please explain: Does applicant have any medical conditions that would prevent him/her from active participation in the school s physical education program or field trips? h Yes h No If yes, please explain: Has there been a need for any unusual medical care? h Yes h No If yes, please explain: Is applicant currently on any type of medication? h Yes h No If yes, please explain: Does applicant have any allergies? h Yes h No If yes, please explain: Parents Goals and Assessments: In order for the Admissions Committee to evaluate your child and his/her needs in regard to the programs offered, please answer the following questions. Reason for wishing to enroll at Christ the King School: Application for Admission pg 3 of 4

9 Type of educational program and environment sought for your child: Special interests: Please describe your child s strengths and abilities, or concerns you may care to share: Additional Information: Please provide any additional information regarding your family (adoption, divorce, separation, changes in school, death of relatives/ friends) or child (fears, social program, etc.) that would help us know and understand his/her educational or personal needs. I have read and understood this application, and I certify that the information I have submitted is complete and accurate to the best of my knowledge. I agree to communicate in writing to the Principal any changes contained herein, even if said changes occur after enrollment. I understand that upon discovery of substantial inaccuracy or omission of information requested here, Christ the King School reserves the right to revoke admission to the school. Signature of Parent/Guardian Signature of Parent/Guardian Date Date Application for Admission pg 4 of 4

10 Christ the King School Admissions Office 46 Peachtree Way, N.E. Atlanta, GA REQUEST FOR RELEASE OF STUDENT RECORDS Please take form directly to your child s current school. Student s Name: Current Grade: Grade Applying To: School Currently Attending: Current School Address: City: State: Zip: The student named above is applying for admission to Christ the King School. I authorize you to release the following information: 1. Complete grade records including the most recently completed term in your school. 2. Scores of standardized testing 3. Health and immunization records 4. Disciplinary record for applicants to grades 7-8 Please send these materials directly to: Admissions Office Christ the King School 46 Peachtree Way, NE Atlanta, GA Print Name of Parent/Guardian: Signature of Parent/Guardian: Date:

11 Christ the King School 46 Peachtree Way, N.E. Atlanta, GA STUDENT EVALUATION FORM Rising Kindergarten To Parent: Please complete this section and deliver this form to your child s teacher. The evaluator will mail this form directly to the Admissions Office. Student Name: Date of Birth: Student is Called: Sex: M F Applicant s Current School: School Address: Current Grade: Phone: City: State: Zip: Signature of Parent/Legal Guardian: Date: Teacher: Thank you for taking your valuable time to complete this evaluation. Your assessment is an important part of this student s application. All information will be held in confidence. Please check all terms that are characteristic of this applicant and comment if needed: Social Development: h Plays with others h Initiates activity h Exhibits independence h Responds positively h Plays alone h Stands up for rights h Follows rules to correction h Takes the lead h Shares h Follows others Emotional Development: h Happy h Confident h Adaptable h Withdrawn h Controlled h Receptive h Hostile h Angry h Content h Even-tempered h Nervous h Aggressive Work Habits: h Works independently h Focuses h Completes tasks h Drifts h Works in a group h Listens attentively h Is persistent h Transitions easily from h Follows directions h Organizes h Is distractible one activity to another Non-Verbal Development: h Recognition of patterns h Attention to details h Visual sequencing h Interest in puzzles h Spatial awareness h Draws self portrait h Interest in building h Can classify h Left-right orientation /awareness Maturity Level: h Young h Average h Advanced How much of your personal time and attention did this student require in order to succeed? h Significantly more h More h Average h Less h Significantly less Excessive Absences? h Yes h No Excessive Tardies? h Yes h No If yes, please comment: Additional comments: Kindergarten Evaluation pg 1 of 2

12 Student Evaluation Form Kindergarten (cont.) Student s Name: Please check your assessment of the applicant in each category and comment on any areas of concern. Social/Emotional Development Outstanding Above Average Average Below Average Interaction with adults h h h h Interaction with peers h h h h Eye contact when speaking to others h h h h Play behavior h h h h Social problem solving h h h h Self-confidence h h h h Language and Communication Skills Speaks in complete sentences h h h h Uses appropriate vocabulary h h h h Articulates words h h h h Follows directions h h h h Sequences events h h h h Responds appropriately during h h h h group activities Physical Development Gross Motor h h h h (balance, movement through space) Fine Motor h h h h (hand-eye coordination, zips, buttons, stacks, cuts, hand dominance, pencil grip) Attitude Toward School Eager and curious about learning h h h h Responds positively to correction h h h h Observant h h h h Creative h h h h Comments: Please check those parental support terms that are typical: h Cooperative h Appropriately interested in education h Follow through with suggestions h Have realistic picture of child s ability Please comment on degree and type of parental involvement: In what capacity and how long have you known this child? If need arises, may we contact you to discuss the applicant further? Title: Phone: Name of person completing this form (please print): Signature of person completing this form: Date: Kindergarten Evaluation pg 2 of 2

13 Christ the King School 46 Peachtree Way, N.E. Atlanta, GA STUDENT EVALUATION FORM Rising First through Fifth Grades To Parent: Please complete this section and deliver this form to your child s teacher. The evaluator will mail this form directly to the Admissions Office. Student Name: Date of Birth: Student is Called: Sex: M F Applicant s Current School: School Address: Current Grade: Phone: City: State: Zip: Signature of Parent/Legal Guardian: Date: Evaluator: Please fill out the following. If you would like to provide additional information, please do so in the comments section. Number of days absent during the year: Number of days tardy: How long and in what capacity have you known the applicant? Academic Skills Excellent Good Fair Poor/limited Critical/Abstract Thinking Skills h h h h Intellectual Curiosity h h h h Organizational Skills h h h h Motivation h h h h Determination h h h h Creativity h h h h Academic Potential h h h h Work Skills Class participation h Joins in readily h Contributes occasionally h Wants to dominate h Rarely contributes Ability to work in a group h Consistently works well h Sometimes h Has difficulty h Has great difficulty Ability to work independently h Consistently works well h Needs help occasionally h Needs help frequently h Needs constant help Completes assignments on time h Consistently completes h Usually completes h Needs additional time h Has difficulty Follows directions h Easily and accurately h Occasionally needs help h Needs much explanation h Rarely Takes initiative h Always h Usually h Sometimes h Rarely Fine motor skills h Excellent h Good h Fair h Poor Attention span h Actively engaged h Attentive h Variable attention h Requires frequent redirection Social Skills Peer relations h Role model h Healthy relationships h Occasional problems h Relates poorly Relationships with adults h Courteous h Usually positive h Occasional problems h Shows little respect Concern for others h Very considerate h Considerate h Usually considerate h Rarely considerate Attitude toward school h Excellent h Good h Fair h Poor Grades 1-5 Evaluation pg 1 of 2

14 Student Evaluation Form Grades 1-5 (cont.) Student s Name: English/Language Arts Excellent Above Average Average Poor/limited Reading comprehension h h h h Written expression Grammar h h h h Written expression Composition h h h h Verbal expression h h h h Names of English textbooks/publishers: Math Excellent Above Average Average Poor/limited Knowledge of basic skills h h h h Ability to grasp new concepts h h h h Analytical ability h h h h Application of skills h h h h Names of Math textbooks/publishers: Areas in which the applicant has the greatest strengths: Areas in which the applicant has the greatest needs: Has the applicant ever been a recipient of a special services program? (i.e. gifted, learning disability resource center, speech therapy, etc.) h Yes h No If yes, please explain: Describe the ways applicant contributes to your school community (character, citizenship, leadership): Please describe the parental support/involvement: Personal qualities Integrity h Highly trustworthy h Trustworthy h Usually trustworthy h Questionable Personality h Always friendly h Usually friendly h Occasionally friendly h Rarely friendly Sense of humor h Highly developed h Good h Fair humor h Poorly developed Cooperation h Always cooperates h Cooperates h Occasionally cooperates h Poor cooperation Citizenship h Excellent h Good h Fair h Poor Attitude toward school h Excellent h Good h Fair h Poor Self control h Excellent h Good h Fair h Poor Leadership potential h Leader h Can follow or lead h Leads on occasion h Rarely leads Self confidence h Healthy self-image h Needs some support h Seems overconfident h Poor self-image Reaction to criticism/setbacks h Excellent h Good h Fair h Poor Responsibility h Very responsible h Usually responsible h Sometimes responsible h Rarely responsible Emotional maturity h Very mature h Age appropriate h Sometimes immature h Very immature Comments: Thank you for your time and evaluation of this applicant. May we contact you if we have questions? h Yes h No Evaluator s Name (please print): Phone: Evaluator s Signature: Title: Date: Principal s Signature: Date: Grades 1-5 Evaluation pg 2 of 2

15 Christ the King School 46 Peachtree Way, N.E. Atlanta, GA STUDENT EVALUATION FORM Rising Sixth through Eighth Grades To Parent: Please complete this section and deliver this form to your child s teachers. Forms will be mailed directly to the CKS Admissions Office. Student Name: Date of Birth: Student is Called: Sex: M F Applicant s Current School: School Address: Current Grade: Phone: City: State: Zip: Signature of Parent/Legal Guardian: Date: Evaluator: Please fill out the following. If you would like to provide additional information, please do so in the comments section. Number of days absent during the year: Number of days tardy: Number of times tardy to class: How long and in what capacity have you known the applicant? Academic Skills Excellent Good Fair Poor/limited Critical/Abstract Thinking Skills h h h h Intellectual Curiosity h h h h Organizational Skills h h h h Motivation h h h h Study Skills h h h h Determination h h h h Creativity h h h h Academic Potential h h h h English/Language Arts Excellent Above Average Average Poor/limited Reading comprehension h h h h Written expression Grammar h h h h Written expression Composition h h h h Verbal expression h h h h Names of English Textbooks/Publishers: Math Excellent Above Average Average Poor/limited Knowledge of basic skills h h h h Ability to grasp new concepts h h h h Analytical ability h h h h Application of skills h h h h Names of Math Textbooks/Publishers: Middle School Grades 6-8 Evaluation pg 1 of 2

16 Student Evaluation Form Grades 6-8 (cont.) Student s Name: Work Skills Class participation h Joins in readily h Contributes occasionally h Wants to dominate h Rarely contributes Ability to work in a group h Consistently works well h Sometimes h Has difficulty h Has great difficulty Ability to work independently h Consistently works well h Needs help occasionally h Needs help frequently h Needs constant help Completes assignments on time h Consistently completes h Usually completes h Needs additional time h Has difficulty Follows directions h Easily and accurately h Occasionally needs help h Needs much explanation h Rarely Takes initiative h Always h Usually h Sometimes h Rarely Attention span h Actively engaged h Attentive h Variable attention h Requires frequent redirection Social Skills Peer relations h Role model h Healthy relationships h Occasional problems h Relates poorly Relationships with adults h Courteous h Usually positive h Occasional problems h Shows little respect Concern for others h Very considerate h Considerate h Usually considerate h Rarely considerate Attitude toward school h Excellent h Good h Fair h Poor Displays appropriate conduct h Always h Usually h Sometimes h Rarely Areas in which the applicant has the greatest strengths: Areas in which the applicant has the greatest needs: Has the applicant ever been a recipient of a special services program? (i.e. gifted, learning disability resource center, speech therapy, etc.) h Yes h No If yes, please explain: Describe the ways applicant contributes to your school community (character, citizenship, leadership): Please describe the parental support/involvement: Personal qualities Integrity h Highly trustworthy h Trustworthy h Usually trustworthy h Questionable Personality h Always friendly h Usually friendly h Occasionally friendly h Rarely friendly Sense of humor h Highly developed h Good h Fair humor h Poorly developed Cooperation h Always cooperates h Cooperates h Occasionally cooperates h Poor cooperation Citizenship h Excellent h Good h Fair h Poor Attitude toward school h Excellent h Good h Fair h Poor Self control h Excellent h Good h Fair h Poor Leadership potential h Leader h Can follow or lead h Leads on occasion h Rarely leads Self confidence h Healthy self-image h Needs some support h Seems overconfident h Poor self-image Reaction to criticism/setbacks h Excellent h Good h Fair h Poor Responsibility h Very responsible h Usually responsible h Sometimes responsible h Rarely responsible Emotional maturity h Very mature h Age appropriate h Sometimes immature h Very immature Comments: Thank you for your time and evaluation of this applicant. May we contact you if we have questions? h Yes h No Evaluator s Name (please print): Phone: Evaluator s Signature: Title: Date: Principal s Signature: Date: Middle School Grades 6-8 Evaluation pg 2 of 2

17 Christ the King School 46 Peachtree Way, N.E. Atlanta, GA Parish Verification of Active Membership The Archdiocese of Atlanta defines active parishioners as those registered and worshipping members who attend Mass weekly and contribute of their time, talent, and financial resources to support the Parish. Active membership is to be determined by the parish in which the family is a member. PLEASE PRINT: Parents/Guardians Name Home Phone Work Number Cell Phone Street Address City State Zip Code Name of Parish Date Registered Our family has a stewardship pledge on file with the parish this year: h Yes h No Our family participates in this year s Archbishop s Annual Appeal: h Yes h No Please list ALL students planning to attend Christ the King School for the school year even if acceptance has not been finalized. List the students first and last names and the grade they will be entering. First / Last Name Grade in First / Last Name Grade in First / Last Name Grade in First / Last Name Grade in The information on this page is held in the strictest confidence. Please be as specific as possible. Attach additional sheets if needed. We attend Mass: h Regularly h Frequently h Infrequently h Never We are not Catholic but attend services at: Church Name Address Phone No. Stewardship of Time and Talent Please list the ways that you and/or your spouse and children are involved in the ministries and activities of your parish. We would like more information on volunteering at the parish: h Yes h No Parish Verification Form pg 1 of 2

18 Please list the volunteer activities in which you have participated at School/Pre-School: Stewardship of Treasure Contributions are made to the Parish: h Weekly h Monthly h Other (Please Specify) Method of Contributions: Envelope h Check h Cash h Electronic NOTE: Cash contributions should be placed in parish offertory envelopes. Unfortunately, loose cash cannot be identified as yours and, therefore, will not count toward verification. * New Families Only Please indicate your child/children s religious education involvement: Signature of Parent/Guardian Date For Parish Office Use Only: This family is registered at Parish. This family is not registered at Parish. Based on the commitment of Time, Talent and Treasure, this family is considered: h Active Catholic Family h Non-active Catholic Family h Not a Catholic Family Pastor s comments to support this designation: Pastor s signature: Date Parish Verification Form pg 2 of 2 Christ the King School 46 Peachtree Way, N.E. Atlanta, GA admissions@christking.org