Admissions > Application Form

Application Form

Click Here to Download the Form to print out.

Or Complete and Submit the Form below.

Step 1: Enrollment Application

(Application must be completed in full)

Parents:

Father's Name
Mother's Name
Address
City
Zip
Phone
 

Children

Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
 

Father

Occupation
Employer
Employer's Address
Employer's Phone
Cell
Pager
Email Address
 

Mother

Occupation
Employer
Employer's Address
Employer's Phone
Cell
Pager
Email Address
 

Church

Church Name
Church Address
Church Pastor Name
 

Your Church

Current status?

Please list the church or Christian ministry activities in which your family has recently served or is currently serving:

 
 

Please summarize when you both, father and mother, came to know Jesus Christ as your Savior and Lord and describe how this decision effects your life today.

Father:
Mother:
 

Please list the parenting classes you have both taken, including locations and dates:

 
 

Please summarize your philosophy on parenting:

 
 

How will NorthBay Christian Academy differ from your child's previous school experience?

 
 

Please list the reasons you desire your child/children to attend NorthBay Christian Academy:

 
 

Please describe the area(s) in which you believe the Lord has gifted you:

 
 

Please put the following numbers in the area(s) in which you are most interested in serving*:

1-First choice 2-Second choice 3-Third choice
Generally, each family (husband and wife) participate together on the same committee NCA Committees:
Planning Socials
Fundraisers
Planning Chapel Speakers
Room Mom/Dad
Other
 
*Although we strive to place families in areas of service where their strengths and interests lie, you may be assigned to any committee where service is needed.

NCA Enrichment classes may be taught by NCA parents if they are specially gifted in the specific subject area. These classes are Art, Foreign Languages, Music and Physical Education. Please let us know if you desire to be considered for a teaching position. Please list subject, level of education and/or experience:

We learned about NorthBay Christian Academy through:

 
 

Digital Signatures:

Father's Signature
Mother's Signature
 

Section 2: Student Profile

Student's full name
SS#
Nickname, if commonly used
Sex:
Date of birth
Birth place
Grade applying for
 

Students entering First-grade or above:

Will the student be taking a standardized test in the Spring?

 
 

Which test will the student be taking?

 
 

Date and location of test:

 
 

Other academic assessments being administered; date and location:

 
 

Name of school last attended (if applicable)

 
 

Complete address (for requesting records):

 
 

Last grade completed at this school:

 
 

Other previous schools attended (addresses, dates):

 
 

Has this student ever repeated a grade?

 
 

Has this student ever been dismissed, suspended or expelled?

 
 

Has this student had scholastic difficulty?

 
 

Has this student had any discipline problems?

 
 

Please explain any "yes" answers:

 
 

Indicate any emotional, mental or physical disabilities, which might affect the student's activities or progress:

 
 

List your child's interests, skills and special abilities:

 
 

Please summarize your child's present knowledge of Jesus Christ and God's Word:

 
 

 

 

Please Enter Code:

 
 

 
 
NorthBay's mission is to support Christian families in spiritually and academically
equipping students to take their places in the world as servants of Jesus Christ.
 
 
 
2200 Marshall St Safety Harbor, FL 34695
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