ALAMANCE CHRISTIAN SCHOOL ENROLLMENT AGREEMENT

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1 ALAMANCE CHRISTIAN SCHOOL ENROLLMENT AGREEMENT Parental Agreement ACS seeks to maintain a positive working relationship with parents and guardians. We desire parental involvement and partnership, which is so critical in our educational and Christian setting. ACS maintains that our educational objectives cannot be fully realized without the active interest, participation, and commitment of parents and guardians. Consequently, we expect our parents to be involved with teachers, staff, administrators, and to accept their part in educational accountability. We expect parents to support the educational efforts of our teachers, to closely monitor their child s school work, to respond to communication from our faculty and administrators, and to praise and encourage their child in his/her efforts at school, to provide a place and time for study at home, and if their child needs extra help, to be that helper at home. We recognize that there may be times when issues, differing views, or concerns may arise that need to be addressed. Problems not properly dealt with generally lead to greater conflict. Our administrators and faculty are available to meet with parents to discuss issues related to their child which they believe need to be addressed. We value communication, objectivity, and constructive dialogue that bring about solutions and resolution to concerns. In those sometimes inevitable situations, please be so kind as to express any concerns to the persons directly involved, such as teachers or administrators. Generally, it is unhelpful to communicate concerns to others that are not in a position to bring closure and resolution to your concerns. Notwithstanding, our expectations are that in the event of conflict or disagreement, parents and guardians will approach issues with our staff in a positive, objective, mature, and non-adversarial manner. Disagreements are not necessarily personal. And, if given the opportunity, our staff, in most cases, will be able to resolve your concerns. Ultimately, we believe that our effectiveness as an educational institution is undermined when parents do not support our faculty and administrators. At what point a parent maintains a sustained lack of confidence in our faculty, staff, and administration, we believe that there exists a sufficient barrier to the positive and supportive working relationship that we desire. In the event of the deterioration of this positive working relationship due to an impasse which is seemingly beyond resolution, ACS reserves the right to deny a student from future enrollment at our school, and to begin the steps of transferring said student to another educational institution. By signing below, I/we understand and acknowledge that my/our child, who will be attending ACS, and I/we as the parent(s)/guardian(s), subscribe to the school s philosophy, Biblical worldview, moral perspective, and agree to abide by and support the educational policies and regulations of the school. Signature of Parent/Guardian 1 Signature of Parent/Guardian 2 Date Student s Name Grade Entering

2 ALAMANCE CHRISTIAN SCHOOL STATEMENT OF FAITH We believe there is one God eternally existing in three persons the Father, the Son, and the Holy Ghost. We believe the Holy Scriptures are verbally inspired of God and are our only infallible rule of faith and practice. We believe Jesus Christ died, shedding His blood for our sins, and was bodily raised from the dead for our justification. We believe He will return visibly and bodily with power and great glory. We believe man is by nature and practice a sinner separated from God and can become God s child only by faith in Jesus Christ and submission to the will of God as revealed in the Gospel. We believe those who are thus born into God s family have eternal life, and those who are not remain in spiritual death and will be separated from God forever in Hell. We believe the Holy Spirit lives in the believer and enables him to walk in purity of life and submission to the will of God. We believe the spiritual unity of the believers is in our Lord Jesus Christ. I have read and agree with the above Statement of Faith. Parent s Printed Name Parent s Signature Date

3 ADMISSIONS APPLICATION And General Introductory Information (Revised 6/23/2016) Student Name Grade School Year Please fill out this application completely and accurately. If you have any questions in filling out this information, please contact the ACS admissions office at PK-1 ½ day PK-2 ½ day PK-3 ½ day PK-4 ½ day K-5 Grade 5 PK-1 Full Day PK-2 Full Day PK-3 Full Day PK-4 Full Day Middle-High School Call today to arrange a tour of ACS with your promising student. ACS does not discriminate on the basis of race, color, national or ethnic origin. (Office Use Only) A. D: WL: APP/PD: IB: Acct.# Start Date Administrative Signature Date

4 Student Information Section This section of the Student Admissions Form should be filled out by the prospective student. Return to the school along with Application and Health Forms. Before completing this application, it is important that you and your parents understand the purpose of Alamance Christian School. Please read carefully: Alamance Christian School is a school for students who are serious about their academic studies and life objectives. ACS students should desire to conduct themselves in such a way as to please and honor the Lord Jesus Christ. Those applying to ACS should be willing to cheerfully abide by the procedures of the school without being prodded, to engage in regular daily devotional reading, and to engage in those things that are true, honest, just, clean, pure, and of good report (Phil. 4:8). It is understood that the school may determine necessary disciplinary measures; and, if in its opinion, it concludes that any student s actions or attitudes are such as to indicate that he is not susceptible to the disciplines or objectives of the school, such student shall be subject to immediate dismissal. Full Name: (Last) (First) (Middle) Address: Nickname: Date of Birth: Telephone: ( ) Grade: Gender: Male Female The church your family attends: Pastor: Church Phone:( ) Church Address: Student Educational Information School in which you are presently enrolled: _ Approximate # of days absent last year: School Address: Telephone: ( ) If you are entering the ninth grade or above, what are your educational objectives? Does the student have a current an IEP (Individualized Education Program)? YES NO Student Personal Information (K5-12 th ) If you are a Christian, tell us about the time and place of your Is it your own personal desire to attend A.C.S.? conversion and what salvation means to you. (check one) YES NO If YES, why? If NO, why not? What are your favorite academic subjects? What subjects do you like least? Why are they your favorites? Writing Sample (For grades 8-12) On a separate sheet of 8 ½ x 11 paper, write approximately 200 words in your own handwriting and in ink on the following subject: The Responsibility of the Christian Student. (Include some of your thoughts on how you plan to contribute to the improvement of the ACS testimony and program.) By signing below, I pledge the information provided herein is true and accurate to the best of my knowledge. I also understand the purpose of ACS stated above. I have read and signed that I agree with the ACS Middle School/High School Commitment Statement. Student: (print) (signature) Date:

5 Parent/Legal Guardian Information Section This section of the Student Admissions Form should be filled out by the parent or legal guardians of the prospective student. Please return this form to the school along with the inserted Health Forms. Before completing this application, it is important that you and your child understand the purpose of Alamance Christian School. Please read carefully: Alamance Christian School is a school for students who are serious about their academic studies and life objectives. ACS students should desire to conduct themselves in such a way as to please and honor the Lord Jesus Christ. Legal Guardian Information Parent Name: Home address: Marital Status: (check one) Married Widow(er) Divorced Home Phone: Separated Remarried (see non-custodial parent) Work Phone: Spiritual Status: Have you personally received Cell Phone: Jesus Christ as your Savior? (check one) Occupation: Shift: 1 st 2 nd 3 rd YES NO Employer: Spouse Name: Home address: Marital Status: (check one) Married Widow(er) Divorced Home Phone: Separated Remarried (see non-custodial parent) Work Phone: Spiritual Status: Have you personally received Cell Phone: Jesus Christ as your Savior? (check one) Occupation: Shift: 1 st 2 nd 3 rd YES NO Employer: Non-Custodial Parent (If Applicable) Parent Name: Home address: Marital Status: (check one) Married Widow(er) Divorced Home Phone: Separated Remarried (see non-custodial parent) Work Phone: Spiritual Status: Have you personally received Cell Phone: Jesus Christ as your Savior? (check one) Occupation: Shift: 1 st 2 nd 3 rd YES NO Employer: General Information Names of persons to whom your child may be released from school: Siblings, if any, at ACS: Paternal Grandparents: Maternal Grandparents: Address: Address: Phone: _ Phone:

6 List chronologically all schools attended, including nursery and kindergarten: Dates Grade Name and Address of School Scholastic Grades have been: Superior Above Average Average Below Average Has the student ever been dismissed/expelled Has the student ever failed a grade or been held back? YES NO If yes, explain: YES NO If yes, explain: List organizations, sports, hobbies, etc. in which the student is interested and/or talented: Why do you desire to enroll your child in ACS? References 1. Person (other than relative), firm or bank with whom you have had business dealings: Name / Address / Phone: / ( ) 2. School Principal: Name / Address / Phone: / ( ) 3. Pastor: Name / Address / Phone: / ( ) 4. Child s Sunday School Teacher: Name / Address / Phone: / ( ) Note Carefully: In making this application, I understand that: 1. My child will go on scheduled field trips and other school activities. 2. I am committing the discipline of my child to those in charge while he is in school. 3. The administration has full responsibility for placing my child in the proper grade. 4. My cooperation is expected in: a. Regular tuition payment, b. Practical help, c. Faithful prayer, and d. Support of ACS procedures & disciplines in fact and spirit. 5. The school reserves the right to dismiss any student who does not respect its spiritual standards or cooperate in its educational endeavor. 6. I (we) have read, signed and attached the ACS Statement of Faith with this application. 7. My student has read, signed and attached the ACS Middle School/High School Commitment Statement. 8. Final acceptance of applicant is to be determined by the ACS Admissions Committee. Signature of both parents/legal guardian is required: Father: (print) (signature) Date: Mother: (print) (signature) Date: (Please enclose a picture of the student. We also need a copy of the birth certificate for grades PreK-1 st gr. only.) Pursuing Excellence and Transforming Lives Through Christ. How did you learn about Alamance Christian School? Yellow Pages Church Announcement Newspaper Ad Current ACS Parent (Please specify) Website Other (Please specify) A non-refundable application fee is to accompany this application. See financial sheet for details.

7 ALAMANCE CHRISTIAN SCHOOL MIDDLE SCHOOL / HIGH SCHOOL COMMITMENT STATEMENT The ACS Middle and High School Commitment Statement indicates our expectations regarding positive student behaviors that are necessary for the establishment of an optimum learning environment. This statement is to be signed by all middle and high school students indicating their agreement and their intent to strive for excellence, both in school and outside of school, in their daily process of decision making as young and maturing adolescent students. I believe in, and my life will reflect, the biblical standards of moral and ethical conduct. Therefore, as a student at ACS, I commit to being honest, courteous, and respectful while interacting with fellow students and adults. I choose to respect my body by not using illegal drugs, alcohol, tobacco products, or abusing other similar substance. I choose to use appropriate language rather than that which is indecent and vulgar. I choose to dress modestly. I choose to practice sexual purity both in word and action. I choose not to engage in, embrace, or promote promiscuity, homosexual/bisexual behaviors, or any other biblical violation of the unique roles of males or females. With respect to media, I will be discriminating in my viewing and listening choices recognizing the negative influence of media that 1) celebrates casual sex and misrepresents God s intentions in human sexuality, 2) depicts excessive violence, and 3) uses inappropriate and indecent language. I choose to use social media (Facebook, Twitter, Instagram, texting, , etc) responsibly, refraining from profanity, bullying, personal attacks, sexually provocative behaviors, and by respecting privacy issues. By signing this form, I am indicating that I desire to attend ACS, that I am in agreement with the above guidelines, that I choose to honor God with my heart and action, and that I choose to represent Christian principles to my fellow students and the community. Student s Printed Name Student s Signature Date Scripture References: I Timothy 4:12, Ephesians 4:22-23, Philippians 2:1-11, Romans 1:21-32, I Corinthians 6:9-20, Romans 10:9-1

8 ALAMANCE CHRISTIAN SCHOOL Tuition and Fee Schedule School Year ENROLLMENT FEES Application: Kindergarten 12 th $ New Students Only Registration: Kindergarten 12 th $ Fees are non-refundable and are non-transferable Registration includes: NCCSA Dues, Student Insurance, Achievement Testing, and Supporting Materials/Mailings Maximum Application/Registration for New Family: $ BOOKS & MATERIALS FEE: Kindergarten 12 th $ Book fees are non-refundable and non-transferable. TUITION Elementary: Kindergarten 5 th $4, Middle School: 6 th 8 th $5, High School: 9 th 12 th $5, Tuition Payment Options: Option 1 Annual installment DUE August 10. Option 2 Bi-annual installments DUE August 10 and January 10. Option 3 Pay monthly on a 10, 11 or 12 month payment plan (within the school year) **Families paying on the 10, 11 or 12 month plans must enroll online with FACTS Tuition Management at ACS has a Creative Learning Center program with limited availability. Admission to the program is determined by the CLC Director/Staff. There is an additional tuition of $7/hour for CLC program. If you are instrumental in a new family enrolling at ACS, you will receive a discount of $25/month for every month the new family is enrolled with a maximum discount of $250 for the current school year. If a family should withdraw, this discount will stop in the month of withdrawal. For each additional new family you will receive a one-time $50 credit toward your account. STUDENT ACTIVITY FEE Elementary: Kindergarten 5 th $ Middle School: 6 th 8 th $ High School: 9 th 12 th $ The Activity Fee is billed to your account based on your FACTS payment plan. CAPITAL ASSESSMENT FEE $ per Family (Building Renovations & Maintenance) The Capital Assessment Fee is billed to your account based on your FACTS payment plan. OTHER FEES (only as applicable) P.E. Uniform (7 th -10 th Grade boys & girls) $25.00 (purchased individually: shirt $11.00, shorts $16.00) High School Retreat (7 th 12 th Grade) $ (Approx.) Yearbooks (pre-order/pre-paid) $65.00 (Approx.) Athletic Fee $35.00 per child, per sport Opportunities for homeschooled students (please contact ACS office for additional information) Alamance Christian School Financial Information

9 Multi-child discount begins with third child; first two children are at full tuition rate. FAMILY TUITION DISCOUNT (Discount applies to Grades Kindergarten -12 th ) Three Children 25% off third child s tuition only Four Children 45% off fourth child s tuition only Five or more Fifth Child Free Tuition Only ACS Scholarship Program: If you have children in Kindergarten 12 th grades, you are eligible to apply for and possibly receive up to 25% of tuition in scholarship assistance for the School Year. Deadline for submission of applications is April 15 th. Scholarship recipients will be notified of scholarship awards by mid-may. Please contact the Business Office for further information. DAY CARE SERVICES (Kindergarten-10 th grade) Directed Day Care is available from 6:45 A.M. 7:30 A.M. and from 3:00 5:30 P.M. Cost is $3.00 per hour with a minimum charge o $3.00 per day. Charges are figured on the quarter hour after the first hour. (Example: 1hr.35 minutes would mean 1hr.45min. which equals a charge of $5.25) As a courtesy to our Day Care Staff, please be prompt in picking up your children by 5:30 P.M. A late fee of $5.00 per 5 minutes is levied for students who are not picked up by 5:30 P.M. ACS SUMMER CAMP PROGRAM: ACS does offer a summer camp program. Program details & fees are available from the Summer Camp Director. ACS PAYMENT POLICIES The school attempts to keep costs to parents at a minimum; therefore, prompt payment of all accounts is absolutely necessary. This will enable the school to meet its financial obligations. All families MUST sign up to use FACTS for their tuition payments. You can register with FACTS Tuition Management at The only exceptions are for families who pay the full year in advance or two equal payments at the beginning of each semester. If payment is returned due to Insufficient Funds, your payment will be reversed on your account. Late fees and finance charges will be assessed to your account in addition to a $25.00 charge for checks returned due to Insufficient Funds. The school reserves the right to dismiss any student(s) whose financial obligations to the school remain unpaid thirty days after the due date (by the tenth of each month). Student records will not be released until overdue accounts are satisfied. Student transcripts will not be issued until parents make payment in full. PLEASE NOTE: If a student withdraws before the completion of the current school year, you will still be responsible to pay all tuition and fees through the end of the month of withdrawal and calculated based on a typical 10-month payment plan. In addition, a $100 per student early withdrawal fee will be assessed to your account. If unpaid accounts are delinquent after June 30 students from these families will lose priority for re-admission over new applicants. No student(s) of parents owing overdue tuition/fees will be re-admitted the following year unless the overdue amount is paid in full by June 30, If a pattern of late payment necessitates frequent reminders, the family may be required to pay in advance by the semester in order to be re-enrolled for the following year. For the School Year, tuition and all fees must be paid by May 15, 2018, in order for a senior to receive his/her diploma at graduation. Pg. 2 Alamance Christian School Financial Information

10 ALAMANCE CHRISTIAN PRESCHOOL: K1 K4 Tuition and Fee Schedule School Year ENROLLMENT FEES Application $ New Students Only Registration $ Fees are non-refundable and non-transferable. *A child must be at least 12 months old before starting and grade level age before August 31. TUITION HALF DAY PROGRAM -- 7:30 AM - 12:00 PM FULL DAY PROGRAM: 7:30 AM 5:30 PM K1 Program: $4, K1 Program: $6, K2 K4 Program: $3, K2 K4 Program: $6, NOTE: Daycare charges will be assessed to any student in the half-day program beginning at 12:00 PM. Tuition rates for both the Half-day Program and Full day Program do not include teacher workdays and/or holidays. Our Preschool Program operates on a traditional 180-day calendar school year. PLEASE NOTE: If a student withdraws before the completion of the current school year, you will still be responsible to pay all tuition and fees through the end of the month of withdrawal and calculated based on a typical 10-month payment plan. In addition, a $100 per student early withdrawal fee will be assessed to your account. Tuition Payment Options: Option 1 Pay 1 installment DUE August 10. Option 2 Pay 2 installments DUE August 10 and January 10. Option 3 Pay monthly on a 10, 11 or 12 month payment plan. **Families paying on the 10, 11 or 12 month plans must enroll online with FACTS Tuition Management at If you are instrumental in a new family enrolling at ACS, you will receive a discount of $25/month for every month the new family is enrolled with a maximum discount of $250 for the current school year. If a family should withdraw, this discount will stop in the month of withdrawal. For each additional new family you will receive a one-time $50 credit toward your account. ADDITIONAL AM/PM SERVICES (Preschool: K1 K4) Directed morning care is available from 6:45 A.M. 7:30 A.M Cost is $3.00 per hour with a minimum charge of $3.00 per day. Charges are figured on the quarter hour after the first hour. (Example: 1hr.35 minutes would mean 1hr.45min. which equals a charge of $5.25) As a courtesy to our Day Care Staff, please be prompt in picking up your children by 5:30 P.M. A late fee of $5.00 per 5 minutes is levied for students who are not picked up by 5:30 P.M. ACS SUMMER CAMP PROGRAM: ACS does offer a summer camp program. Program details & fees are available from the Summer Camp Director. Alamance Christian School Preschool Financial Information Last Updated February 1, 2017

11 ACS Payment Policy The school attempts to keep costs to parents at a minimum; therefore, prompt payment of all accounts is absolutely necessary. This will enable the school to meet its financial obligations. All families MUST sign up to use FACTS for their tuition payments. You can register with FACTS Tuition Management at The only exceptions are for families who pay the full year in advance or two equal payments at the beginning of each semester. If payment is returned due to Insufficient Funds, your payment will be reversed on your account. Late fees and finance charges will be assessed to your account in addition to a $25.00 charge for checks returned due to Insufficient Funds. The school reserves the right to dismiss any student(s) whose financial obligations to the school remain unpaid thirty days after the due date (by the tenth of each month). Student records will not be released until overdue accounts are satisfied. Student transcripts will not be issued until parents make payment in full. PLEASE NOTE: ACS operates on a traditional 180-day calendar school year. If a student withdraws before the completion of the current school year, you will still be responsible to pay all tuition and fees through the end of the month of withdrawal and calculated based on a typical 10-month payment plan. In addition, a $100 per student early withdrawal fee will be assessed to your account. If unpaid accounts are delinquent after June 30 students from these families will lose priority for re-admission over new applicants. No student(s) of parents owing overdue tuition/fees will be re-admitted the following year unless the overdue amount is paid in full by June 30, If a pattern of late payment necessitates frequent reminders, the family may be required to pay in advance by the semester in order to be re-enrolled for the following year. Alamance Christian School Preschool Financial Information Last Updated February 1, 2017

12 ALAMANCE CHRISTIAN SCHOOL Financial Aid & Scholarship Opportunities ACS Scholarship: Families who have children enrolled in K5-12 th grade are eligible to apply and possibly receive up to 25% of tuition only in scholarship assistance for the school year. Families applying for financial aid will need to complete an application and submit the necessary supporting documentation to FACTS Grant & Aid Assessment by April 15, Applicants can apply online at Scholarship recipients will be notified of any scholarship award by mid-may. Pastoral Staff Scholarship: All full-time pastoral staff members will be offered a 20% discount on tuition only for any child they enroll full-time at Alamance Christian School. This can be renewed each year the family re-enrolls at ACS. To be eligible for this scholarship, you must be employed full-time in a church-related ministry. Church/Pastor Scholarship: Area Churches may receive two $1,000 one-time, non-renewable scholarships to offer to new families (never enrolled at ACS). Pastors are to contact the ACS Business Office to give the names of the church families that will receive the scholarship. The scholarship does not apply to homeschool families. Missionary Scholarship: Any missionary home on furlough and who will be returning to the field or domestic missionaries living fully on mission support wishing to enroll their children at ACS will receive a 100% tuition grant for their first child as long as they enroll at least one other child at full tuition. Alumni Scholarship: Graduates of ACS who wish to enroll their children in ACS for the first time (never enrolled before) may receive a 25% discount on tuition for their first-year only. This scholarship is non-renewable. North Carolina Opportunity Scholarship Grant (OSG): The Opportunity Scholarship Program expands school choice in North Carolina through scholarship grants for eligible children in kindergarten through 12th grade. This program provides funding of up to $4,200 per year for eligible children who choose to attend a participating nonpublic school. For further information: The deadline for application submission is March 1, NOTE: All the above scholarships apply to tuition only. All other applicable fees must be paid. The above scholarships may not be used in combination with any other scholarships or ACS discounts (except multi-child discounts).

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