California Crosspoint Academy Transforming Lives for the Glory of God

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1 Transforming Lives for the Glory of God Dear Prospective Family: Thank you for your interest in California Crosspoint Academy. Your child s education and training are very important to us and we want to assist you in making the right choice. Every school is different and not every learning environment is best suited for every child. California Crosspoint Academy offers an excellent and comprehensive college-preparatory academic program in a highly structured but supportive learning community. We encourage you to visit many schools and to ask a lot of questions. Be sure you pick the school that is the best match for your child. California Crosspoint Academy is neither elitist nor exclusive in its admissions policy. Our ministry goal is to develop each student s God-given potential to the fullest. We desire to help all students who can benefit from our educational program. Students are admitted without regard to race, color, religion, and national or ethnic origin. As a private, religious school, we reserve the right to make admissions decisions in accordance with our religious beliefs and mission. The submission of an application begins the admissions process. Each application is reviewed by the registrar for completeness and submitted to school administration for consideration. The school administrators carefully examine each application and determine what action to take in accordance with God s Will, the school s mission, and ministry impact. Some of the factors that are weighed include: church/school connection (children of Bay Area Chinese Bible Church members, siblings of current students, and children of staff or alumni have priority), prior academic performance, conduct, discipline, and maturity, student s parent and family support structure, church and religious background, and time of application. If you have special facts or circumstances in the areas listed above that the school should consider with your application, please include a separate, detailed explanation. We will make every effort to act on your application as quickly as possible. If you have any questions, please do not hesitate to contact us. Thank you again for your interest in California Crosspoint Academy. Sincerely yours, Mr. Robin S. Hom Superintendent California Crosspoint Academy Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 1 Revised 11/18/16

2 Transforming Lives for the Glory of God ADMISSIONS PROCEDURES 1. Complete the Admissions Application and return it with the following: a. Current immunization record b. Authorization to Release Reference Information c. Copy of your child s last two years report cards d. Copy of your child s last two years standardized test results (e.g., CAT, SAT, CTBS etc) e. Student Questionnaire f. Teacher s Reference/Recommendation g. Birth Certificate 2. Once all the forms have been received, our admissions office will contact you to schedule a placement test date. Your child will take a placement test and meet with an administrator. 3. We would like both parents to attend a personal interview with an administrator if possible. 4. An admission and placement evaluation and decision will be made by a staff team based on the following: a. Parents and student agreement with the school s philosophy and policies b. Student s academic grade level proficiency c. Student s learning attitude and effort d. Student s conduct and classroom behavior e. School s ability and resources to meet the student s needs California Crosspoint Academy Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 1 Revised 11/18/16

3 Transforming Lives for the Glory of God ADMISSIONS APPLICATION Student Information LEGAL LAST NAME LEGAL FIRST NAME PREFERRED NAME PRIMARY LANGUAGE SCHOOL YEAR APPLYING FOR 20 MALE FEMALE STREET ADDRESS GRADE APPLYING FOR PASSPORT NUMBER CURRENT GRADE ID#/SOCIAL SECURITY NUMBER CITY PROVINCE/STATE COUNTRY ZIP CODE HOME PHONE DATE OF BIRTH PLACE OF BIRTH (City, State, Country) STUDENT S CELL PHONE STUDENT S DRIVER S LICENSE Parent Information LAST NAME, FIRST FATHER MOTHER STREET ADDRESS CITY PROVINCE /STATE ZIP CODE COUNTRY HOME PHONE ( ) - ( ) - CELL PHONE ( ) - ( ) - EMPLOYER OCCUPATION WORK PHONE ( ) - ( ) - PRIMARY LANGUAGE California Crosspoint Academy Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 4

4 Family Information PARENTS MARITAL STATUS: SEND SCHOOL NOTICES TO: LEGAL CUSTODY OF THE CHILD IS WITH: SPECIAL CUSTODY OR VISITATION ARRANGEMENTS (Check all that apply) MARRIED JOINT JOINT WIDOWED FATHER FATHER DIVORCED MOTHER MOTHER SEPARATED GUARDIAN GUARDIAN BROTHERS or SISTERS LIVING AT HOME NAME BIRTHDATE SCHOOL ATTENDING GRADE Academic Information LAST SCHOOL ATTENDED GRADE LEVEL AVG. HRS. OF HOMEWORK PER NIGHT: SCHOOL ADDRESS SCHOOL PHONE CITY SCHOOL FAX NUMBER PROVINCE /STATE ZIP CODE SCHOOL WEBSITE REASON FOR LEAVING PREVIOUS SCHOOL: HAS THE STUDENT EVER BEEN EXPELLED, SUSPENDED, PLACED ON PROBATION, OR INVOLVED IN AN INCIDENT INVOLVING VIOLENCE, DRUG ABUSE, GANGS, VANDALISM, OR LAW ENFORCEMENT? IF YES, EXPLAIN FULLY. LIST ALL REQUIRED PHYSICAL OR ACADEMIC ACCOMODATIONS MADE IN SCHOOL LAST ATTENDED: PLEASE INCLUDE ANY ADDITIONAL INFORMATION YOU WOULD LIKE THE SCHOOL TO KNOW. California Crosspoint Academy Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 4

5 STUDENT QUESTIONNAIRE 1) What are your favorite subjects and why? 2) Write about something you learned that was very important, valuable, and exciting to you. Is there something else that you have always wanted to do or learn? 3) What qualities do you like and value most about yourself? What personal qualities would you like to improve? 4) Describe a person you admire and look up to. Why do you respect this person? How is this person important to you? 5) What are your plans for college? 6) What occupation or profession do you want to enter? Why? 7) Why do you think you will do well in a structured environment where a student s conduct, speech, character, and attitude are emphasized as much as academics? 8) List any church or religious activities you attend regularly: 9) Briefly describe your spiritual life. Are you a born-again Christian? Have you been baptized? Do you pray or read the Bible? 10) Do you want to attend California Crosspoint Academy? Why or why not? California Crosspoint Academy Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 4

6 25500 Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 4

7 Transforming Lives for the Glory of God AUTHORIZATION TO RELEASE REFERENCE INFORMATION (including academic, medical, psychological, and disciplinary records) has made application to enroll in California Crosspoint Academy. As parent or guardian, I have authorized California Crosspoint Academy to thoroughly investigate references, academic records, evaluations, discipline, and other matters related to my child s suitability for enrollment. I authorize references and staff from my child s former school(s) to disclose to California Crosspoint Academy any and all school applications, academic records, progress reports, disciplinary, medical or psychological reports, and other information related to my child s academic and school life, without giving me prior notice of such disclosure. In addition, I hereby release California Crosspoint Academy, my child s former school(s), and their staff, references, and all other parties from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. I waive the right to ever personally view any references given to California Crosspoint Academy. I agree that a photocopy or facsimile copy of this document and any signature shall be considered for all purposes as the original signed release on file. I certify that I have carefully read and do understand the above statements. Applicant s Name (Print) Current Grade Parent or Guardian s Signature Date Applicant s Birth Date Social Security # California Crosspoint Academy, Industrial Blvd., Hayward, CA Tel: (510) Fax: (510) OF 1 Revised 11/3/2016

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9 Address: Industrial Blvd., Hayward, CA Phone: Fax: To the Parent: We are requesting that your child s Academic counselor or homeroom teacher complete this form. Please send it with your child s application. California Crosspoint Academy reserves the right to verify the references given. Student Assessment Student s Name: Grade Level: School phone #: Core Teacher: Teacher s signature: School Seal: Student s Personal Qualities: (check the most appropriate box for each characteristic) No chance to observe Characteristic Academic Ability Inquisitiveness Creativity Self-Confidence Leadership Potential Teachability Concern for Others Behavior/Conduct Honesty Independence Personal Maturity Below Average Average (top 25-50%) Good (top 11-24%) Excellent (top 10%) Superior (top 5%) 1. Does this student s grades and test scores accurately reflect his/her strengths and abilities? Yes No (If no, please explain) 2. Has the student ever had a serious discipline issue? No Yes (If yes, please explain) 3. What three words first come to mind when thinking of this student? Please write a recommendation letter on the back of this sheet or on a separate sheet of letterhead as to why you think this student will be successful studying in CCA.