Welcome to the New Student online application. Please take note of all necessary steps for enrollment on our application process page.

Upon submission, an email will be sent confirming receipt of the application. However, the application will not be considered complete until the application fee has been received at the HCA office. Applications for PreK/Kindergarten students also require an additional application supplement which can also be filled out online.

Please plan on completing this application in one sitting; partial applications cannot be saved and later restored. It should take no longer than 30 minutes to complete this application. After submission, if you need to update or change any information, please contact the HCA office directly.

We value your privacy. All information entered is treated confidentially, and only transmitted using industry-standard 256-bit SSL encryption to ensure privacy. For additional information, please view our privacy policy.

New Student Registration

Application Year

This application is for the following school year (required) *

Student Information

Student's Full Name (required) *

Address (required) *

City (required) *

State (required) *

Zip Code *

Family Home Phone/Cell Phone (required) *

Family Email Address (required) *

Birth Date (required) *

Age (required) *

Gender (required) *

Male

Female

Grade to Enter (required) *

School Last Attended (required) *

Address of School Last Attended (required) *

Family Information

Father / Guardian's Name

Employer

Position

Business Phone

Cell Phone

Mother / Guardian's Name

Employer

Position

Business Phone

Cell Phone

Children in Family of School Age If Not Applying

Reason(s) They Are Not Coming To HCA

Grandparents' Names and Addresses

Emergency Information

In case of an emergency, whom should we contact if the father and mother or guardians are unavailable?

Name (required) *

Primary Phone (required) *

Secondary Phone

Religious/Denominational Background

Church Attended (required) *

Church Address (required) *

Name of Pastor (required) *

Pastor's Phone *

May we contact your pastor? (required) *

Yes

Has applicant ever made a profession of faith in Christ? (required) *

Yes

Is applicant a member of the church? (required) *

Yes

Does applicant attend regularly? (required) *

Yes

Is father / guardian a Christian? (required) *

Yes

Is mother / guardian a Christian? (required) *

Yes

Medical Information

Physician's Name (required) *

Physician's Phone *

Medical Insurance Company *

Policy Number (required) *

Does the applicant have any physical limitations or allergies? (required) *

Has the applicant received necessary immunizations? (required) *

Scholastic Information

Has the applicant ever been dismissed or refused admission to another school? (required) *

Has the applicant ever had any disciplinary difficulties? (required) *

Has the applicant ever been in trouble with the law, arrested, etc? (required) *

Has the applicant ever used tobacco, alcohol, or drugs of any kind? (required) *

Please indicate the academic level of the applicant's previous work (required) *

Excellent

Good

Average

Poort

Has the applicant ever been retained in school? (required) *

General Information

What outstanding ability/abilities (artistic, mental, musical, physical, social, etc) does the student possess? *

How did you hear about Hope Christian Academy? (required) *

What are your reasons for selecting this school? *

Financial Information

Tuition is paid to SMART Tuition Management Services and can be paid by several methods in a variety of schedules. A completed SMART Tuition Payment Plan Enrollment Form must be submitted to the HCA office before the application will be considered complete. No SMART form is necessary if a family chooses to pay tuition in full by August 1. Full payment qualifies for a 2% discount.

Payment choice (required) *

I/We wish to pay the full year's tuition less 2% by August 1

I/We will submit the SMART Tuition Payment Enrollment Form to the HCA office

Additional Information

Additional Notes or Comments

Agreement

I have read the Informational Handbook and understand the terms stated therein. I commit myself and my student to full compliance with all HCA policies and regulations as identified in the Information Handbook and to full cooperation with school faculty, staff, and administration. I also give permission for my student’s picture to be used for HCA promotions.

A non-refundable registration fee of $150.00 must be submitted to the HCA office. An interview with the principal, the parents, and the student is required before acceptance.

Entering my name and today's date below will serve as my electronic signature and affirm that the information provided in this application is true and complete to the best of my knowledge.

Name of Father / Guardian

Name of Mother / Guardian

Today's Date (required) *

Application Submission

Once you have reviewed the information above and are ready to submit the application, confirm that you are a real person with the reCAPTCHA and click the "Submit" button.

You will receive an email confirming the submission of your application. If you cannot find the email, check your inbox's spam folder.

reCAPTCHA

Hope Christian Academy accepts students without regard to race, color, sex, or national or ethnic origin who are willing to abide by its principles and objectives.

Christmas Program

New Student Application