Parent's Marital Status: Married Separated Divorced Widowed Single
WCA Alumnus(i)? Yes No Grace Baptist Church member(s)? Yes No
Street: City: State: Zip:
Home Phone: Work Phone: Cell Phone:
*Who has legal custody of this child?
*List schools previously attended by applicant:
*Reason for leaving Previous School:
Student's Grades Have Been: Superior Above Average Average Below Average
Has the student failed any grade? Yes No If yes, which grade:
Was this student absent more than 10 days during the most recent school term? Yes No
If yes, please explain:
Has this student experienced academic, social, or disciplinary problems during his/her school career?
If yes, identify the areas and explain:
Has he/she been expelled or given an in-school or out-of-school suspension during his/her school career?
If yes, explain:
Has this child ever been recommended for testing or diagnosed as having a learning disability or any condition that would affect educational performance? Yes No
If yes, identify and explain:
Has your child experienced a traumatic event that could affect his/her behavior or academic performance?
If yes, please explain:
Is this student currently taking any prescription medications to aid behavior or educational performance?
If yes, please identify and explain:
*Why do you want your child to attend Wilmington Christian Academy?
*Briefly state your philosophy on child discipline:
Do you (parents/guardians) attend church regularly? Yes No Child? Yes No
Are you active members? Yes No *The family's church:
*Pastor's Name: *Phone:
Are you a Christian? If yes, on what do you base your answer?
Friend or Associate (not a relative) who knows you well.
*Street: *City: *State: *Zip:
Please take a moment to scroll up and take a final look at your application. Read the below statement and click the circle indicating your agreement with the statement. Type your name and e-mail address as the preparer of the application and click the submit button. When you click the submit button, a check will be made of the required fields, and if you missed a field, you will be asked to fill it in before the application is submitted. If no information is available for a required field, type "none" or "not available" and then resubmit.
To the best of my knowledge, the information given on this application is true and accurate: Yes No
*Your Name: *Your E-mail: