Application for Enrollment

A non-refundable Enrollment Fee of $225 per student is required once the application is submitted. There are two ways to pay: Online or by phone at 248-373-3399.

Student's Name

New application must be completed for each student

First Name

Last Name

Date of birth

YYYY

Last 4 of SSN#

Gender

Grade Level Entering

Name of last school attended

Has student ever been suspended, expelled or dismissed from School?

If yes, explain

Explain

Has student displayed any learning or reading comprehension difficulties or do they have an IEP or 504 Plan?

If yes, explain

Explain

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's Email

Father's Name

First Name

Last Name

Last 4 of SSN#

Phone

(###)

###

####

Employer

Mother's Name

First Name

Last Name

Last 4 of SSN#

Phone

(###)

###

####

Employer

Marital Status

If divorced or separated, who has legal custody and/or guardianship rights?

Diversity

We are so thankful to have a school that represents the community in that we have a culturally diverse population. In order to continue to teach and learn about all of the varied ethnicities and cultures we ask for the following information.

Race(s)

Do you have students currently enrolled in our school?

Yes

If yes, please list name(s) and grade(s)

Financial Agreement - Payment will be made by the 1st, 15th or 25th of each month, payable to FACTS or Auburn Hills Christian School. Allow sufficient delivery time if mailed. Student will not be admitted to class if payments are over 10 days in arrears. Tuition is not adjusted due to early withdrawal of student by parent. School records will not be released for any student when there is a balance owing on the student’s account. Checks returned will require secured funds for subsequent payment.

I understand and agree to the established regulations, discipline and financial obligations set within.

Who is financially responsible?

Use the space provided to specify the financially responsible party and any other details for billing.

Student’s birth certificate, report card and immunizations must be submitted with application. As required by state law, K4 and K5 vision screening and health appraisal must also be submitted with this application.

Financial Aid

Statement of Cooperation

Application for Enrollment

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