STUDENT INFORMATION ( Students entering Grade 1-12 )
Please complete a separate of copy of this form for each child who is applying for enrollment . Additional copies of this form are available at www . TheCornerstoneChristianSchool . com .
Student ’ s Name : ___________________________________________________ Gender : ____ Male _____ Female Current Age : _____ Birth Date : ______________
Has s / he had any history of special physical or emotional needs , or a learning disability that has required professional attention , or needs that might require special modifications at Cornerstone ? ______ Yes ______ No
If yes , please explain below :
List all previous schools attended ( if first time applicant ):
Name of School City / State Year ( s ) Attended Grade Level ( s ) ______________________________________________________________________________
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
If you have further information that would assist in the education of your student at The Cornerstone Christian School , please explain on a separate sheet of paper .
17 | P a g e