School application page 2
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II. PARENT INFORMATION
Father’s Name: _________________________ Mother’s Name: _________________________
Address: __________________________ Address: ___________________________
If different from above If different from above
Home Phone: __________________________ Home Phone: ___________________________
Occupation: ___________________________ Occupation: ______________________________
Place of Employment: ____________________ Place of Employment: ______________________
Business Phone: ________________________ Business Phone: __________________________
Marital Status: __________________________ Marital Status: ___________________________
Student lives with: ________________________________________
A. If divorced, are there restrictions on custody, visitation, etc. of which we should be aware?
If so, please specify: Yes_____ No ______
B. Do you have regular family prayer and Bible reading in your home? Yes_____ No ______
Is it a high priority?
III. CHURCH INFORMATION
Father’s Church Affiliation _________________________________________
Mother’s Church Affiliation ________________________________________
Pastor’s Name _________________________________________________________
Which most accurately describes your church attendance?
______ Active
______ Attend Occasionally
______ Children Attend
______ Attend a few times a year