CHERUB CHRISTIAN ACADEMY
&
TUTORING Center
Founded in 1999
STUDENT APPLICATION
Students Name:_______________________
Date of Birth:_____________
Current year in school:_________________
Present School:____________________________
Year Applying For:_____________________
Date for Pursuing Entry:______________________
194 Martinique Road
P.O. Box S.B.50740 Nassau, The Bahamas
Telephone local: 1-242-361-0874
Telephone International: 1-309-687-3592
Fax: 1-242-361-0874
Email: cherubchristianacademy@hotmail.com & cca@cherubacademy.page.tl
Website: www.cherubacademy.page.tl
Accredited by the Bahamas Ministry of Education, Testing, Science, Technology and Evaluation
The following information is most important to the school. Please complete all parts fully and accurately. Unless you specifically otherwise request in writing, parents names, home address, home telephone, business name and business telephone, as well as children’s names and year levels, will be printed in the schools directory and handbook.
The Student
Last-Middle-First Name:____________________________________________
Sex: ___________ Date of Birth:_________________________________
Nationality:___________________ Place of Birth:________________
Does this child have any brothers or sisters? If yes, what are their names and do they attend Cherub Christian Academy?
________________________________________________________________________________________________________________________________________________________________________________________________
LANGUAGE PROFICENCIES, RETENTION & SERVICES
English Language none fair good fluent native
List any year levels in which the student was retained or advanced. Please state.
________________________________________________________________
Has your child had any remedial help inside/outside of school? If yes, please state why.
________________________________________________________________________________________________________________________________
Does your child wear glasses? If yes, for what purpose._________________________________________________________________________________________________________________________
Has your child had any treatment, or been recommended to have treatment, from specialists, audiologists, language support teachers? If yes, please explain in detail.___________________________________________________________________________________________________________________________________________________________________________________________
Has your child had, or been recommended to have a psycho-educational assessment? If yes, please include a copy of the report with this application._________
Address:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Email:____________________________ Telephone:_____________________
Fax:______________________________
IN THE UNLIKELY EVENT OF AN EMERGENCY, WHOM SHOULD BE CONTACTED IF PARENTS ARE UNABLE TO REACH. (2 persons.)
Name:___________________________________________________________
Relation:_______________________ Telephone:________________________
Address:_________________________________________________________________________________________________________________________________________________________________________________________
Name:___________________________________________________________
Relation:_______________________ Telephone:________________________
Address:_________________________________________________________________________________________________________________________________________________________________________________________
Mothers Name:_________________________________
Mothers Telephone:_____________________________ Fax:______________
Mothers Email address:_____________________
Mothers Address:_________________________________________________________________________________________________________________________________________________________________________________________
Fathers Name:________________________________
Fathers Telephone:_____________________________ Fax:________________
Fathers Email address:_______________________
Fathers Address:_________________________________________________________________________________________________________________________________________________________________________________________
BILLING INFORMATION
(1.) With whom does ______________________ live with?
(2.)Who will be responsible for paying ________________________ school tuition and other fees?_______________________________________________________________________________________________________________________
Name of Person responsible for ALL FEES: __________________________
Address to which billings should be sent/ PO Box:________________________________________________________________________________________________________________________
