Application for Admission Application Form Please enable JavaScript in your browser to complete this form. - Step 1 of 8Welcome to Civitas Classical Academy and thank you for your interest. We hope to assist you any way we can. If you have questions, please feel free to contact the school at 269-216-4460. A non-refundable fee of $50 must be submitted with each application. Attending Civitas Classical Academy is a privilege. Students and families are enrolled at the discretion of the Administration and Board. We reserve the right to refuse admission or continued enrollment to anyone. NOTE: A pastoral and teacher recommendation is required for each student. Examples of a teacher recommendation are: school teacher, tutor, coach, music instructor, Sunday School Teacher, etc. Next Student Information Student Legal NameFirstLastStudent Preferred NameStudent Date of BirthStudent GenderMaleFemaleStudent Grade for Fall 2024KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradePreviousNext Parent Information LayoutFather's Full NameFirstLastFather's Phone NumberFather's EmailFather's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMother's Full NameFirstLastMother's Phone NumberMother's EmailMother's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreviousNextPrevious Schooling Information Please complete the section below about any previous school experience of the student you plan to enroll. What is the current grade of the student?List previous school name(s)Name of Recommending TeacherFirstLastRecommending Teacher EmailList grade(s) completedStudent is changing schools: VoluntarilyInvoluntarilyIf involuntarily, please explain:Describe your child to us. Please comment on your child’s personality, interests, and favorite activities apart from school.Describe your child’s academic interests, homework habits, and work ethic.Has your child ever repeated a grade? If yes, please explain.Has your child ever been expelled or suspended? If yes, please explain.Has your child ever been tested for a learning difference, or been placed on an Individual Educational Plan (IEP)? If yes, please explain.Give a brief medical history of applicant, identifying any serious illnesses or injuries of which the school should be aware. List any emotional or medical treatments, or physical handicaps which may affect student’s activities.Describe how your child usually responds to your discipline.Is there anything else of which we should be aware to help us know your child better?PreviousNextChurch Affiliation Please answer the following questions about your Church affiliation. What church do you attend?Are you an active member of your church?YesNoHow often do you attend church?WeeklyBiweeklyMonthlyLess than monthlyName of Recommending PastorFirstLastRecommending Pastor Email AddressPreviousNextStatement of Personal Christian Experience and Faith In order to fulfill the mission of Civitas Classical Academy, it is essential that at least one parent or guardian be a professing Christian. In the space below, please describe your belief in and relationship with Jesus Christ. FatherMotherPreviousNextParent Questionnaire Please describe your primary reasons for seeking admission for your child to Civitas Classical Academy. Which of these reasons is most important to you and why? In what ways should parents participate in the education and school life of their child?In what ways do you incorporate your faith in your family’s daily activities?Thinking ahead to your child’s graduation at Civitas Classical Academy, what would be your greatest hopes for how this school has influenced your child?Civitas Classical Academy is distinct in its adherence to a Christian, classical model of education. What is your understanding of Christian, classical education?PreviousNextApplication Agreement We/I certify that the information given on this application is factual and true and based on our/my agreement with the mission and academic philosophy of Civitas Classical Academy. Signature Clear Signature Please select payment option.-Mail my payment to CivitasPay online via emailed linkTo pay the application fee, mail your check or money order to: Civitas Classical Academy PO Box 727 Portage, MI 49081 Checks or money orders should be made out to CityGate Church. In the memo line write: “Civitas enroll: YOUR FAMILY NAME” Custom Captcha * = PreviousSubmit Application
