Admission Application

Date of Application

NOTICE OF NON-DISCRIMINATORY POLICY It is the policy of New Hope Vision Academy, which is operated by New Hope Vision Center not to discriminate on the basis of race, sex, color, religion, national origin, ancestry, or physical or mental disability, which are unrelated to the ability to work or enjoy the benefits of the school’s programs, facilities or services. All persons are encouraged to apply.

Please check one

Virtual Learning On Campus

Attachment

Students Name

student's Date of Birth

Gender

Male Female

Grade level for 2020-2021

Race

Student's Address

School Attending(Name and Address of Current School

Please list any health issues

Father's Full Name

Father's Address

Father's Cell Phone Number

Father's email address

Father's Home Phone Number

Father's Employer Name

Father's Employer Work Phone Number

Mother's Full Name

Mother's Address

Mother's Cell Phone Number

Mother's email address

Mother's Home Phone Number

Mother's Employer Name

Mother's Employer Work Phone Number

Guardian Full Name

Guardian Address

Guardian Cell Phone Number

Guardian Email Address

Guardian Employer Name

Guardian Work Phone Number

Church Name

Regular Attending

Names of other children in the family that attends New Hope Vision Academy:Please List Name(s), gender(s), and age(s)

Note: No aftercare is available Note: On campus students must bring their own lunch at this time and lunch will be eaten in classroom. Application is hereby made to New Hope Vision Academy for the student named. If accepted,we agree to abide by the rules and regulations of New Hope Vision Academy. Students will be considered for admission only after all required materials are submitted. The Head of School will make a determination about admission and placement after considering the completed application packet as well as the applicant’s own desire and motivation to achieve academic success at New Hope Vision Academy either virtual or on campus. If accepted an email of acceptance will be sent to you for a phone interview along with other documents that will be needed, additional fee requirement for workbook, computer lab and supply list.

Signature of Parents or Legal Guardian:

Admission Application

Helpful Links

Address

Phone

Email