Application for Admissions

Notice of nondiscriminatory policy as to students: Appomattox Christian Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the Academy. The Academy does not discriminate on the basis or race, color, national or ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, athletic and other school administered programs. In all other areas of evaluation the Academy reserves the right to admit or not to admit students and reserves the right of non-disclosure of reasons for admission decisions. A decision of admission or non-admission may be retained in the permanent records of the Academy.

Instructions: Please complete the following information. Leave all non-applicable items blank.

Family Information
Family Residence Address
Family Residence Address
Student Infomration
Date of Birth
Date of Birth
Guardian Information
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
family church membership
Pastor's Phone
Pastor's Phone