ENROLLMENT APPLICATION FORM
Bridgeway Home School Academy, 334 Second Street Catasauqua, PA 18032| FAMILY INFORMATION |
Father’s Full Name __________________________ Mother’s Full Name __________________________ Shipping Address__________________________________________________________________ City __________________________ State _________ Zip ______________ Country _________________ Home Telephone _________________ Work Telephone _________________ Cell Telephone _________________ E-mail address___________________ I have internet access: [ ] In my home [ ] Other _____________________ Curriculum Choices(s): [ ] Christian [ ] Other Type: (check one or combination): [ ] Workbook [ ]CD ROM [ ] Online Referred by: [ ] Friend _______________ [ ] Magazine _______________ [ ] Newspaper _______________ [ ] School ____________________ [ ] Flier/Mailer [ ] Curriculum Fair [ ] Internet ____________________ |
| STUDENT INFORMATION (Includes Tutors 2 You Annual Membership) | |||||||
| Student's Name | Age | Grade | Birth Date MM/DD/YY |
* Needs Diagnostic Testing | M/F | Grade K-8 Fee | Grade 9-12 Fee |
| - | - | - | - | - | - | $125.00 |
$145.00 |
| - | - | - | - | - | - | $50.00 |
$95.00 |
| - | - | - | - | - | - | $0.00 |
$95.00 |
| - | - | - | - | - | - | $0.00 |
$95.00 |
All students up to ninth grade who are not currently using a self-instructional curriculum will need diagnostic testing. |
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| HIGH SCHOOL ENROLLMENT INFORMATION | |
All High School students must select a course of study. Your projection towards graduation will be based on this selection. |
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Course of Study |
Student’s Name |
| Honors (26 credits) (Must maintain an "A" average) | - |
| College Preparatory (23 credits) | - |
| Academic (21 credits) | - |
| Vocational (21 credits) | - |
Many colleges, universities and trade schools actively seek to enroll home school students. You may access information about colleges through our web site - www.rsts.net/home. We encourage all high school students regardless of future plans to contact several colleges or post secondary institutions. Attention: Complete the enrollment process before withdrawing your student(s) from the current school. |
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| PREVIOUSLY ATTENDED SCHOOL(s) INFORMATION |
| School Name ___________________________
Address _________________________________________ City ___________________________ State _________ Zip ________________ Phone _________________ Dates Enrolled: From ______________ to _________________ School Name ___________________________ Address _________________________________________ City __________________________ State _________ Zip ________________ Phone _________________ Dates Enrolled: From ______________ to _________________ |
| PAYMENT METHOD 4 (Check One) |
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| PARENT COMMITMENT |
| Bridgeway
Home School Academy provides an easy to use curriculum, parent training,
placement testing and assessment, professional teacher support, E-Zines,
online reference library, transcript services, health and safety courses,
classical literature, standardized tests, maintenance of records, and all
other services as listed in our handbook. We are committed to helping
parents provide a quality education for their children. Students are accepted regardless
of race, creed, or color, provided they agree to the policies and procedures of the
Academy. By submitting this form, I agree to adhere to the policies and procedures of the Bridgeway Home School Academy. I understand that all materials issued must be completed according to the directions as stated in the handbook (issued with the welcome packet). Further, I understand that the registration is non-refundable and that NO tuition is refundable after thirty days. __________________________________
__________________________________ Both parents must sign unless a single parent home exists. |
Please enclose a recent photograph for our records. This should be updated each year as you re-enroll.