School Use

____________________

NEW FRONTIER ACADEMY

APPLICATION FOR ADMISSION

(Please complete all items)

STUDENT PROFILE

Name of Applicant _________________________________ Preferred name_______________

Last First Middle

Entering New Frontier Academy for grade __, for the academic year 20_______ - 20_______

Male ____ Female ____ Date of Birth __________________ Place of Birth_______________

Social Security Number of student _______-_______ -________ Country of Citizenship________________________________

If student is a foreign citizen, what form of visa will the student use to enter the US?________

FAMILY PROFILE

Marital Status of Parents: q Single q Married q Separated q Divorced q Widowed

With whom does student live?_________ Who has custody? q Mother q Father q Joint

Who will be responsible for payment of school fees? ____Address_______________________

Father

Name (Dr./Mr.)_____________ Occupation /Title____________________________________

Home Address________________________________________________________________

Business Name _______________________________________________________________

Address_________________________________ City____________ State_____ Zip________

Home Phone (_____)__________________Cell Phone (_____)__________________________

Business Phone (_____)_______________ Email Address:_____________________________

Text Phone (_____)__________________ MySpace___________________________________

College/University Attended Degree(s) Obtained Major________________________________

Mother

Name (Dr./Mr.)_____________ Occupation /Title____________________________________

Home Address________________________________________________________________

Business Name _______________________________________________________________

Address_________________________________ City____________ State_____ Zip________

Home Phone (_____)__________________Cell Phone (_____)__________________________

Business Phone (_____)_______________ Email Address:_____________________________

Text Phone (_____)__________________ MySpace___________________________________

College/University Attended Degree(s) Obtained Major________________________________

Siblings

Names of brothers and/or sisters Age Grade School currently attending

_____________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

ACADEMIC INFORMATION:

List each school attended for the past four years, and dates of attendance:

Current School Name_________________________________ Current Grade ______________

Dates Attended_______________ Current School Address_____________________________

Phone _________________

Previous School Name________________________________ Dates Attended_____________

Previous School Name________________________________ Dates Attended_____________

Previous School Name________________________________ Dates Attended_____________

GENERAL INFORMATION

How did you hear about New Frontier Academy? _____________________________________

What factors contributed to the decision to look for a new school?________________________

_____________________________________________________________________________

What special abilities does your child have (for example, athletic, artistic, and musical)? ______

_____________________________________________________________________________

_____________________________________________________________________________

Has your child previously applied for admission to New Frontier Academy? _________

Has your child ever repeated a grade? _______Which one? _____________________________

Has your child ever skipped a grade? ________ Which one _____________________________

Has your child been suspended or asked to withdraw from any school for any reason?________

If so, please explain. _____________________________________________________________________________

_____________________________________________________________________________

Grandparents

Paternal: Maternal:

___________________________________ _________________________________________

Titles First Names Last Name(s) Titles First Names Last Name(s)

Street

___________________________________ _________________________________________

City State Zip City State Zip

Does the child require any accommodations to participate in the educational program offered?____ If so, please state any accommodations required: __________________________

__________________________________________________________________________________________________________________________________________________________

I certify that the information in this application is complete and accurate, and I understand that false statements within this application may result in withdrawal of admission. Enclosed is my non-refundable $50.00 application fee.

__________________________________________ ___________

Parent Signature Date

New Frontier Academy maintains an open admission policy and does not discriminate

on the basis of race, gender, religion, national origin, or disability in its application process.

NEW FRONTIER ACADEMY

1820 Armstrong Blvd, Kissimmee, FL 34741

Phone: 407-343-1905

Fax: 407-343-1970

Email: admission@newfrontieracademy.com

www.NewFrontierAcademy.com