Greenleaf Friends Academy
APPLICATION FOR ADMISSION
Grades 1-12
I HEREBY APPLY FOR ADMISSION TO GREENLEAF FRIENDS ACADEMY
FOR THE _______ GRADE FOR THE (circle one) FALL/SPRING OF 20______
STUDENT INFORMATION (to be filled out by parent or guardian)
Applicant’s Full Name ________________________________________Preferred Name______________________
Home Address___________________________________________________________________________
City _____________________ State ______
__
Zip _________ Home Phone ________________________
Birth Date ____/____/____
Birthplace __________________________
Sex
M
F
City/State
School Presently Attending _________________________________________________ Grade ___________
School Address___________________________________________ School Phone ____________________
Have you applied to Greenleaf Friends Academy before? _______ (Y or N)
If so, which year? __________
ACADEMIC HISTORY Has your student ever been: (Y or N)
_____Suspended?
_____ Expelled?
_____ Asked to withdraw?
_____ Had Extended Absences?
_____Disciplined for drugs, alcohol or tobacco?
Has your student not been promoted or received D’s or F’s in any subject in the last two years? ________
If you answered yes to any of the above please provide a complete explanation on a separate piece of paper.
What is the reason for leaving present school? ____________________________________________________
_________________________________________________________________________________________
Has your child ever been identified as having any of the following? (Y or N)
____ADD/ADHD (Attention Deficit Disorder)
____Mental Impairment
____Gifted/Talented
____Behavioral Disorder
____Emotional Impairment/Disturbance
____Learning Disorder
____Physical Impairment
____ Speech/Language impairment
Does your student have a past or current IEP?__________________________________________________________
Has your student ever been arrested, placed on probation, or otherwise been charged with any crime? _____________
If yes, please explain:_____________________________________________________________________________
_______________________________________________________________________________________________
*INFORMATION WITHHELD AT TIME OF ENROLLMENT MAY RESULT IN IMMEDIATE
DISMISSAL FROM GREENLEAF FRIENDS ACADEMY
FAMILY INFORMATION (To be filled out by parent or guardian)
FATHER ALUMNI ____ (Yes or No) Year: _____
Name___________________________________
MOTHER ALUMNI _____ (Yes or No) Year:_____
Name________________________________________
Occupation_______________________________ Occupation____________________________________
Employer________________________________
Employer______________________________________
Work Address_____________________________ Work Address__________________________________
Work Phone______________________________
Work Phone___________________________________
Cell Phone_______________________________
Cell Phone_____________________________________
Home E-mail_____________________________
Home E-mail___________________________________
Address if other than applicant
Address if other than applicant
_______________________________________
______________________________________________
_______________________________________
______________________________________________
List the name, age, grade, and school attending of other children in the family. Circle any who are not attending GFA.
______________________________________________________________________________________________
______________________________________________________________________________________________
If both parents are not living in the home with the student, clarify briefly. ___________________________________
______________________________________________________________________________________________
To whom are financial statements to be mailed and who is responsible for payments to the school?
Name _____________________________________________ Relationship to Student ________________________
How did you first learn of Greenleaf Friends Academy? _________________________________________________
______________________________________________________________________________________________
CHRISTIAN COMMITMENT (To be filled out by parent or guardian)
Are either you or your spouse a Christian? _____ (Yes or No) If so, what is your relationship to Jesus
Christ?____________________________________________________________________________________________
_________________________________________________________________________________
Do you take your child(ren) to weekly meeting/worship services? ______ (Yes or No)
If no, please explain ________________________________________________________________________
Name of meeting (church) you attend? _________________________________________________________
Pastor’s Name: __________________________________ Phone Number: ____________________________
Address: __________________________________________________________________________________
PARENT/GUARDIAN STATEMENT
This Application for Admission is an expression of intent only, and is not binding upon the family or the school. It is also
understood that any offer of enrollment subsequently accepted is contingent upon the essential accuracy of the statements
made in this application and is further contingent upon the applicant’s successfully completing his/her present academic
program.
Signature of Father or Guardian _______________________________________________________
Signature of Mother or Guardian ______________________________________________________
Date: __________________________
Greenleaf Friends Academy admits students of any race, color, gender or ethnic origin to all the rights, programs, and activities made available
to students of the school. It does not discriminate on the basis of race; color, gender, national and ethnic origin in the administration of its
educational policies, admission policies, scholarships, athletics, or any other school-administered programs.
STUDENT’S STATEMENT GRADES 6-12
I desire to attend Greenleaf Friends Academy. If accepted, I will, to the best of my ability comply with the purposes,
rules, and standards of the school and be a constructive influence for the betterment of the school community.
Student Signature ________________________________________________ Date _____________________
Greenleaf Friends Academy
PO Box 368, 20565 N. Academy Rd.
Greenleaf, ID 83626
Phone 208-459-6346 • Fax 208-459-7700
[email protected] • www.gfaschools.org