ADMISSION PROCESS AND INFORMATION 2016 - 2017 · ADMISSION PROCESS AND INFORMATION 2016 - 2017 ......

ADMISSION PROCESS AND INFORMATION 2016 - 2017

The admission policy for Madison Christian School is mission driven. The school’s mission involves a loving and committed partnership among the parents, the church, and the school so that students may be educated spiritually, academically, emotionally, socially and physically to become strong Christian leaders.

ADMISSION PROCESS

1. Parents submit to Madison Christian School: • Completed Application for Admission or Sibling Application for Admission • Non-refundable application/testing fee • Copy of most recent grade card • Copy of birth certificate • Copy of guardianship/custody papers if applicable • Current immunization record • Family photograph • Preschool/Kindergarten Students:

- Completed Classroom Teacher Reference - Parent Form

• Grades 1 - 6 - Completed Classroom Teacher Reference - Principal/Counselor Reference

• Grades 7 - 12 - Principal/Counselor Reference - Student Questionnaire - Math Teacher Reference - English Teacher Reference Completed Classroom Teacher Reference.

2. After the designated re-enrollment period for current school families, new applications are reviewed by the Director of Admissions before testing will be scheduled.

3. Based upon available classroom space, the Director of Admissions will schedule student testing (K-12) and prescreening tests (preschool), as well as parent interviews.

4. Approval of admission to Madison Christian School will be based upon: A. Student testing results B. Previous year’s grade cards/progress reports/transcripts (if applicable) reflecting successful completion

of the previous grade C. Receipt of all the above forms D. Preschool - 12 Parent Interviews E. 6 - 12 Student Interviews F. Space availability

5. After student testing and the parent/student interviews, enrollment decisions are made by the Admissions Committee.

6. The enrollment and activity fees are due upon acceptance with the complete enrollment/re-enrollment packet after the parent interview. Payment of the fees secures the student’s place in his/her grade.

8. A student with academic, attendance, attitudinal, disciplinary, or psychological problems may be refused admission to Madison Christian School. Religious beliefs incompatible with Christian beliefs may be cause for refusal to admit a student. Please note that Madison Christian School may not be equipped to handle students with certain physical limitations.

9. Any student transferring from another private school must have met all financial obligations to the previous school(s) before enrolling at Madison Christian School.

Questions? Please contact Renee Copper, Director of Admissions during normal school hours Monday - Friday 8:00 a.m. - 4:00 p.m. at (614) 497-3456 ext. 19 or via email at [email protected].

mailto:[email protected]

SIBLING APPLICATION FOR ADMISSION

CHECK ALL THAT APPLY: £Current MCS Family £New Family to MCS £Child of MCS Alumni (Year of Graduation_______) £Other_______________________

Applicant’s Full Name ___________________________________________________________________________ Last First Middle Preferred Name

Primary Address ________________________________________________________________________________ Street

____________________________________________________________________________________________________________________

City State Zip Home Phone Number

£Female £Male Date of Birth: ___/___/___ Please describe student’s ethnicity (optional):____________

Currently in grade _________ Applying for grade _____________ Applying for which school year ________

Public School District residing in _____________________________________________________

School Attending ________________________________ School Phone # _____________________

School Address _________________________________________________________________________________ Street City & State Zip Code

Permission granted to contact school? £Yes £No

Are you planning to apply for the Ohio EdChoice Scholarship? £Yes £No Applicant must meet State of Ohio criteria to qualify

If yes, public school building assigned to ___________________________________________________________

NON-DISCRIMINATION STATEMENT - Madison Christian School, in the conduct of its activities, including without limitation its educational activities, shall admit students of any race, color, national and ethnic origin in administration of its educational policies and other school administered programs.

3565 Bixby Road Groveport, OH 43125 * (614) 497-3456 * FAX (614) 497-3057 * mcseaglesoh.org

OFFICE USE

Application ______Parent Form _____Teacher Ref._______Principal/Guidance Reference _________Student Questionnaire

_________Math Ref. _________English Ref. _______Testing Date _______Fees _____________

£Former MCS Family

http://mcseaglesoh.org

List information on all previous school(s) applicant has attended: School/Address Dates Attended Grade(s)

_______________________________________________________________ _________________ ___________

_______________________________________________________________ _________________ ___________

_______________________________________________________________ _________________ ___________

_______________________________________________________________ _________________ ___________

Have all financial obligations been fulfilled at the student’s previous school(s)? £Yes £No

Is MCS your family’s first choice? £Yes £No Please list the other schools to which your family is applying.

_________________________________________________________________________________________________

Do you intend for the applicant to graduate from MCS? £Yes £No

Mother/Guardian Name: ___________________________________________________________________________

Father/Guardian Name: ____________________________________________________________________________

APPLICANT’S SIBLINGS

Name _____________________________________ Age ___ School/Grade __________________________



Do you plan to enroll any of the above children at MCS? £Yes £No £Uncertain

FAMILY’S CHURCH

Church Name _____________________________________________ Number of Years Attended________

Church Pastor ____________________________________________________________________________________

Please Check All That Apply:

£Applicant attends church regularly £Father attends church regularly £Applicant belongs to the church’s youth group £Mother attends church regularly £Applicant attends Sunday School

SUPPLEMENTAL INFORMATION

Has the student ever been suspended, expelled, or withdrawn by a school for any reason? £Yes £No

Has the student ever had any conduct or discipline problems? £Yes £No



Has the student ever had any involvement with drugs or alcohol? £Yes £No

Has the student ever had been brought before a Juvenile Court or law enforcement agency? £Yes £No

*If yes to any of the above questions, an explanation must be provided on a separate piece of paper.

Madison Christian School desires to accommodate the learning needs of its students and offers a variety of services. So we may be aware of any potential needs, please answer each of the following questions:

Has the applicant ever been tested or screened for the following?

A reading, language, or learning difficulty? £Yes £No

If yes, please explain. ________________________________________________________________

A behavioral difficulty (ADD, ADHD, etc.)? £Yes £No


Has the student ever been diagnosed with a reading, language, math, learning difficulty? £Yes £No


Has the student ever been diagnosed with a behavioral or emotional disorder? £Yes £No


Has testing been previously recommended? £Yes £No


Has your student ever had an IEP? £Yes* £No

* A copy of test results or documentation of formal diagnosis must be provided to the Office of Admission.

Has the student ever been enrolled in a special education program or received special services (resource room, L.D., etc.)? £Yes* £No


Does the applicant take medication for a behavioral or emotional disorder? £Yes £No

Please describe the medication(s) and its effects on your child (better focus, headaches, moodiness, etc.)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

*A copy of test results or documentation of formal diagnosis must be provided to the Admissions Office. A PASS supplemental form requesting additional information may be forwarded to you for completion.



MEDICAL INFORMATION

Does your child have any ongoing medical/mental health conditions? £Yes £No

If yes, please identify ________________________________________________________________________

Does your child require any daily medications? £Yes £No

If yes, please provide the name(s) of medication(s)? ____________________________________________

Does you child have allergies? £Yes £No

If yes, please name what type of allergy (e.g. peanuts) __________________________________________

Is your child’s allergy life-threatening? £Yes £No

Does your child carry an Epipen? £Yes £No



CONFIDENTIAL CLASSROOM TEACHER REFERENCE PRE-SCHOOL - KINDERGARTEN

PARENT INSTRUCTIONS Please sign this waiver and submit this form with an addressed, stamped envelope to the applicant’s teacher. Thank you.

Applicant’s name: ______________________________________________ Current grade level:_____________________

My child is an applicant for admission to Madison Christian School. I hereby authorize you to release to Madison Christian School the following confidential reference form to be mailed directly to the Madison Christian School Admissions Office. I waive my right to review the information provided on this form.

_______________________________________________________________________________________________________________ Signature of parent Name of parent (please print) Phone Date

_______________________________________________________________________________________________

Please assess the above named student in relation to his/her peers at your school. Additional comments are appreciated and may be attached separately. Return this form directly to Madison Christian School Admissions Office, 3565 Bixby Road, Groveport, OH 43125

AcademicCharacteristics Excellent

Above Average Average

Below Average

Not Applicable

Fine Motor Coordination

Language Arts

Reading Comprehension

Math Application

Memory and Retention

Creativity

Verbal Communication Skills

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Work Habits ExcellentAbove

Average AverageBelow

AverageNot

Applicable

Listening in Group Setting

Following Directions

Concentration

Completion of Tasks

Neat and Careful Work Habits

Conformity to School Rules

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Emotional & Social Development Excellent

Above Average Average

Below Average

Not Applicable

Cooperation with Peers

Cooperation with Teachers

Respect for Authority

Independence

Self-Confidence

Self-Control

Leadership Ability

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Please make short comment on the following:

Parental support and involvement: ______________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

The applicant’s social and emotional development compared with others of the same chronological age:

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

Describe how well the applicant relates to adults/peers: ___________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

Additional comments: _________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

In summary, I recommend this applicant for admission Madison Christian School:

I have known him/her for ________ years.

Name of School __________________________________________________________________________________________________

_________________________________________________________________________________________________________________ School Address

_________________________________________________________________________________________________________________City State Zip Phone

Teacher’s name (please print) _____________________________________________________________________________________

Teacher’s position ________________________________________________________________________________________________

_________________________________________________________________________________________________________________ Signature Date

Thank you for thoughtfully completing this reference form.

Enthusiastically Strongly Moderately With Some Reservation

Academic Promise

Character and Personality

Overall Recommendation

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PARENT FORM PRE-SCHOOL/PRE-KINDERGARTEN APPLICANTS

PARENT INSTRUCTIONS: Please complete this form and return with your student’s full application to the MCS Office of Admissions.

Applicant’s Name: __________________________________________ Birth Date: ___________________

Applicant’s Age (yrs/months) as of August 31: ____________________

Please circle the Preschool program to which you are applying:

2 Day Preschool Half Day 3 Day Preschool Half Day 5 Day Pre-K Half Day

MCS’s 2 Day Preschool meets Thursday & Friday from 8:30 - 11:15 am and 3 Day Preschool meets Monday, Tuesday, and Wednesday from 8:30 - 11:15 am. Pre-K meets Monday through Friday from 12:30 - 3:13 pm.

How did you first learn about MCS’s Preschool/Pre-K Program? ______________________________________

_______________________________________________________________________________________________

Has your child been involved in any of the following? (complete all that apply, noting location and time frame):

Preschool ______________________________________________________________________________________

Sunday School __________________________________________________________________________________

Day Care _______________________________________________________________________________________

Other organized program(s) ______________________________________________________________________

Children must be able to take care of their own bathroom needs. Approximately when was your child

completely potty trained? ________________________________________________________________________

If you child still takes naps, please note when and for how long: ______________________________________

Please circle 3-4 characteristics that best describe your child:

Aggressive Cooperative Creative Demanding Easy Going Happy Impulsive

Independent Mannerly Obedient Sensitive Shy Strong-willed

Please share any other information that might be helpful to the teacher as they work with your child.

________________________________________________________________________________________________

________________________________________________________________________________________________


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ADMISSION PROCESS AND INFORMATION 2016 - 2017 · ADMISSION PROCESS AND INFORMATION 2016 - 2017 ......

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