AURA Application

Statement of Interest

INQUIRIES

About the Student

Name

Gender

Birth (MM/DD/YYYY)

Current Grade

Apply For Grade

For the School Year

Semester Interested In

Is the student an international student?

Current School

What church does your family attend?

About the Parent/Guardian

Name

Relationship to Student

Phone #

Broadening Horizons

Academics/Curriculum – Which academics are most exciting?

Athletics – Favorite Sports to Play?

Activities – visual performing arts & clubs

How did you hear about us?

Enrollment Information

Parent/Guardian ID

Birth Certificate Month

Birth Certificate Date

Birth Certificate Year

Report Card (1st–9th)

Transcripts (10th–12th)

Attendance & Discipline Report (7th–12th)

Immunization Record

Before you can move forward with the New Student Enrollment Application, please acknowledge the requirement below.

To submit an Enrollment Application the new student must have at least one custodial parent who has accepted Jesus Christ as their personal Savior and is attending a Bible teaching church on a weekly basis whose doctrinal position supports the AURA Statement of Faith.

Do you meet this requirement?

Yes No

MASTER HIGH SCHOOL APPLICATION

Applicant Information

Have you already submitted a student application for another child?

Yes No

Is the student an international student?

Yes No

If yes

Require F1 visa sponsorship?

Yes No

Working with an agency/consultant?

Yes No

Agent Name

Agency Name

Agent Phone

Agent Email

Agency Address

Place of Birth

Ethnicity

Primary Language at Home

Religion

Proposed Entry to School

Applying For Grade

For Academic Year

Educational History

First US school date (MM/DD/YYYY)

Current School Information

Current Grade

Name of Current School

School Status

Current School Address

Medical Information

Which medical conditions apply?

Daily/ongoing medication?

Additional Information

Primary Household

Mailing Address

Is mailing address different from physical residential address?

Yes No

If yes, physical residential address

Applicant lives with

Mother & Father in same household Mother primarily Father primarily Mother & Father sharing custody Other – specify

Parents Marital Status

What church does your family attend?

Are you members?

Yes No

Primary Household – Parent/Guardian #1

Name

Relationship

Primary Phone

SMS Opt In

Yes No

Secondary Phone

Primary Email

Employment Information

Employment Status

Title/Occupation

Employer

Work Phone

Business Address

Second Parent/Guardian in Primary Household

Is there a second parent/legal guardian in this household?

Yes No

Does the applicant have a second household?

Yes No

Additional Guardianship

Additional household with legal guardianship?

Yes No

Additional Home Address

Parents in this household are

Sibling Information

How many Preschool-12th grade siblings, if any, does the applicant have?

Sibling Name

Relationship

DOB

Grade

Non-Discrimination Policy

Because we believe that all children are created in the image of God and are placed on earth to serve God and our fellows, we do not discriminate on the basis of sex, race, color, or national origin.

Statement of Confidentiality

It is the policy of the participating schools that all information received regarding a candidate’s application for admission will be treated with complete confidentiality. Only authorized school personnel have access to this information and then only to the extent that the information is relevant to admission and placement decisions.

Signatures of Applicant and Parent/Guardian

As parent / guardian, I accept responsibility for timely payment of tuition and fees, and I understand they are non-refundable. I attest that all information is true to the best of my knowledge. I also realize that if my child is accepted to AURA, I become responsible to reading, understanding, supporting and abiding by all policies in the Parent-Student Handbook distributed at the beginning of each new school year.

By signing this application, I indicate agreement with the purpose and doctrinal basis of AURA. I agree to fully support the school board, administration and faculty in the execution of Christian education. I’ve included all information pertinent to my child’s educational history. I also understand my student has probationary status the first semester at AURA.

By typing my first and last name below, I am adding my eSignature to this application.

Parent/Guardian Signature

Parent’s Full Name (eSignature)

I agree I agree

Review

Who is completing this form?