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Family Application for Admission

This is the first step in submitting an application to Coram Deo Academy. Please fill out the fields below to create a Coram Deo Academy account and provide us with information concerning your family. After filling out this information, you will be taken to pages to submit application(s) for the student(s) you wish you enroll at Coram Deo Academy.

Create Coram Deo Academy Account

Please enter your email address and desired password carefully below. This account will allow you to login to the Coram Deo Academy website in the future and will be required for subsequent communication with the school. You may not create more than one account per email addess. If you already have a Coram Deo Academy account, please click here to login using that account, or click here if you have forgotten your password.

Password: For your security, your password must be at least 6 characters.
Confirm password:

Family Information

Please carefully fill out the forms below to provide us with information concerning your family. Fields marked in bold are required.

Father's Personal Information
Last name:
First name:
Preferred name:
Middle initial:
Title:
Street address:
City:
State:
Zip code:
Home phone:
Cell phone:
Email:
Occupation:
Employer:
Work phone:
Church:
Church phone:
Church denomination:
Contributions: Please list any talents or abilities you may wish to contribute to the school from time to time.
Mother's Personal Information

Use father's contact information to fill in mother's contact information.

Last name:
First name:
Preferred name:
Middle initial:
Title:
Street address:
City:
State:
Zip code:
Home phone:
Cell phone:
Email:
Occupation:
Employer:
Work phone:
Church:
Church phone:
Church denomination:
Contributions: Please list any talents or abilities you may wish to contribute to the school from time to time.
Other Information
Emergency contact: Other than parent.
Emergency contact phone number:
Emergency contact relationship:
Family Questionnaire
Check if appropriate:
1. 3.
2. 4.
5.
6.
7. Have both parents attended an information meeting or viewed the information meeting online? Yes  No
8. Have both parents read the Parent Student Handbook? Yes  No
9. Is any parent, step-parent, or guardian opposed to a Christian education? If so, please explain.
10. Are there any points of philosophy, statement of faith or school policy which are inconsistent with your goals for your family? If so, please explain.
11. How did you hear about Coram Deo Academy?
12. Do you understand and are you prepared to oversee the home component of the CDA model? Please explain how you will assure quality in completion of assignments at home.
13. About how much homework would you find appropriate for your student?
14. In the event of some kind of a misunderstanding or conflict, what do you believe to be the best approach to resolution?
15. How do you promote spiritual values at home?

We verify that all information submitted in the online Coram Deo Academy Family Application for Admission is complete and accurate to the best of our abilities.

If you wish to retain a copy of this application for your own records, please print this page now.