Mt Zion Baptist Church

Creating A Christ Centered Community

School Application

 

How did you learn about Mount Zion Baptist Christian School?


What parent or student do you know that attends Mount Zion?

Your Email Address

Student Name (Last, First, Middle)

Address

City

State

Zip

Home Phone

Cell Phone

Work Phone

Birthdate

Sex
 

 

Mother/Guardian

Cell #

Home #

Address

City

State

Zip

Place of Employment

Occupation

 

Father/Guardian

Cell #

Home #

Address

City

State

Zip

Place of Employment

Occupation

 

Pastor’s Name

Church (membership)

How is your child receiving Christian training? (check one)
Sunday School   Bible Study Children’s Church

Current School

Grade

Describe your child’s overall academic performance level:     
Above Grade  On Grade  Below Grade
Does your child have any special learning needs or abilities?

Did the teacher or the school contacted you in regard to your child’s conduct?  Yes No
Was your child suspended?
If yes, please explain reason:

 

Describe your child’s overall health:   excellent      good      poor
Is there anything the school needs to know about your child’s health, medications or allergies?
Yes (if yes, explain) 

Physician                      
Phone

Is there any additional information you need to share about your child?

Please Enter code shown in below image

After submission of this application, someone will contact you shortly.