Claiborne Christian

We are excited and honored that you are considering Claiborne Christian School as a partner in the education of your student. This online form will begin the enrollment process, and we will be in touch shortly after receiving it.


Online Inquiry Form

Applicant Information
(98765)
(555-555-5555)
Student Background
Additional Information
Please list any other schools attended after K5
* Has the student ever been suspended from school?
* Has the student ever been expelled from school or asked to leave?
* Would the student be allowed to re-enroll at their current school?
* Does the student want to attend CCS?
* Has the applicant ever been tested for any learning disabilities?
* Has the applicant been diagnosed with ADD or ADHD?
* Does the applicant have an IEP (Individual Education Plan) or other special learning plan?
* Has the applicant received additional special help for reading or a learning difficulty?
* Has the student ever skipped a grade or been retained in a grade?
* Please list your most recent English teacher (Preschool and Elementary students with one teacher, please list that teacher here)
* Please list the English teacher's email
* Please list your most recent Math teacher (Preschool and Elementary students with one teacher, write NONE)
* Please list the Math teacher's email (Elementary students with one teacher, write NONE)
* Please list your current church (This allows us to request a Pastor recommendation)
* Please give the name and email for your current pastor, youth pastor, or children's pastor
* How did you hear about CCS?
* Were you referred by an existing family?
If so, please list the name of the current family
* Who has primary custody of this student?
* Who does the student live with?
Are there any special family circumstances that would help us better understand your situation?
* Permission for recommendations: By typing your name in this box you are giving Claiborne Christian School permission to reach out to the previous teachers and the pastoral leader listed on this form.
* Has either parent/guardian attended Claiborne Christian? If so, please enter the years attended and if they graduated from CCS.
* What race is this student?
Family Information
(98765)
(555-555-5555)
(555-555-5555)
(555-555-5555)