Summer School / Credit Recovery Application - Christian Academy Of America

Student Information
Student’s First Name*
Student's Middle Name
Student's Last Name*
Students Date Of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
Last Grade Completed*
Current Grade*
Please enter any pertinent information concerning your child and his/her educational needs
Course Requested:

Current School Information
Current School Enrolled*
Address*
City State
Race/Ethnicity*
- American Indian or Alaskan Native
- Asian
- Black or African American
- Hispanic or Latino
- Native Hawaiian or Pacific Islander
- White
- Other
Have you ever been previously enrolled in Christian Academy of America?*
- Yes
- No

Curriculum Preference
Program Preference*
- Workbook-style
- Combination of Workbook-style and Online (Two course minimum)
- Online
Please indicate if you prefer online or workbook curriculum. There are advantages to both. You may even combine the two. In any case, you may want to call and discuss the advantages of either with one of our Education Specialists. The online is available only to students taking two or more online courses.
Registration Fee: (One Time Fee)*
Kindergarten - 8th grade (Includes Diagnostic Testing & Placement 4th - 8th): $65.00 or 9th - 12th (9th & 10th includes Diagnostic Testing & Placement): $90.00
Tuition Fee*
Tuition Fee: (See Registration & Fees for options)
Total Fees*
Registration & Tuition Fees
Payment Details
You may confidently e-mail this Application with your credit card information. If you are not submitting card information, type "N/A" in each field and call the Academy office to pay by phone. C.A.A. does not accept personal checks.
Type Of Card*
- Visa
- Mastercard
- American Express
- Discover
Account #*
Expiration Date*
Security Code*
Name on Account*
Billing Address*
Street Address City State ZIP Code

We have reviewed the Student Application and to the best of our knowledge, all information provided is complete and accurate. We understand that a credit recovery or summer school student is not considered to be on the full-time active student roll of Christian Academy of America. We understand that our child is to be under direct adult supervision during coursework time and that the supervising adult has read and understands the Academy policies and procedures as set forth in the Academy Handbook of Instructions. We agree that the supervising adult will submit our responses to the Academy's Required Response Forms that are sent to us via email. We further understand that the supervising adult will require that the student adhere to the Academy procedures, including, but not exclusive of, copying answers from the Score Keys or Test Keys and by keeping the Test Keys in a secure location, or any Program Abuse (cheating). By entering our names in the Signature boxes, We understand and agree with the above statements and also verify the information entered is correct to the best of our knowledge.
Student's Signature*
Father / Guardian Signature*
Mother / Guardian Signature*
Name of Parent, Guardian, or Supervisor responsible to administer this home school program:
If this is a person other than the Parent or Guardian, please provide the relationship to the student:

Student Information