2021-2022 School Year

Student's Grade for 2021-2022*

Have you previously applied for admission to Cornerstone Schools?*

Yes
No

Does the applicant have a sibling already attending Cornerstone?*

Yes
No

If yes, please list the name(s) and grade(s) of students already attending Cornerstone:

Does the applicant have a sibling applying to Cornerstone or a sibling that has previously attended Cornerstone?*

Yes
No

If yes, please list the name(s) and grade(s) of students applying or students who have previously attended.

Student Applicant's Information

Student's Name*

First Middle Last

Birthdate*

Student's Gender*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Agreement

I agree that the information provided in this application is correct. I understand that any false information may result in my child’s dismissal from Cornerstone Schools of Alabama. I also agree to support all Cornerstone Schools of Alabama policies and procedures outlined in the Student Handbook, Parent Covenant, and other governing documents.

Parent/Guardian Signature*

Date*

Family Information

Address the same as the applicant?*

Yes
No

Does this person have custody of the applicant?*

Yes
No

Should this person receive emails/letters/correspondence from the school?*

Yes
No

Is this person financially responsible for the applicant's tuition/fees?*

Yes
No

Parent Guardian Name (1)*

Prefix First Last

Relation*

Marital Status*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone*

Alternate Phone

Email*

Alternate Email

Occupation

Company

Parent Guardian Name (2)

Prefix First Last

Address the same as the applicant?

Yes
No

Does this person have custody of the applicant?

Yes
No

Should this person receive email/letters/correspondence from the school?

Yes
No

Is this person financially responsible for the applicant's tuition/fees?

Yes
No

Relation

Marital Status

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone

Alt. Phone

Email

Alt. Email

Occupation

Company

Emergency Contact / Pickup Person*

First Last

Relation*

Phone*

Alternate Phone

Email*

Alternate Email

Emergency Contact / Pickup Person

First Last

Relation

Phone

Alternate Phone

Email

Alternate Email

School Information

Public school your child is currently zoned to attend:*

School your child is currently enrolled in:*

Grades attended:*

Pre-K (K4)
Kindergarten (K5)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
My child hasn't attended another school for any grades.

Phone*

Fax

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous school attended prior to current school (if applicable):

Grade(s) attended

Pre-K (K4)
Kindergarten (K5)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade

Phone

Fax

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous school attended prior to current school (if applicable):

Grade(s) attended

Pre-K (K4)
Kindergarten (K5)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade

Phone

Fax

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Information

Has your child ever been tested for special education services?*

Yes
No

Did your child qualify for special education services?*

Yes
No

Has your child ever had an Individualized Education Plan (IEP)?*

Yes
No

If yes, what was your child's diagnosed disability?

Does your child currently have an IEP?*

Yes
No

If yes, please submit a copy of the current, signed IEP.

Has your child ever had or currently have a 504 plan?*

Yes
No

If yes, please submit a copy of the current, signed 504 plan.

Please describe the diagnosis or reason for the 504 plan (if applicable).

Does your child have any behavioral or emotional concerns that we need to be aware of, or that may affect your child's emotional well-being or academic progress?*

Yes
No

If yes, please explain:

Has your child ever been asked to withdraw from school for any reason?*

Yes
No

If yes, what grade?

If yes, please explain:

Has your child ever been suspended or expelled from school?*

Yes
No

If yes, what grade?

If yes, for what reason?

If yes, at which schools?

Is your child currently prescribed any kind of medication?*

Yes
No

If yes, please specify the medication and reason for the medication.

How did you hear about Cornerstone?*

If family or friend, please give us their name(s):

If other, please specify:

Additional Questions

Why do you want your child(ren) to attend Cornerstone?*

How do you currently support your child in his/her education?*

Student / Parent Handbook Acknowledgement Form

The Student/Parent handbook has been created to provide students, parents, faculty, and staff with a clear expectation of policies and procedures that are to be followed at Cornerstone Schools of Alabama. The policies and procedures are in place to provide everyone with a safe, Christ-centered, effective learning environment. It also provides answers to many frequently asked questions. The handbook can be accessed at www.csalabama.org or a written copy may be obtained in the school office. Commitment to the policies and procedures outlined in the handbook provide better communication and clear expectations. This handbook serves as a basic guideline for the school year. Cornerstone Schools of Alabama reserves the right to change the handbook, policies, procedures, rules, or information provided in the handbook at any time during the school year. Parents will be notified of any changes made in the handbook. I have read and understand the policies and procedures in the Cornerstone Schools of Alabama Student/Parent Handbook. I will adhere to all policies and procedures in the handbook including the Student/Parent Commitments and the Parent Covenant. I understand that the policies and procedures outlined in this handbook may be amended at any time during the school year by the administration of Cornerstone Schools of Alabama.

Consent

I agree to the policy as stated above.

Digital Parent Signature:

Date

Digital Student Signature:

Date

Parent Covenant

Because we believe that education is only possible when there is support in the home, we ask the parents of Cornerstone Schools of Alabama students to renew their commitment to our Parent Covenant each year. The following is the covenant that we ask parents to sign: In recognition of the promises of Cornerstone Schools of Alabama to provide an outstanding Christ-centered education, and that my child’s success in school depends largely on my support and involvement: ● I accept the school's mission statement, beliefs, and strategies of education that are in accordance with the Word of God and Biblical virtues. ● I agree to support the school in upholding its rules and policies as outlined in the Parent/Student handbook. ● As a parent, I am responsible for the behavior and actions of my child. ● I will support the authority and any disciplinary action issued by Cornerstone Schools of Alabama staff. I understand that disagreeing with staff discipline may happen, however, I will not undermine the authority of the staff when discussing the discipline of my child/children. ● I will support the school in maintaining a high standard of Christian conduct for its students. I acknowledge that should my child's behavior, while under the supervision of school personnel, become incompatible with the standards of Cornerstone Schools of Alabama, normal disciplinary procedure will apply. However, depending upon the severity of the infraction, it may be considered grounds for suspension or expulsion. ● I will practice the principles found in Matthew 18, resolving difficulties with school personnel directly. If the conflict is unresolved, I/we will discuss the matter with the next person in authority. The line of authority is as follows: teacher, principal, and lastly president. ● I agree to participate in mandatory parents activities, including parent-teacher conferences. ● I agree to pay my child's tuition, fees, and expenses when due and in a timely manner. ● I agree to provide a supportive, educational environment for my child, which includes: o Making sure my child arrives at Cornerstone Schools of Alabama daily by the start of school. o Making sure my child follows the Cornerstone Schools of Alabama dress code. o Checking my child's homework every night and working with my child to help guide his/her progress.

Consent

I agree to Cornerstone's Parent Covenant.

I understand that the Cornerstone Schools of Alabama Parent/Student Handbook is not intended to cover every situation that may arise during the school year, but is a general guide to the goals, policies, and expectations of Cornerstone. Furthermore, I understand the President and/or Board of Directors have the authority as the administration of the said private school, Cornerstone Schools of Alabama, to make all decisions regarding the school (facilities, instruction, discipline, curriculum, activities) faculty/staff, students, and enrollment. Failure to adhere to these commitments can cause my child to lose various privileges and can lead to my child’s removal from Cornerstone Schools of Alabama.

Parent's Digital Signature:

Date

Student's Name:

First Last

Student's Grade:

Media Release Form

Cornerstone Schools of Alabama, Inc. is a nonprofit educational institution designed to provide a superior education at an affordable cost. We are neither publicly funded nor tuition-based. As a result, we rely upon the generous contributions from the private sector for the daily operations of our program. Public relations are a vital part of telling the Cornerstone story to the public so that we can solicit and secure needed resources. This involves promotion through the Cornerstone website, social media, news media, publications, brochures, and other media. It is therefore likely that your child will appear in publications and media produced for this school year and/or following school years. Please sign the bottom of this letter granting your permission to use your child’s likeness in our printed materials and publications that are used to tell others about our school. Thank you for your attention to this important matter.

Please choose one of the following:*

YES, I hearby give my permission for photos of my child to appear on the Cornerstone website, social media, news media, printed materials, publications and related efforts to tell others about Cornerstone Schools of Alabama, Inc.
My child's picture may appear in the yearbook only.
NO, please do not use my child's image on any Cornerstone publication.

Parent/Guardian Digital Signature:*

Parent/Guardian Name:

First Last

Date

Volunteer Permission Form

Volunteers play an important role at Cornerstone and contribute greatly to the success of our students. Our volunteers serve in a variety of ways including mentoring and tutoring. All of our tutors pass a background check and are trained through our volunteer orientation. Our goal in utilizing our volunteers most effectively is to pair them with students whom would benefit most from their partnership. Please sign the bottom of this letter granting permission for Cornerstone to match your child with a Cornerstone volunteer if the opportunity arises. Thank you for your attention to this important matter.

Please check one of the following:*

YES, I give Cornerstone permission to match my child with a Cornerstone volunteer if the opportunity arises.
NO, I do not want my child to be matched with a Cornerstone volunteer.

Parent/Guardian Digital Signature:*

Parent/Guardian Name:

First Last

Date

hCaptcha*

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New Student Application - PreK

Student Applicant's Information

Agreement

Family Information

School Information

Student Information

Additional Questions

Student / Parent Handbook Acknowledgement Form

Parent Covenant

Media Release Form

Volunteer Permission Form