Apply Now-Student Admissions

Thank you for your interest in Heritage Academy. Our staff earnestly pray for the Lord’s leading for each student that is led to apply. Please review our Bulletin and look over our various ministries online to learn more about the school program and follow the steps below to apply.

Heritage Academy has a variety of unique ministries so before you complete the admissions process please take some time to read the following two booklets.

These booklets will offer an overview of life on the Heritage campus; the dorm, classroom, vocational, social, and chapel life. There are other details contained in these booklets that will also help you make the decision if Heritage Academy is the right school for you to attend.

May God lead you in your decision.

Student Application

70 Questions

Person Filling Out This Application

1) First Name

2) Last Name

3) Phone

4) Email

5) Relationship To Student

Student Contact Information

6) Student's First Name

7) Student's Last Name

8) Student's Address

9) Address 2 (optional)

10) City

11) State (United States Only) (optional)

12) Foreign Province/Territory (optional)

Please type your answer out fully.

13) Zip Code / Postal Code (optional)

14) Country (optional)

Please type the full name.

15) Primary Phone Number

16) Secondary Phone Number (optional)

17) Email

Student's Academic Information

18) Gender

Male

Female

19) Birthdate MM/DD/YYYY

20) City of Birth

21) Student's Social Security Number (if applicable) (optional)

22) Student Resides with...

Mother

Father

Mother and Father

Neither Mother nor Father

Student's Academic Information

24) Student is seeking entry into which grade?

Ninth

Tenth

Eleventh

Twelfth

25) Which semester is being applied for?

Fall

Spring

26) Name of the last school the applicant attended.

27) Address of the last school the applicant attended.

28) City

29) State (United States Only) (optional)

30) Foreign Province / Territory (optional)

Please type your answer out fully.

31) Country (optional)

Please type the full name.

32) Phone

33) Has the applicant been tested for learning difficulties?

Yes

34) If yes, please describe... (optional)

35) Has the applicant ever undergone an educational or psychological evaluation administered by a clinical psychologist, psychiatrist or counselor?

If so, all paperwork must be sent in total so that adequate planning and evaluation can take place.*

Yes

36) If yes, please describe... (optional)

Student's Parental Information

37) Father's First Name (optional)

38) Father's Last Name (optional)

39) Address 1 (optional)

40) Address 2 (optional)

41) City (optional)

42) State (United States Only) (optional)

43) Foreign Province / Territory (optional)

Please type out the full name.

44) Zip Code / Postal Code (optional)

45) Country (optional)

Please type out the full name.

46) Primary Phone (optional)

47) Secondary Phone (optional)

48) Email

49) Father's Occupation (optional)

50) Father's Employer (optional)

51) Father's Church Membership/Denomination (optional)

52) Baptized (optional)

Yes

53) Father's Responsibility (optional)

Receives Grades

Tuition Payments

Both

54) Mother's First Name (optional)

55) Mother's Last Name * (optional)

56) Address 1 (optional)

57) Address 2 (optional)

58) City (optional)

59) State (United States Only) (optional)

60) Zip Code / Postal Code (optional)

61) Foreign Province / Territory (optional)

Please type out the full name.

62) Primary Phone

63) Second Phone (optional)

64) Email (optional)

65) Mother's Occupation (optional)

66) Mother's Employer (optional)

67) Mother's Church Membership / Denomination

68) Baptized

69) Mother's Responsibility

70) 6 + 5

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