The Francis Schaeffer Study Center

2007-2008 APPLICATION FOR NEW STUDENTS

(click here to download the application as a .pdf file)

This application should be filled out by the applying STUDENT.

Parents may supply information the student lacks. Please answer as fully as space allows, using another sheet when necessary.

Student Name: __________________________________________________

(Last) (First)

Date of Birth ___________________ Grade (2007-2008) ________________

Address  ______________________________________________________

(Street) (City) (State)(Zip)

Telephone _____________________ E-Mail Address ___________________

Fax# (Home) ___________________ Fax # (Work) _____________________

Father________________________ Occupation/Company _______________

Father’s Work Phone ________________ Cell Phone ___________________

Mother _______________________ Occupation/Company _______________

Mother’s Work Phone ________________ Cell Phone ___________________

EMERGENCY CONTACT INFORMATION:

Contact person in the event of an emergency if parents can’t be reached. This person should be available during school hours.

Name __________________________ Phone ________________________

Family Physician __________________ Phone _______________________

If your parents allow us to give Tylenol or Advil upon request for headaches or minor pain, they should sign below.

Parent’s Signature ______________________________________________

Please list any serious allergies, prescription medication that might affect classwork, health problems or physical limitations that need to be brought to our attention. Use the back if necessary.

Will this student be driving to class? __________________________

Parent’s Signature_________________________________________

Does this student have permission to ride with other students as a passenger?

Parent’s Signature_________________________________________

(continue on the next page)

The Francis Schaeffer Study Center

2007-2008 APPLICATION FOR NEW STUDENTS

Student Information - page 2 –

Siblings (Names and Ages)

Home Congregation _______________ Phone _____________

Minister or Youth Minister:_____________________________

If you have attended a public or private school in the last two years, give us photocopies of your final report cards. DO NOT ASK THE SCHOOL FOR OFFICIAL COPIES TO BE SENT TO US. WE ARE NOT A SCHOOL. The Study Center cannot request official documents. If you have homeschooled for the last two years, send us photocopies of the final grades you sent to your umbrella school.

School last attended ____________ Year __________________

Did you leave that school as a student in good standing? ____________________

Personal Information:

1. If you have ever been expelled or suspended from any school, explain the circumstances.

2. What is your favorite book?

3. What are your hobbies and interests?

4. Tell us about your educational experiences so far. What has been your favorite course/subject? Your least favorite?

5. What kinds of things do you think you would like to be doing after you finish high school?

The Francis Schaeffer Study Center

2007-2008 APPLICATION FOR NEW STUDENTS

Student Information - page 3 – Student Name: _________________

6. Though students do not have to be believers in Jesus to attend classes at the Study Center, your teachers will all be Christians and will be teaching from a Christian World View. Would you identify yourself as a Christian? How would you define a “Christian?”

7. Why are you interested in attending classes at the Schaeffer Study Center?

Finish this page with whatever will help us to understand and appreciate you. Don’t agonize over this. Be yourself. Write as neatly and as correctly as you can. Use a dictionary if you like, but accept no other assistance. Include special interests, talents, and hobbies. Show us your sense of humor. Introduce yourself to us in your own way. Let us know what special qualities you possess which will enrich OUR lives.

The Francis Schaeffer Study Center

Student Recommendation Form

This recommendation form is for a student who is applying to a homeschool tutorial group. That student should fill out the first three lines of this form and supply a stamped envelope addressed to: The Francis Schaeffer Study Center,  c/o Abundant Life Church, 1000 Woodridge Dr., Mt. Juliet, TN 37122. We ask the person who is making the recommendation to mail the directly o The Study Center at the address above rather than returning it to the student. Thank you for your help.

Recommendation for______________________________________________

From _______________________________ Address ______________________

Phone (Home)___________________ Phone (Office) ____________

How long have you known this student? _________________________________

In what capacity/relationship? _________________________________________

Indicate your assessment of the student in the following categories: (If you do not know, simply write “don’t know.”)

Emotional stability __________________________________________________

Sense of humor _____________________________________________

Academic ability ____________________________________________________

Respect for authority ________________________________________________

Ability to work independently _____________________________________

Ability to work with others _______________________________________

Does he/she complete tasks he/she starts? ______________________________

Does this student take responsibility for his/her own actions? ________________

Please attach a statement to describe other attributes that make this person a good candidate for an academic program that requires a high level of cooperation, maturity and academic independence. Also, feel free to share any concerns you may have regarding this student.

Do you recommend this student as an asset to our program? __________

Signature ______________________ Date __________