Charleston Seventh-day Adventist School

Returning Application

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Returning Application
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Returning Student Application
 
Charleston SDA School
2518 Savannah Highway
 Charleston, SC 49414
 
 

Please place a checkmark next to any new information.   Starred lines (*) are required.

Student Name and Family Information
 
*I am applying for ___ grade, beginning   Fall ____ Winter ____   of   2010
 
*Applicant’s Name:
______________________________________________________
                 First                                       Middle Initial                                         Last                                                         
*Social Security #: _________________ *Birthdate ____/____/____
                                                                                             mo   day    yr        
 
*Street Address: _____________________________________________
 
City: __________________________      State: _______     *Zip: ________
 
*Home Phone: ____________ *Email ________________________
 
Father’s Occupation: ______________________________ SS# __________  
 
Business Phone: __________ *Cell Phone: ___________
 
 
Mother’s Occupation: _____________________________ SS# _________    
 
Business Phone: __________ *Cell Phone: ___________
 
 Check if appropriate:
___ Father deceased    ___ Mother deceased  ___ Parents divorced
___ Parents separated  ___ Father remarried   ___ Mother remarried
 
Please list child’s secondary household:
 
Name: _________________________________Relation: __________
                           First                                   Last
Street Address: ____________________________________________
 
City: ______________________________ State: _______ Zip: ____________
 
Home Phone: ____________________    Cell Phone: ________
 
Occupation: __________________ Business Phone: _________  
 
 
 
 
 
Application must be complete and received with appropriate fees in order be processed. A completed application does not guarantee acceptance. The CSDAS School Committee makes final decisions.