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Application for Admission

APPLICATION FOR ADMISSION

I.  FAMILY INFORMATION:

State
Answer Required
Marital Status
Answer Required
Personally accepted Jesus Christ as Savior?
Answer Required
Marital Status*
Answer Required
Personally accepted Jesus Christ as Savior?*
Answer Required

II. Student Information

III. Church Information

Address
State
Answer Required
Which of the following are members of this church?*
Answer Required

Canaan Christian Academy admits students of any race, color, national, and ethnic origin to all the rights, privileges, program, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national, and ethnic origin in administration of its educational policies, admissions, policies, scholarship programs, and athletic and other school-administered programs.

Please note:  Applications cannot be processed until the $50 application fee per student has been paid in full and all references are in.

IV.  PAYMENT OPTIONS

Application fee by credit card
Answer Required
I would prefer to pay my application fee by the following:
Answer Required

OFFICE USE ONLY:

Confirmation Email