Admissions Application Form

Please fill out the form below with the necessary information OR download the PDF to be filled out and turned into the school office. 

Admissions Form

Parent/Guardian *
Phone *
Address *
Please list any church(es), if any, you have attended in the previous five years.
Student Name
Student Name
Date of Birth
Date of Birth
Academic Performance *
Has the student ever had a professional evaluation to assess the need for academic accommodations? *if yes, please provide copies of the evaluations (ex/ 504 plan, I.E.P.)
Has the student ever received special educational accommodations or services?
Do you feel your student currently needs evaluation of special education accommodations?
Has your student been in an accelerated or gifted program?
Do you feel your student may need accelerated placement?
Social/Emotional *
Are there any past concerns in the areas of social, emotional, behavioral that may negatively influence your student's learning ability.
If yes, please explain.
Speech and Language *
Are there any speech/language concerns present that may affect educational performance?
If yes, please explain.
Health *
Do past or present illnesses or health-related conditions present a challenge to your student's ability to learn?
If yes, please explain.
Vision and Hearing *
Do vision or hearing issues present a challenge to your student's ability to learn?
If yes, please explain.
Motor Abilities *
Do any current motor ability issues or need for special access to accommodations apply to your student?
If yes, please explain.
Financial *
FACTS tuition application completed?
If yes, date completed.
YCHS Distinctive Agreement *
YCHS recognizes the importance of providing students an environment that supports the fundamental truth that God has given all of us the ability to learn, as well as unique talents and abilities. The purpose of formal education is to not only provide students with the tools to become informed and productive citizens in society, but also to nurture and strengthen the individual’s God-given talents and guide them in the development of their own personal relationship with their Creator. The Bible emphasizes the necessity of living a disciplined life. To that end, YCHS will partner with the parents to provide the walls of support that students need to understand that boundaries are a necessary protection in their formative years, while providing students the freedom to enjoy their learning experiences. In view of these values, I, the parent/guardian of the student named in this application, agree to support the practical expression of the Yorkville Christian High School educational philosophy, which includes: - A Christian worldview through which all subjects of study will be interpreted - The Bible as the source of authority in all mediations - Enrollment in Bible class - Participation in our monthly school-wide service learning projects held in the local community - Practical hands-on skill assignments in addition to the traditional academic core studies