Application Form

Please complete form with up-to-date information, * are very important. If you have any questions, please send an email to addmissions@godslovechristianacademy.com or call/text 470-535-6547

Student's Name*

Student's Last name*

Your email

Gender*

F

M

What Program are you applying for?*

Workbook Program

ePACE

Workbook & ePACE

Online Program – Maximum Enrollment Reached Thank you for your interest. All slots are currently full. Availability will be announced as soon as new openings become available.

What grade are you applying into?*

K- 5th

6th-8th

9th-12th

Specify Grade *

Indicate last grade completed *

Current Address*

City State and Zip-Code*

Month/Date/Year Of Birth*

Parent/Legal guardian's information*

Parent/Legal Guardian's Phone Number*

Parent/Legal Guardian's Email*

Immunization information

For religious reasons my child is not immunized.

For personal conviction my child is not immunized.

My child is fully immunized

My child is not fully immunized

Any other important information/ Otherwise type NA

Students enrolled in Workbook or ePACES, can join Zoom classes every morning, to get help from qualified supervisors. No commitment. Please indicate if you are interested at no extra cost to you. By clicking yes, you agree to all policies, terms and procedures.

Yes- Enroll my student for Zoom classes

No

Undecided at this time.

For HS(Please choose your preferred program)

College Preparatory

General High School Program

Vocational Graduation Program

NA

If referred by an employee, or a parent, or a student, please include their name , to get a waiver of $150 enrollment fee/Otherwise type NA

Digital Signature of Parent /Legal Guardian*

Address

Atlanta GA

Contacts

470-535-6547
admissions@godslovechristianacademy.com

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