2024-2025 Application Part 2 - Individual Student Application: Grades 1-12 Step 1 of 3 - Student Contact Information 33% Page 1 of 2 - Student InformationSTUDENT INFORMATIONPlease list the name and information for the student applicant:* First Middle Last Nickname or Preferred Birthdate* MM slash DD slash YYYY City, State/Province, & Country of Birth* Country of Citizenship* Current Grade:* Applying for Grade:* Month/Year to start at GPCS:* Gender:* Male Female Current School Name* Current School Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current School Phone:Has this student or any of his/her family members applied to GPCS before?* Yes No If yes, when? Explain what teachers ought to know about your student as a learner and as a person:*Has your child ever been evaluated for, been recommended for, and/or received any kind of special educational services in the past?* Yes No If yes, please explain:Does your child have any learning disabilities or special learning needs of which you are aware?* Yes No If yes, please explain:Does your child require special classroom seating or accommodations of any kind?* Yes No If yes, please explain:Have you or others been concerned for or has your child been evaluated for any physical, mental, academic, or emotional needs?* Yes No If yes, please explain:Are you concerned about any speech or language difficulties?* Yes No If yes, please explain:Please list any physical disabilities, allergies, limitations on activities, and medications that pertain to your child’s school life (if none, enter "none"):*Do you have any concerns about potential emotional or behavioral issues which may impact your child's educational experience?* Yes No If yes, please explain:Has your child had any problem with absences or tardiness in the past?* Yes No If yes, please explain:In what areas (academic, athletic, musical, etc.) does your child excel?*If homeschooled, please indicate what material was used for reading and math:List any honors/awards your child has received in school, sports, church, or community:Has your child ever been retained in a grade?* Yes No If yes, what grade and why?Has your child ever skipped a grade?* Yes No If yes, what grade? Has your child ever:1) received serious reprimand from school or community (for example, not allowed to go on a class trip or similar discipline, not allowed back in a particular business, etc.?* Yes No 2) been suspended?* Yes No 3) been asked to withdraw?* Yes No 4) been expelled?* Yes No 5) been arrested?* Yes No *Please explain on another page if you answered yes to any of the above questions. Each situation is evaluated individually, answering yes to any of these does not automatically make an applicant ineligible for enrollment, but we will want to discuss the situation(s) with the student and parents.PARENT/GUARDIAN AFFIRMATIONPARENT/GUARDIAN: Please type your full name as a signature. By completing this form, you agree that the info above is true to the best of your knowledge. NONDISCRIMINATORY POLICY: Greater Portland Christian School is a distinctly Christian institution dedicated to biblical principles of fairness and equality (Pro. 24:23; Acts 17:26; Gal. 3:28; etc.). Therefore, GPCS welcomes students of any race, color, national and ethnic origin, providing them all the rights, privileges, programs and activities generally accorded or made available to students in the school. It does not discriminate on the basis of race, color, national, and ethnic origin in administration of its educational policies, admissions policies, tuition assistance programs, and athletic and other school-administered programs. Thank you for applying! There is a $25 per student nonrefundable application fee required with the application. You may pay online by selecting "Credit Card" below or choosing the "Check" option and bringing or mailing your check to the main office. You may pay here once for all the students applying (you don't have to pay $25 at the end of each of the Part 2 Applications if you have more than one child applying). Payment Method Credit/Debit Card Check Application FeeNumber of New Students ApplyingPlease enter a number from 1 to 6.Credit CardPlease check if you have activated a Stripe feed for your form. Total $0.00 Email Address for Receipt