Re-enrollment Admissions Policies and Procedures by hijuney5

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									                                                            Financial Obligor Statement of Agreement:

                                                            Academic:

                                                                We understand that attendance at UCS is a privilege
                                                            and not a right.
                                                                We agree to attend a parent orientation meeting at the
                                                            beginning of the school year.
                                                                We understand that UCS abides by biblical principles
                                                            in conflict resolution (Matthew 18:15-17; 1 Corinthians
                                                            6:1-8). We acknowledge and agree with UCS to abide by
                                                            these same biblical principles in the resolution of all
                                                            disputes.
                                                                UCS reserves the right to dismiss any student who does
                                                            not respect its spiritual standards or cooperate in the

  Re-enrollment                                             educational process.
                                                                UCS has the right to enforce all rules and regulations as
                                                            stated in the school year manual.

Admissions Policies                                         No corporal punishment will be used. The classroom
                                                            teacher does, however, have full discretion in the
                                                            discipline of my child/children.

 and Procedures                                                 The administration has full responsibility for placing
                                                            my child/children in the proper class (es).
                                                                We authorize University Christian School to use and
                                                            reproduce any and all photographs, audio or video tapes
                                                            which UCS takes of my children and any family members
                                                            that may be produced for school literature, website,
                                                            advertisements or promotional purposes, without any form
                                                            of compensation. The foregoing shall remain property of
  RE-ENROLLMENT APPLICATION:
                                                            University Christian School, solely and completely. (If
                                                            neither is selected, “Yes” will be entered.)
  All returning applicants must fill out a complete
                                                                                YES          or       No
  application and submit the required $300 non-
                                                                We understand the dress code of UCS requires that all
  refundable application fee to the admissions office to
                                                            students wear uniforms everyday and are purchased from
  start the process. Incomplete applications will not be
                                                            Sunshine Uniform Company.
  accepted.
                                                                We understand that parents should provide adequate
                                                            Health Insurance for our child/children. We will not
  If Applicable: All IEP’s are required to be presented
                                                            expect or ask University Christian School to cover any
  at initial application for review.
                                                            costs associated with health care and /or health insurance
                                                            for our child/children.

  CONTRACT TERMS:                                           Financial:

  An enrollment contract is required to be signed by the        We understand that if our child is re-enrolled for the
  financially responsible parent or guardian of the         next academic year that this status is contingent on all
  student attending University Christian. The terms are     tuition and fees from the previous year being cleared by
  to include but are not limited to the following:          the business office on or before May 31.
                                                                The registration and financial information has been
  * All policies, rules, and regulations stated in the      provided and we will be prompt in making the tuition
  handbook posted on our website must be followed.          payments on time.
                                                                Full Payment Plan: Payment must be made on or
  * The financially responsible parent or guardian is       before July 1st.
  responsible for making the payments according to the          Bi-Annual Payment Plan: First ½ payment must be
  plan selected and through FACTS tuition                   made on or before July 1st. Final payment must be made
  management.                                               on or before December 1st.
                                                                Ten Payment Plan: Payments are made payable to
  * Tuition will be prorated and enrollment fees will not   FACTS Tuition Management beginning July 1st.
  be refunded in the event of withdrawal or dismissal.          Twelve Payment Plan: Payments are made payable to
                                                            FACTS Tuition Management beginning June 1st.

                                                            Cancellation Policy: TUITION PAYMENTS ARE
                                                            PRO- RATED. ENROLLMENT FEES ARE NON –
                                                            REFUNDABLE.
                                      Application for Re-enrollment
    For Office Use Only:                     Testing Date: ___________ Interview Date: ______________

                                             Start Date: _______________ Accept/Deny: ________________


FILL IN ALL BLANKS – ONE FORM MUST BE SUBMITTED FOR EACH STUDENT
(Please Print)
Student Name (FML):                                                                           Nickname:
Circle one: Male Female        Birth Date:                               Birthplace:
Social Security Number ____ __-______-________ Grade entering: _______ Last School Attended:
Home Phone: _______-_________ Home Address:
City: ______________________________ State: _______________ Zip: _____________Denomination:
Ethnic Origin/Race: _________            __________ (For Government Statistical Reports only)
FAMILY MEMBERS
Father’s Name:                                                         Mother’s Name:
Step-mother (if applicable):                                           Step-father (if applicable):
Who does child live with? __________________________________________________
FIRST CONTACT (Parent/Guardian Only)
First Contacts Name ________________________________________ Relationship to student:
Custody? Y N       Same address as student? Y N (if no then list below) Email:
Home Phone: _____________________ Cell Phone: _______________________ Work Phone:
Contacts Employer: ____________________________________________                   Position:
SECOND CONTACT (Parent/Guardian unless none available)
Second Contacts Name _____________________________________ Relationship to student____________________________
Custody? Y N       Same address as student? Y N (if no then list below) Email_______________________________________
Home Phone: _______________________ Cell Phone: _________________________                      Work Phone:
Contacts Employer:                                                                             Position: _____________________________
Third Contact (We are required to have three contacts per child in case of emergency – Please fill out completely)
Title: ________ Name: ____________________________________________ Relation to student? ____________
Same address as the student? Y N (If no then list below) E-mail: __________________________________
Address: _________________                        ____________City: _______________________ State: ______ Zip: _______ ________
Work Phone: _______-___________ x __________ Employer: _______________________________ Position: _________________
Cell Phone: ___ ______- ______ ____ Home Phone: ____            ___-_______      ___
MEDICAL INFORMATION
Doctor’s name: ____________________________________________________ Office Number: _________-_______________
Does the school have permission to call the student’s doctor?       Y       N
List any disabilities the school should be aware of: ________________________________________________________
List any medical comments or medical alerts:
Insurance Company: ____________                    _______________________ Policy #: ________________________________________
How did you hear about UCS?                                                                    Referred by:
By signing below, you are stating that the information provided in this enrollment packet is true and correct to the best of your knowledge.




Parent/Guardian Signature                                                                     Date of Application
                                    COMMITMENT LETTER

We are pleased to confirm our commitment to University Christian School for the child or children listed
below to attend the upcoming/current school year. It is our commitment as parents, guardians, or financial
obligor, to pay the tuition costs, book fees, enrollment fees, athletic fees, and all other fees that might apply
to my child(s) education at University Christian School. The tuition fees will be paid by one of the following
ways. Full payment on or before July 1, One half payments on July 1 with the second payment due in full on
December 1, or a monthly payment for ten months that will be direct debit from a checking account set up
through FACTS Management starting July 1. All other fees will be collected and paid for directly to
University Christian School. As the person obligated for payment, you agree that you will pay according to
this agreement as selected below and will not default. University Christian School holds a non-refundable
policy.


___________________________________________                  Annual     10 pmt     12 pmt       Ext.      Total
Child’s Name                  Grade Entering                  pmt                               Day

___________________________________________
Child’s Name                  Grade Entering

___________________________________________
Child’s Name                  Grade Entering


I hereby sign this promissory note agreeing to pay the tuition and fees that are required of me for the rights of
my child/children to attend University Christian School. I understand that at any time I am at default, my
child could lose their enrolled status of the school.


___________________________________________
Financial Obligor

___________________________________________
Financial Obligor


SELECT ONE

           VPK4 Extended Care Only (Monthly payment plan)

_______    Full payment paid on or before July 1 (Paid directly to UCS)

_______    2 payments 1/2 paid on July 1 and Final payment December 1 (tuition only)
           (Paid directly to UCS)

_______    10 monthly payments through direct debit (tuition only) (Paid to FACTS)

_______    12 monthly payments through direct debit (tuition only) (Paid to FACTS)


                                       University Christian School
                             5520 University Blvd W Jacksonville, FL 32216
                                                   Tuition Rate Sheet
                                                       2009-2010



                                                    Tuition                Tuition                 Tuition                   Tuition
                           New Student
            Enrollment    Application Fee             K-5                Grades 1-5             Grades 6 - 8              Grades 9 - 12

                                               Per Year / Per Mo       Per Year/ Per Mo       Per Year/ Per Mo          Per Year/ Per Mo

1st Child     $300              $50             $5,000/ $500            $5,250/ $525           $5,500/ $550              $6,450/ $645
2nd Child     $300              $50             $4,500/ $450          $4,725/ $472.50          $4,950/ $495             $5,805/ $580.05
3rd Child     $300              $50             $4,500/ $450          $4,725/ $472.50          $4,950/ $495             $5,805/ $580.05
4th Child      $0               $50             $4,500/ $450          $4,725/ $472.50          $4,950/ $495             $5,805/ $580.05
5th Child      $0               $50                   $0                      $0                     $0                        $0

               Under the above tuition plan, amounts are based on 10 installments from July 1, 2009 to April 1, 2010.



                                                    Tuition                Tuition                 Tuition                   Tuition
                           New Student
            Enrollment    Application Fee             K-5                Grades 1-5             Grades 6 - 8              Grades 9 - 12

                                               Per Year / Per Mo       Per Year/ Per Mo       Per Year/ Per Mo          Per Year/ Per Mo

1st Child     $300              $50            $5,000/ $416.67        $5,250/ $437.50        $5,500/ $458.33            $6,450/ $537.50
2nd Child     $300              $50             $4,500/ $375          $4,725/ $393.75        $4,950/ $412.50            $5,805/ $483.75
3rd Child     $300              $50             $4,500/ $375          $4,725/ $393.75        $4,950/ $412.50            $5,805/ $483.75
4th Child      $0               $50             $4,500/ $375          $4,725/ $393.75        $4,950/ $412.50            $5,805/ $483.75
5th Child      $0               $50                   $0                      $0                     $0                        $0

               Under the above tuition plan, amounts are based on 12 installments from June 1, 2009 to May 1, 2010.




                                         University Christian School
                                  5520 University Blvd W Jacksonville, FL 32216
                                               (904) 737-6330 phone
                                     University Christian School
                                                  Extended Care
                                                   2009-2010

Monthly Extended Care Rates:

                   Grade                               Time                            Monthly Charge


              K-5 thru 5th                        3:00 – 6:00 PM                             $130.00
                6th thru 8th                      3:00 – 6:00 PM                             $150.00


       Extended Care payments are based on ten installments from August, 2009 to May, 2010.

       Cost DOES NOT include Christmas break and Spring break.

       Extended care is available without additional charge from 6:45 AM until 8:00 AM each morning.

       Children must be picked up promptly by 6:00 PM. Cost of late pick up is $5.00 per minute beyond 6:00 PM.

       For the safety of our students, all unsupervised students remaining on campus after 3:30 pm will be sent to an
        extended care classroom. These students will be charged a rate of $10 per day.

     The following students will require Extended Care:

     Student:                                                                       Grade:

     Student:                                                                       Grade:

     Student:                                                                       Grade:

Parent/Guardian Information:
     Parent/Guardian Name(s):
     Address:                                                                       Zip:
     Home Phone:                                             Work Phone:
     Cell Phone:                                             Pager:


CHOOSE ONE:
    Extended Care will be required at the following times:     12 – 3 PM       3 – 6 PM          12 – 6 PM



     Parent/Guardian Signature                                              Date

								
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