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Beulah Academy Enrollment Application
Beulah Academy of Science 2024-2025
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* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Middle Name
*
Your answer
Student's Last Name
*
Your answer
Student's Home Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Applicants Student ID Number - If you do not have the number you can input six zeros 000000
*
Your answer
Grade Entering
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Choose
6th
7th
8th
Gender
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Choose
Male
Female
Race
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Choose
White
Hispanic
Black
Multi-racial
Asian
American Indian
Pacific Islander
Other
School currently attending.
*
Your answer
Is the parent/guardian of this applicant Active duty military?
*
Yes
No
Required
Is this applicant a child of an employee or the child of a Beulah Academy Board member?
*
Yes
No
Does this child have a sibling already attending Beulah Academy that lives in the same household?
*
Yes
No
If you selected that this applicant has a sibling already attending Beulah Academy, Please list the name of the student already attending our school.
*
Your answer
Has this applicant ever been expelled from attending school?
*
Yes
No
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Our school is a place where everyone feels safe and accepted and has a sense of belonging. Bullying will not be tolerated at Beulah Academy. I understand that my child may be dismissed from Beulah Academy for confirmed repeated acts of bullying.
*
Yes, I understand this policy
The Beulah Academy of Science does not discriminate on the basis of race, color, national origin, or sexual orientation in the recruitment, selection, or treatment of students.
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