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Name*
First Middle Last
Date of birth*
Current Age
Gender*
- Male
- Female
Grade to Enter*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Primary Language
Name of Church Attending
Last School Attended
Medical Conditions
Does the student have an IEP or diagnosed learning challenge/difficulties
- Yes
- No
Learning Challenges/Difficulties
Submit Challenges/Difficulties Documentation
Drop files here or
Has the student ever been denied admission to a school, suspended or asked to withdraw?
- Yes
- No
MorningStar Fellowship Attending & Tithing Member
- Yes
- No
Military
- Yes
- No
Immediate family only ~ parent/guardian of child
Briefly describe why you would like you child(ren) to attend CSCL

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Current Report card
Please scan or take a photo of your current report card. Make sure it is legible.
Pastoral Reference*

Please include the email address of your Pastor. They will receive an email requesting them to fill out information about the student.
Transcript Request Form
Former School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Former School Phone
Former School Fax
Attention To
Email
Transcript Consent*
- I consent for the release of information to Comenius School for Creative Leadership
Granted By*

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CSCL Application Fee
Price: $ 125.00
In order to process your application, Please pay the $125 application & testing fee (non-refundable). Your application will not be considered without payment.
Total
$ 0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

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