Kyiv Christian Academy Apply Online - Kyiv Christian Academy

Apply Online

You will need to fill in one form for each prospective student. When you complete the application, please sign it at the bottom using your mouse or trackpad. Thank you for your interest in Kyiv Christian Academy. We look forward to the opportunity to serve your family!

Step 1 of 5

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Application Date*
Anticipated Enrollment Date*
Student Information
Student's Name*
Student's Preferred Name (name he/she goes by)
Gender*
- Female
- Male
Date of Birth
For which grade are you applying?*
Student's Citizenship (example: USA)*
Native Language*
Other Languages Spoken
Address here in Ukraine*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student's Phone Number (if applicable)
Student's Email Address (if applicable)
Enter Email Confirm Email

Additional Information
Schools Previously Attended*
(please include NAME of school, LOCATION of school, DATES attended and GRADES attended). To add additional schools, click the "+" button.
Educational Transcripts
Please obtain a copy of your child's education transcript and send it to us via email or at our PO Box. If your child has been homeschooled, please send a record of academic studies. This information needs to be on file as part of your child's permanent school record.
Hobbies, Interests and Skills
Please state your child's special interests, skills or hobbies.
Social Interaction
Has the student had any scholastic difficulties in the past?*
- Yes
- No
Any disciplinary difficulties?*
- Yes
- No
Any physical, emotional, or other problems that may affect attendance or behavior?*
- Yes
- No
If you answered "yes" to any question above, please explain below.

Family Information - Student's Father
Name
Occupation
Mission Agency or Employer
Mission Agency/Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Enter Email Confirm Email
Family Information - Student's Mother
Name
Occupation
Mission Agency or Employer
Mission Agency/Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Enter Email Confirm Email
Family Information - Other Children
Please list other children in family.
(Provide NAME, BIRTHDATE, WHERE the child lives) To add additional children, click the "+" button.

Church Background
Denomination/Faith
Church attended in HOME COUNTRY
Church currently attending in UKRAINE
Mission/Sending Organization

Sign & Submit Form
Check the box if you agree.*
- We affirm that the information contained in this document is true and complete. I understand that misrepresenting information could result in the refusal or dismissal of my child's enrollment at Kiev Christian Academy.
Father's Signature
Date
Mother's Signature
Date
Comments
This field is for validation purposes and should be left unchanged.

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Apply Online

Step 1 of 5

Student Information

Additional Information

Educational Transcripts

Social Interaction

Family Information - Student's Father

Family Information - Student's Mother

Family Information - Other Children

Church Background

Sign & Submit Form