Academy Application Home > Academy Application Step 1 of 16 - Admission Policy and Procedures 0% This field is hidden when viewing the formSchool Year2025-2026Start Your New Student ApplicationYour Name(Required) Your First Name Your Last Name Your Email(Required) Your Phone(Required)Applications are processed after all procedures have been followed, all paperwork has been submitted, and in the order in which they are received.Admission Policy and Procedures(Required) Admission Policy and Procedures 1. Ambassador Christian Academy operates under the Statement of Faith andits desire for every parent to partner with the school in pursuing our mission of developing their child so that he/she will become an effective Christian, living according to Biblical standards. 2. Ambassador Christian Academy does not discriminate on the basis of race, color, gender, national or ethnic origin in its admission policies and practices. 3. While Ambassador Christian Academyimplements a curriculum and promotes an environment designated to meet the diverse needs of each student, we are limited and may not be able to provide services in certain circumstances Such as: Student who have displayed significant emotional or disciplinary problems (including suspension or expulsion) at current school Student who have a police, court, or criminal record Student who have a physical handicap, which would impair the learning process under normal educational conditions Student who have a learning disability for which our program is not staffed 4. Students applying for School Choice Scholarship may be required to enter a lottery process if the number of School Choice Scholarship applicants exceeds the number of available openings. 5. Ambassador Christian Academy School retains the right to admit or deny students. In order for your application to be completed for processing and an enrollment decision made, the following must be received: A Completed Application A Signed Parent Commitment Partnership and Ambassador Christian Academy Civility Policy Form A Signed Emergency Contact, Photo Release, Permission to Travel, Medical Alert and Chirp Form Report Card and Behavior Report From Previous School for students entering 1st – 8th grades Benchmark and Standardized Test Scores (ILEARN) for Students Entering 4th – 8th grades. Copy of Parents Driver’s License and the Child’s Birth Certificate Previous Year Tax Forms (1040) 1. New students are also required to complete and sign: Request for Records Form 2. Any student entering Ambassador Christian Academy for the first time will be given an entrance assessment to assist in determining academic and overall readiness for the grade level for which they have applied. All new students entering 1st through 8th grades, are required to provide the previous years report card, behavior report, and standardized test scores if applicable. 3. Students entering Kindergarten student must be 5 years old before August 1st. 4. A final decision regarding admission will not be made until all documentation listed above has been submitted, the entrance assessment has been taken and reviewed, and the family interview has been completed. Notification will be made directly to the parent of the prospective student by phone and/or a letter. 5. For enrollment to be finalized, arrangements for tuition payments must be completed with the Finance Office: For Choice Families, this includes signing all required assurance forms. Please note that if a child enrolls at Ambassador Christian Academy, attends one or more days of school, and transfers out before the state certifies the choice scholarship voucher. The parent will be responsible for paying the tuition costs in full for all of the days the child attended aca. For non-choice families, this includes setting up monthly payments or paying the tuition in full for the first semester, or school year. I have read and I agree to the Admission Policy and Procedures.(Required) Student InformationGrade Student is Applying For:(Required)Grade Student is Applying For:Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeDate to Begin(Required) MM slash DD slash YYYY The grade/class you have selected is currently full. You will not be able to continue this application for this grade/class. If you'd like to be added to the waitlist, please contact us.Student's Legal Name(Required) Student's Legal First Name Student's Legal Middle Name Student's Legal Last Name Student's NicknameStudent's Address(Required) Student's Address Student's Address Line 2 Student's City Student's StateAlabamaAlaskaAmerican 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 Student's State Student's Zip Code Phone Number(Required)Student's Date of Birth(Required) MM slash DD slash YYYY Student's Age(Required)Student's Gender(Required)Student's GenderMaleFemaleStudent's Race(Required)Student's RaceAmerican Indian / Alaska NativeAsianBlack / African AmericanHawaiian / Pacific IslanderHispanicInter-racialUnknownWhiteStudent's First Language(Required)Student's First LanguageChineseEnglishFrenchGermanHebrewJapaneseRussianSpanishVietnamese Parent / Guardian InformationFather's Name Father's First Name Father's Last Name Father's Cell NumberFather's Email Father's OccupationFather's WorkplaceFather's Work PhoneMother's Name Mother's First Name Mother's Last Name Mother's Cell NumberMother's Email Mother's OccupationMother's WorkplaceMother's Work Phone Family BackgroundMarital Status(Required)Marital StatusMarriedDivorcedWho has custody for decision making?(A copy of the custodial documentation is required)Who has custody for decision making?JointFatherMotherCustodial Documentation Drop files here or Select files Max. file size: 256 MB. Are there any additional siblings who attend Ambassador Christian Academy?(Required)Are there any additional siblings who attend Ambassador Christian Academy?NoYesPlease list additional siblings that attend Ambassador Christian Academy:First Additional Sibling's Name First Additional Sibling's First Name First Additional Sibling's Last Name First Additional Sibling's GradeFirst Additional Sibling's GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeAdd Second Sibling Add Another Sibling Second Additional Sibling's Name Second Additional Sibling's First Name Second Additional Sibling's Last Name Second Additional Sibling's GradeSecond Additional Sibling's GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeAdd Third Sibling Add Another Sibling Third Additional Sibling's Name Third Additional Sibling's First Name Third Additional Sibling's Last Name Third Additional Sibling's GradeThird Additional Sibling's GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeAdd Fourth Sibling Add Another Sibling Fourth Additional Sibling's Name Fourth Additional Sibling's First Name Fourth Additional Sibling's Last Name Fourth Additional Sibling's GradeFourth Additional Sibling's GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Notify In Case of Emergency(Parents are always called first, please list another person)First Emergency Contact's Name(Required) First Emergency Contact's First Name First Emergency Contact's Last Name First Emergency Contact's Phone(Required)First Emergency Contact's Relation to Student(Required)First Emergency Contact's Address(Required) First Emergency Contact's Street Address First Emergency Contact's Address Line 2 First Emergency Contact's City First Emergency Contact's StateAlabamaAlaskaAmerican 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 First Emergency Contact's State First Emergency Contact's Zip Code Second Emergency Contact's Name(Required) Second Emergency Contact's First Name Second Emergency Contact's Last Name Second Emergency Contact's Phone(Required)Second Emergency Contact's Relation to Student(Required)Second Emergency Contact's Address(Required) Second Emergency Contact's Street Address Second Emergency Contact's Address Line 2 Second Emergency Contact's City Second Emergency Contact's StateAlabamaAlaskaAmerican 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 Second Emergency Contact's State Second Emergency Contact's Zip Code Parent Partnership Commitment FormAs parent or legal guardian of the above applicant, I agree to cooperate with Ambassador Christian Academy in the enforcement of the rules and regulations of the institution and to meet the terms of the agreement about expenses, business details, attendance policy, parent and student behavior, civility requirements and so forth, as outlined by Ambassador Christian Academy. My failure to adhere to this commitment may jeopardize my child’s enrollment status at ACA. In addition, I give permission for my child to take part in all school activities including sports programs and school sponsored trips away from the school premises. I absolve the school from liability in the event my child is injured at school or during any school activity. I agree with the school’s effort to train my child in Bible and will encourage my child in this and in all other phases of instruction.Signature of Parent / Guardian of Student for Parent Partnership Commitment Form(Required) Civility PolicyWe are committed to the highest standards of academic and ethical integrity, acknowledging that respect for self and others is the foundation of educational excellence. As such, we will cultivate an environment of mutual respect and responsibility. Whether we are students, faculty, or staff, we have a right to be in a safe environment, free of disturbance and civil in all aspects of human relations. This policy requires mutual respect, civility, and orderly conduct among Ambassador Christian Academy students, parents, employees, and the public. Civility does not deprive any person of his/her right to freedom of expression but serves only to maintain, to the extent possible and reasonable, a mutually respectful, safe, and harassment-free workplace for students and staff. In the event that this policy is not adhered to by a parent, guardian, or spokesperson for a parent, Ambassador Christian Academy reserves the right to immediately release the student of that family. I acknowledge that I have read, understand, and agree to the Ambassador Christian Academy Civility Policy.Signature of Parent / Guardian of Student for Civility Policy(Required) Choice Scholarship Financial Understanding AgreementAs a participant in the State of Indiana’s Choice Scholarship program. I understand that all or a portion of my child’s tuition cost will be funded through a Choice Scholarship Voucher. I further acknowledge I understand that I will be responsible for paying the costs of tuition for all days that my child was in attendance, if I choose to transfer or withdraw my child from Ambassador Christian Academy BEFORE October when the state funds the first half of my child’s tuition costs.Signature of Parent / Guardian of Student for Choice Scholarship Financial Understanding Agreement(Required) Home Language Survey (HLS)The Civil Rights Act of 1964, Title VI, Language Minority Compliance Procedures, requires school districts and charter schools to determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students as outlined Plyler v. Doe, 457 U.S. 202 (1982). The purpose of this survey is to determine the primary or home language of the student. The HLS must be given to all students enrolled in the school district / charter school. The HLS is administered one time, upon initial enrollment in Indiana, and remains in the student's cumulative file. Please note that the answers to the survey below are student-specific. If a language other than English is recorded for ANY of the survey questions below, the WIDA Screener will be administered to determine whether or not the student will qualify for additional English language development support.Please answer the following questions regarding the language spoken by the student:What is the native language of the student?(Required)What language(s) is spoken most often by the student?(Required)What language(s) is spoken by the student in the home?(Required)Student's Name(Required) Student's First Name Student's Last Name Grade Student is Applying For:(Required)Grade Student is Applying For:Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeParent's / Guardian's Name(Required) Parent's / Guardian's First Name Parent's / Guardian's Last Name HLS - Today's Date(Required) MM slash DD slash YYYY By signing here, you certify that responses to the three questions above are specific to your student. You understand that if a language other than English has been identified, your student will be tested to determine if they qualify for English language development services, to help them become fluent in English. If entered into the English language development program, your student will be entitled to services as an English learner and will be tested annually to determine their English language proficiency.Signature of Parent / Guardian of Student for Home Language Survey(Required) Chirp Physical and Shot Record SystemI understand that the annual physical and immunization records that I am required to submit for my child with this application, will be transferred by the school into the Chirp system. Ambassador Christian Academy does not, and will not pull shot records and/or physicals directly from Chirp, in lieu of parents having to provide the requested hard copies for registration.Signature of Parent / Guardian of Student for Chirp Physical and Shot Record System(Required) Photo ReleaseI give my permission for my child’s photo to be used on the school’s website or other school promotional materials.Do you give permission?(Required) Yes No Initials of Parent / Guardian of Student for Photo Release(Required) Permission to TravelI give my permission for my child to travel by bus or van for gym, chapel, and other school programs.Do you give permission?(Required) Yes No Initials of Parent / Guardian of Student for Permission to Travel(Required) Medical AlertMedical Conditions(Required)Please Check All Boxes That Apply Has No Known Allergies Is Allergic To: (Medical Documentation Required) Special Treatment Needed (Medical Documentation Required) Upload Medical Documentation Drop files here or Select files Max. file size: 256 MB. Additional DocumentsUpload any additional documents needed Drop files here or Select files Max. file size: 256 MB, Max. files: 10. Request for Students RecordsToday's Date(Required) MM slash DD slash YYYY School Name(Required)School Fax Number(Required)School Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Student's Name(Required) First Last Student's Date of Birth(Required) MM slash DD slash YYYY Student's Gender(Required)Student's GenderMaleFemaleRecords that are being requested may include: ____ Progress Reports ____ Psychological Reports ____ Standardized Test Results (ILEARN/I-READ-3) ____ Individual Education Plan (IEP) ____ Attendance Records ____ Immunization Records ____ Report Cards ____ Discipline/Behavior Records Consent to Request my Child's Academic Records(Required) I hereby give Ambassador Christian Academy permission to request my child's academic records from the school listed above. Teacher RecommendationPlease complete the information below and we will email the Teacher Recommendation Form to your recommender.Student's Name(Required) First Middle Last Student's Date of Birth(Required) MM slash DD slash YYYY Term Applying to(Required)Grade Applying to(Required)Grade Applying to1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeRecommender's (Teacher) Name(Required) First Last Recommender's (Teacher) Email(Required) Enter Email Confirm Email Today's Date(Required) MM slash DD slash YYYY Signature of Parent / Guardian of Student for Teacher Recommendation(Required)
