ASES Application

Application Date Received: ___________________

School Year 2008-2009 Time Received: ___________________

APPLICANT INFORMATION

______________________________________________________________________________________________________________ Last Name First Name Middle Name Preferred Name/Nickname

________________________________________________________________________________________________________________________________ Birth Date Age Social Security Number Gender

Incoming Grade:

□ 2-Day 2’s □ 3-Day 2’s □ 5-Day 2’s □ 3-Day 3’s □ 5-Day 3’s □ 3-Day 4’s □ 5-Day 4’s

□ Kindergarten □ 1st □ 2nd □ 3rd □ 4th □ 5th □ 6th □ 7th □ 8th

□ Parents Divorced □ Parents Separated □ Father Deceased □ Mother Deceased If Divorced, Who Has Legal Custody?

PARENT/GUARDIAN INFORMATION

Father/Guardian Mother/Guardian

□Mr. □Dr. □Rev. □Hon. _________________________________ □Mrs. □Ms. □Dr. □Rev. □Hon. ___________________________

Relationship ____________________________________________ Relationship ____________________________________________

Preferred Name _________________________________________ Preferred Name __________________________________________

Social Security Number __________________________________ Social Security Number ____________________________________

Street Address __________________________________________ Street Address ___________________________________________

City, State, Zip _________________________________________ City, State, Zip __________________________________________

County ________________________________________________ County __________________________________________________

E-Mail Address _________________________________________ E-Mail Address __________________________________________

Employer ______________________________________________ Employer _______________________________________________

Occupation/Title ________________________________________ Occupation/Title _________________________________________

Employer’s Address ______________________________________ Employer’s Address ______________________________________

City, State, Zip _________________________________________ City, State, Zip ___________________________________________

Home Phone ___________________________________________ Home Phone _____________________________________________

Cell Phone _____________________________________________ Cell Phone ______________________________________________

Business Phone _________________________________________ Business Phone ________________________________________________

_______________________________________________________________________________________

3275 Maple Valley Road * Morristown, TN 37813 * (423) 586-3280 * Fax (423) 586-9355

www.allsaintsepiscopalschool.org

Applicant Name: ______________________________

Incoming Grade: ______________________

SIBLING INFORMATION

Name ________________________ Age _____ Present School ______________________ Applying to ASES Grade ______

SCHOOL INFORMATION

Applicant’s Current School _________________________________________________________ Present Grade ___________

Address of School ________________________________________________________________________________________

Street City State Zip Phone # Fax #

Name of Teacher __________________________________________________________________________________________

Has your child ever received Special Educations Services? □ Yes □ No

If Yes, Please Explain _______________________________________________________________________________________

Application Checklist

Your application is complete only when we have received the following:

A completed application for admission including a signed enrollment agreement.
A copy of your child’s most recent report card. (1^stthrough 8^th grade applicants only)
A copy of your child’s most recent standardized test results. (1^stthrough 8^th grade applicants only)
A $50.00 application fee (checks should be made payable to All Saints’ Episcopal School).
This is a one-time fee per student and is non-refundable unless acceptance is denied.
The first month’s tuition payment (checks should be made payable to All Saints’ Episcopal School).
This payment serves as a deposit and is non-refundable unless acceptance is denied.
A completed financial aid form, if applicable, along with all required attachments. If you are interested in applying for financial aid, please request an application from Nikki Wills, Director of Admissions. The financial aid form (with attachments) must accompany your application for admission. Financial aid forms submitted before or after receipt of the application for admission will not be considered. Financial aid is limited. Families must produce evidence that need exists. All awards are determined by a Financial Aid Committee.
Other information, including but not limited to, a copy of the applicant’s birth certificate, immunization records, transcripts, etc. if determined necessary to make an enrollment decision. Parent(s)/Guardian(s) will be notified if additional information is required.

An enrollment decision cannot be made unless all of the requested items are received.

Promptness is required in order for us to make a timely decision on your behalf.

Please send completed application, support information, application fee and the first month’s tuition payment to:

Mrs. Nikki Wills, Director of Admissions

All Saints’ Episcopal School

3275 Maple Valley Road

Morristown, TN 37813

Applicant Name: __________________________

Incoming Grade: __________________________

Enrollment Agreement

The undersigned parties understand that the obligation to pay the fees for the full academic year is unconditional and that after May 1 no portion of fees paid or outstanding will be refunded or cancelled in the event of absence, withdrawal or dismissal of the student from the school. The undersigned agree to assume full responsibility for the full annual tuition and to observe the payment schedule set out on the “Tuition Payment Schedule” below. The undersigned agree to accept the rules and regulations of the School as stated in the Parent/Student Handbook and furthermore, understand and agree to the policy of the School that no grades or transcripts shall be released unless an account has been paid in full.

If enrollment is cancelled after May 1, parents or guardians financially responsible for the student are obligated to pay the full annual tuition charges.

If ASES is notified in writing before May 1 of a student’s withdrawal, all monies paid may be refunded except for the application fee and the first month’s tuition. In the event that ASES is unable to provide a class section for the student, or the student is not accepted for admission to ASES, all monies paid for the affected student may be refunded including the application fee and the first month’s tuition.

I affirm that the information I have supplied on this Application for Admission is true to the best of my knowledge.

Parent’s Signature: ______________________________________ Date: __________________

*This application is not valid without signatures at the designated spaces above.

Enrollment is completed when the school receives a signed Enrollment Agreement and the first month’s tuition payment. Once the Admissions Office has received your signed enrollment agreement and your payment, we will notify you that your child has been officially enrolled. Please provide the email or mailing address to which we should send the notification.

Email Address: _____________________________________________________________________
Mailing Address: _________________________________________________________________________

PLEASE COMPLETE:

Tuition Payment Schedule
Financial Responsibility is Assumed by		Payment Plan Option
□ Both		□ Annual
□ Father		□ Monthly
□ Mother
□ Other Name: Address: City, State, Zip:		Monthly payments will be established if not otherwise indicated..

All fees are due the first of the month and are late after the tenth. After the tenth day of the month, a $15.00 per month late fee is imposed. Should an account become delinquent by more than 60 calendar days, a student may be asked to stop attending school until payments are made current. All tuition payments for a school year are expected to be paid in full no later than March 10, 2009.

Unless otherwise notified, the Business Manager will e-mail monthly statements in lieu of paper statements.

The e-mail address to be used for billing purposes is: ______________________________________________.

The mission of All Saints’ Episcopal School

is to provide a quality education, academically

and spiritually, in a Christian environment,

respecting the diversity of the religious, racial,

social, and ethnic backgrounds of its students.

All Saints’ Episcopal School does not discriminate

on the basis of race, color, creed, or national or ethnic

origin in the administration of its admission and

education policies, tuition assistance programs,

athletic programs, and/or any other school

administered activities.

_____________________________________________________________________________________________________________