EnrollmentAnson Dsouza2019-01-25T16:43:16+00:00

ENROLLMENT FORM

Student Information

Student Name

Grade at school for upcoming year

City and State of Birth

Date of Birth

New or returning student

Male or Female

Household Information

Mailing Address

Primary Phone Number

Primary Email for Family

What School District do you reside in?

Do we have permission to include you in the school directory?

Parent 1

Name

Cell Phone

Email

Employer

Relation to student

Work Phone

Occupation

Is this parent the one responsible for overseeing the financial responsibility of tuition and overall correspondence with the school?

YesNo

Parent 2

Name

Cell Phone

Email

Employer

Relation to student

Work Phone

Occupation

Is this parent the one responsible for overseeing the financial responsibility of tuition and overall correspondence with the school?

YesNo

Emergency contact name

Emergency Contact Name

Relationship to Student

Phone

Health Information

Allergies

Medical conditions

Medications

Dentist Name and Phone

Physician name and phone

Supplemental Questions

Please describe the student’s educational history

What are your favorite subjects in school and why?

What books did you enjoy reading in the last year?

Have you been in a choir? If yes, please describe.

Have you ever studied a foreign language? If yes, please describe.

Medical Release (Required)

In case of an emergency, when time permits, St. Barnabas Classical Academy staff will contact the parent, guardian, or the emergency contacts listed above. If this it not possible, an emergency vehicle will be called. The parent or guardian hereby agrees to assume responsibility for any resultant expense.

Parent Initial of Recognition:

Photo and Video Release (Required)

Photos and videos are taken on occasion by school representatives for promotional materials to serve the good of the school: E-newsletters, Press Releases, Social Media Promotions, and so on. No student will be named in conjunction with their image without the permission of their parent.

Parent Initial of Recognition:

Directory Release (Optional)

Photos and videos are taken on occasion by school representatives for promotional materials to serve the good of the school: E-newsletters, Press Releases, Social Media Promotions, and so on. No student will be named in conjunction with their image without the permission of their parent.

YesNo

Parent Initial of Recognition:

Rule 13 Policy (Required)

St. Barnabas Classical Academy is an educational institution within the State of Nebraska’s Rule 13. Parents are required to fulfill their annual duties for Rule 13. Parents who choose to enroll their child(ren) in our school recognize that we have attendance and behavior policies, graduation requirements, admission requirements, set hours of instructional time, and a commitment to classical education and Catholic tradition.

Beginning summer of 2018, St. Barnabas Classical Academy of Omaha will be enrolling students as a multi-family school under Rule 13. This means that the school will handle the majority of the paperwork on behalf of the student. Parents then receive an email from the state to sign and complete the process. The multi-family school means that a group of students under Rule 13 shares the same teacher and curriculum for their grade. This will impact all full-time students and part-time students taking all the core classes of History, Literature, Science, and Math. Other part-time students will register each summer on their own and provide a copy of the state’s annual response to the school.

Parent Initial of Recognition:

Virtues and Protecting God’s Children (Required)

Like all organizations with any level of affiliation with the Catholic Church and her parishes, the academy is governed by the programs rooted in Protecting God’s Children. It is mandatory that students are supervised at all times. For this reason, part-time students may only remain on campus for the class periods they are enrolled or have a parent present to supervise them. The school is not responsible for part-time students once they leave the school after their enrolled classes.

Parent Initial of Recognition:

Transcripts or Homeschool Grades/Curriculum (Required)

All new students are required to either provide transcripts or a homeschool narrative. A homeschool narrative explains classes, curriculum/books used, and grades received. Anyone taking senior level classes, part-time or full-time, is required to submit such materials before enrollment can be processed

Parent Initial of Recognition:

Enrollment Grade and Classes (Required)

The grade of the classes in which a student is enrolled is the grade they will be considered as for all activities of the school. For example: a part-time student taking sophomore classes at SBCA but is a freshman in their homeschool curriculum will be grouped with all sophomore level activities and expectations within the SBCA school year.

Parent Initial of Recognition:

Technology and Internet Usage (Required)

Students are expected to refrain from cell phone or private device usage while at school. A student may ask a teacher to call or text their parent or ask permission to use a device if it is viewed as necessary for class.

Parent Initial of Recognition:

Payment schedules (required)

A student cannot be enrolled in a class if they are behind in tuition payments. After the enrollment process, a tuition summary and payment schedule will be sent out. Tuition assistance requests can be made after the tuition summary is provided.

Parent Initial of Recognition:

Graduation requirements (required)

St. Barnabas Classical Academy sets its own graduation requirements for its senior class receiving a diploma. These standards are not based on the minimum hours of the state but on the school’s mission and charism as a classical school committed to the Catholic Church. Only full-time seniors are eligible for graduation. If a student’s enrollment into full-time senior status is accepted, this is indication that they have the potential to graduate based on their transcripts or homeschool narrative, or past academy enrollment. The rest will depend on successful completion of their senior year.

Parent Initial of Recognition:

Submit form and proceed to Payment