FAMILIES UNITED NETWORK ACADEMY
ENROLLMENT FORM & CURRICULUM OUTLINES
* These forms are for students who have been admitted to the school. All forms must be completed and submitted to the treasurer
and registration fees paid, in order for a student to be considered officially enrolled. One completed set of forms must be
filled out for each student. Family enrollment fee is $100.00.
All checks should be made payable
to Families United Network Academy.
Date:__________________________________
Student's Name: _________________________________________
Grade Level:__________________
Student's Age:_____________________ Sex:__________
Date of Birth:_________________________ SS#:___________________________
Postal Address: _____________________________________________________________
Home Phone:_______________________________________
Email: _____________________________________
Mother's Name: _________________________________________
Occupation: ___________________________________________
Work number: _________________________________________
Father's Name: ________________________________________
Occupation: ____________________________________________
Work Number: __________________________________________
Former School: _________________________________________
Withdrawn date: ________________________________________
Attendance Filed:
Number of completed days of study for the previous school year
________________
Number of scheduled days of study for the current school year
_________________
Participation in standardized testing program? (CAT or IOWA tests) y/n__________
Yearly physical exam? y/n ___________
Immunization Religious Exemption form y/n ___________ (attach to enrollment form)
STATEMENT OF FAITH
Statement of Faith
We believe the Bible to be the inspired, infallible, authoritative Word of God.
We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit.
We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious
and atoning death and resurrection, in His present ministry as our Great High Priest and that we now await His imminent, bodily
return.
We believe that man was created in the image of God, but fell into sin and is therefore lost, except through the repentance
of sin and the acceptance of Jesus Christ as a personal Savior.
We believe that the ministry of the Holy Spirit is to convict men of their sin, indwell, guide, instruct, and empower the
believer for godly living.
We believe that as followers of Christ, we are called to see the lost saved, the saved matured, and the mature in service.
CURRICULUM
The responsibility for the selection and purchase of home-tutored curriculum rests with the parent/teacher. Please list
the curriculum your student completed for the end of the previous year. Then complete the present years curriculum plan. Please
cover the basic subjects: Language Arts, Math, Bible, Social Studies, Science and History, on each list. Remember to keep
a copy for your own personal records. This information will be reviewed for the accuracy of high school transcripts and to
verify the completion of a typical course of study covering core concepts for the grade level. For newly enrolled high school
students, previous year's records for verification of finished courses should also be included. Parent-teachers must keep
sufficient records to substantiate work completed in the event the student transfers to another school or needs transcripts.
(This first section for new families ONLY)
PRIOR YEARS COMPLETED LIST - School year ___________________
Subject/Course Description
Book or Material & Publisher Grade
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
(ALL) CURRENT CURRICULUM LIST - School year ___________________
Subject/Course Description
Book or Material & Publisher Grade
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
*My signature here, as the representative for my family, attests that I have completed this form to the best of my ability
and with all truthfulness, and acknowledges my agreement to the included statement of faith.
__________________________________________________________
Parent/Teacher Signature Date
___________________________________________________________
Reviewed by: Action req: Date