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                           Withdrawn date: ________________________________________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