Archibald Rutledge Academy
Application for Enrollment
Admission to ARA is contingent upon successful interview and satisfactory records from previous schools. No student will be considered for enrollment until this application has been completed and returned along with the $100.00 non-refundable application fee.
A student may not begin classes until a signed enrollment contract and tuition payment contract have been received in the office. A $50.00 per student ($100.00 per family cap) building fund donation is required of each student and must be paid by new students within 30 days of enrollment.
Applicant
Students Name_________________________________________________________________________
First Middle Last Called (Nickname)
Birthdate_________________________ Applying for grade____________ in year _____ Gender_______
Home Address _________________________________________________________________________
Home Phone ___________________________ Social Security __________________________________
Present School _____________________________________ Present Grade _______________________
School Address ________________________________________________________________________
School Director/Principal & Dates Attended _________________________________________________
Family Information
Father’s Name _________________________________________________________________________
First Middle Last
Father’s Home Address __________________________________________________________________
Street Number City State Zip
Home Phone ____________________________ Business Phone _________________________________
Father’s Occupation _________________________ Name of Business ____________________________
Father’s Business Address ________________________________________________________________
Street Number City State Zip
Mother’s Name _________________________________________________________________________
First Middle Last
Home Phone __________________________ Business Phone____________________________________
Mother’s Occupation _________________________ Name of Business ____________________________
Mother’s Business Address _______________________________________________________________
Street Number City State Zip
Martial Status of Parents _________________________________________________________________
Siblings’ Names, Ages, and Schools they attend: ______________________________________________
_____________________________________________________________________________________
Has the applicant undergone specialized testing (educational/psychological/physical) within the past five years/ or has such testing ever been recommended? ____________________________________________
______________________________________________________________________________________
Has the applicant ever been suspended, expelled or asked to withdraw from any school? _______________
______________________________________________________________________________________
Does the applicant have any condition requiring special attention? _________________________________
______________________________________________________________________________________
Has your child ever been charged with a crime (including juvenile case)? ___________________________
______________________________________________________________________________________
Archibald Rutledge Academy admits students regardless of race, color, gender, national or ethnic origin.
I understand that my child shall be subject to and in conformity with rules set forth in the student handbook and other rules adopted by the Academy.
I understand the programs and curriculum at Archibald Rutledge Academy are designed for students who are willing to work in a standard or college preparatory program. The Academy does not offer programs for special learning needs. (If your child has special learning requirements, please consult with the Headmaster before signing this contract.)
The Academy reserves the right: (1) to determine the class, homeroom and work level to which a child is assigned; (2) to suspend or expel a child for any scholastic or disciplinary reason, and the Academy shall be the sole judge of the sufficiency of such reason; and to accept or not accept this applicant as a student.
A non-refundable fee must accompany each application:
PreK-12th Grade- $100.00/student with a $200.00 family maximum
If this application is accepted by Archibald Rutledge Academy, I agree to pay the established monthly tuition. I also understand that the tuition payments are due on the first of each month, and a service charge may be added to all accounts paid after the tenth of the month.
I understand that one way the Academy keeps its fees and tuition low is by holding fundraising events during the year. As part of my child attending the Academy, I agree to support these efforts and help any way I can. I also agree to have at least on adult family member work all day (9-6) at the Shrimp Festival held the first Saturday in May each year. Families who do not participate the entire day will be charged $500.00 per family.
Signature
This certifies that the information provided above is accurate. Archibald Rutledge Academy is permitted to contact the persons listed here for further information. If this application leads to the applicant’s attendance at Archibald Rutledge Academy, we agree to the policies and regulations as set forth by the Board of Trustees and carried out by the Headmaster and Faculty.
___________________________ ___________________________
Archibald Rutledge Academy Official Signature of individual responsible for this account
Birth Certificate_______ SC Immunization_______ Transcript Request________
Transcript Received ________ Registration Paid _________