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International Student NEW and Current Enrollment Application
2014 – 2015 School Year
Grades 6 – 12 202 Horizon Drive Forest, VA 24551
434-237-5943 Fax: 434-239-3319
www.tcs4u.org
Pastor Jeff Abbett, M.S. Administrator and High School Principal
Mrs. Becky Bowman, Ed. S. K-8 Principal
Mr. Dan Dowdy International Student Coordinator
A Solid Foundation – Academically and Spiritually
Timberlake Christian Schools
2014-2015 NEW INTERNATIONAL Student Application Process Checklist Thank you for your inquiry concerning enrolling your child(ren) in Timberlake Christian Schools. We strive to give your child(ren) a Solid Foundation- Academically and Spiritually.
1) Student will arrange an oral (preferably Skype) interview with Timberlake Christian Schools (TCS) International Student
Coordinator. This ensures all new international students have the necessary verbal skills to succeed in our program. 2) Student will arrange to take the iTEP SLATE PLUS test at a testing center of their choice and request the testing center
send TCS the official scores. This provides TCS will a reliable and accurate assessment of a student’s English proficiency and readiness to follow a full-time American curriculum.
3) After completing steps 1-2, parents may submit the completed International Student application forms, along with the non-refundable annual handling fee of $1,500.00USD to the school office. Applications cannot be processed without
these fees. TCS accepts payments by check or wire transfer (see Tuition & Fees page for wire transfer information).
4) Submit the following documents. Please note: TCS will not proceed until all of these documents have been submitted, unless the school office has told you they are not applicable.
Certified copy of birth certificate and/or a certified copy of his/her passport
Copy of official medical and immunization records. A completed medical form, signed by a physician showing that a complete physical has been performed within the last 12 months
Proof of Insurance and Consent to Treatment Form, including copy of insurance policy of medical insurance recognized and approved for treatment in American medical facilities (hospitals, doctor’s offices, etc.)
An affidavit (certified bank statement) showing that the applicant has funds available for one year of education and related expenses while attending TCS.
Official school transcripts for the last three years to include: academic scores/grades, attendance records, letter(s) of recommendation or student evaluation done by one or more of his/her teachers, and any discipline records.
Signed Family Statement of Cooperation
Signed Financial Agreement
Completed Pastoral Recommendation Form
ESL Parent Agreement Form
5) TCS will handle arranging a home-stay for all new students. If you have any specific requests, please submit them in writing to the international coordinator.
6) Following the interview and acceptance, the parent or guardian will make arrangements with the business office to pay in full via wire transfer by August 1
st or pay 60% by August 1
st and the remaining 40% by January 1
st.
7) Once all required information is received and approved, the handling fee has been paid and payment arrangements
have been made for tuition, an I-20 will be issued. A letter of acceptance may be issued, upon request, for no charge.
8) The parent or guardian must set up their account in RenWeb so that they can access their student’s grades, lesson plans
and lunch accounts.
9) Students in grades 9-12 will meet with the guidance counselor to set up their schedule. *Students will not be allowed to start school until steps 1-9 are completed. Note: Students for whom English is not their first language must interview with the International Coordinator, before their application can be processed to ensure that they have the necessary skills to succeed in our program. ALL International students must use the International Student Enrollment packet.
Students who have been away from TCS for a semester or more must reapply.
If you have any questions about enrollment or the required documentation, please contact: Sandi Martin, TCS Application Coordinator, at 434-237-5943 x102 or [email protected] or
Daniel Dowdy, International Student Coordinator, at 434-237-5943 x101 or [email protected].
Timberlake Christian Schools 2014-2015 Re-Enrolling INTERNATIONAL
Student Application Process Checklist Thank you for another opportunity to minister to your family. Please follow the directions below to process your re-enrollment application for the 2014-2015 school year. Your promptness in returning these forms will enable us to prepare effectively. These instructions are only for those students who attended TCS in the 2013-2014 school year. If this is your child’s first year at TCS, please follow the instructions in the NEW student application checklist.
1) Submit completed application forms, along with the non-refundable $1,500 Handling Fee to the school office. Applications cannot be processed without this fee.
2) Submit the following documents. Please note: TCS will not proceed until all of these documents have been submitted.
Custody documentation, if student(s) does not reside with birth parents or both parents
Rising 6th graders must submit a new immunization record
Completed Financial Agreement and payment arrangements made with the Business Office
Signed Family Statement of Cooperation
Proof of Insurance and Consent to Treatment Form (must be submitted annually)
ESL Parent Agreement Form, if applicable
3) Turn in the remaining items to the school office by __________________.
Completed Pastoral Recommendation Form
Other ___________________________________
4) Home-stay arrangements must be approved by the International Coordinator each school year. 5) The parent or guardian must set up their account in RenWeb so that they can access their student’s grades,
lesson plans and lunch accounts. *Students will not be allowed to start school until all steps are completed. Note: Students for whom English is not their first language must interview with the International Coordinator, before their application can be processed to ensure that they have the necessary skills to succeed in our program. International students must use the International Student Enrollment packet.
Students who have been away from TCS for a semester or more must reapply.
If you have any questions about enrollment or the required documentation, please contact: Sandi Martin, TCS Application Coordinator, at 434-237-5943 x102 or [email protected] or
Daniel Dowdy, International Student Coordinator, at 434-237-5943 x101 or [email protected].
TCS is a ministry of Timberlake Baptist Church. We provide a service to parents of the community who desire Christian education for their children in preschool through twelfth grade.
TCS MISSION STATEMENT
The mission of Timberlake Christian Schools, a ministry of Timberlake Baptist Church, is to assist Christian parents in
educating their children to think and live consistently with a biblical world-and-life view (Genesis 1:1ff, Proverbs 1:7, 2:6-15, Romans 11:36, Ephesians 3:10, Philippians 2:5);
discipling them in love and truth toward Christlikeness and a lifelong passion for glorifying God (Matthew 28:19, Luke
10:27,Galatians 4:19, Ephesians 1:15-19, and 4:15).
Our teachers are dedicated to Christian education and welcome the opportunity to serve your family. Please feel free to contact the school office if you have any questions on what TCS has to offer your family. TCS is accredited by the Association of Christian Schools International and the Southern Association of Colleges and Schools. The Virginia Council for Private Education has approved this accreditation organization as authorized by the Virginia State Board of Education. All subjects are Biblically integrated and are taught by qualified teachers who are certified by ACSI.
STATEMENT OF FAITH
1. We believe the Bible is the inspired, inerrant, infallible, and authoritative Word of God. (II Peter 1:19-21 and II Timothy 3:16) 2. We believe there is only one God who is eternally existent in three persons. Those three persons are: God the Father, God
the Son, and God the Holy Spirit. (Genesis 1:1; John 9:35, 10:30, and 14:16-26) 3. We believe in the Deity of the Lord Jesus Christ. He is God the Son. We believe in His virgin birth, His sinless life, His
miracles, His vicarious and atoning death through His shed blood; and His personal, bodily return in power and great glory. (Matthew 1:18, John 1:4, Acts 1:11 and I Thessalonians 4:16-17)
4. We believe regeneration by the Holy Spirit is essential for the salvation of lost and sinful men. (John 4:14 and II Thessalonians 2:13-14)
5. We believe in the resurrection of the saved unto life and the resurrection of the lost unto damnation. (Mark 16:16 and John 5:29)
6. We believe in the spiritual unity of believers in the Lord Jesus Christ. (Romans 12:16, 15:6, II Corinthians 13:11, and Ephesians 4:3)
7. We believe the indwelling of the Holy Spirit enables the Christian to live a godly life. (John 6:37-40, 10:27-30, I Corinthians 1:4-8, and I Peter 1:5)
POLICY OF NON-DISCRIMINATION
Timberlake Christian Schools admit students of any race, color or national and ethnic origin to all the rights, privileges,
programs and activities generally accorded or made available to students of the Schools. The Schools do not discriminate on
the basis of race, color, or national and ethnic origin in the administration of their educational or admissions policies, hiring, or
their scholarship, loan, or other schools-administered programs. This statement of nondiscrimination shall appear in all of the
schools’ promotional literature.
Timberlake Christian Schools is a religious, Bible-believing institution providing education in a distinct Christian environment,
and it believes that its biblical role is to work in conjunction with the home to mold students to be Christ-like. On those
occasions in which the atmosphere or conduct within a particular home is counter to or in opposition to the biblical lifestyle that
the school teaches, the school reserves the right, within its sole discretion, to refuse admission of an applicant or to
discontinue enrollment of a student. This includes, but is not necessarily limited to, living in, condoning or supporting sexual
immorality; practicing homosexual lifestyle or alternative gender identity; promoting such practices; or otherwise having the
inability to support the moral principles of the school (Leviticus 20:13a; Romans 1:21-27; Matthew 19:4-6; I Corinthians 6:9-
20).
TCS INTERNATIONAL Tuition & Fees 2014-2015
ALL International Student Handling Fee: $1,500.00 per student per year
Handling fees are paid at the time of enrollment and are non-refundable. Please note: The I-20 will not be issued until the handling fee has been paid.
Tuition Schedule Grade Annual Tuition Option 1:
Pay in Full By Aug. 1
st
Option 2:
Pay 60% by Aug 1st Pay 40% by Jan 1
st
(includes interest fee on 2nd
pymt)
6th
- 8th $5,500.00 $5,500.00 $3,300.00 by Aug 1
st
$2,320.00 by Jan 1st
9th
- 12th $6,200.00 $6,200.00 $3,720.00 by Aug 1
st
$2,600.00 by Jan 1st
Home-stay and Other Fees
Annual Fee
Option 1: Pay in Full By Aug. 1
st
Option 2:
Pay 60% by Aug 1st
Pay 40% by Jan 1st
(includes interest fee on 2nd
pymt)
Home-stay Fee $11,000.00 $11,000.00 $6,600 due Aug 1st
$4,650.00 due Jan 1st
English Support Tutoring
$3,600.00 $3,600.00 $2,160.00 due Aug 1st
$1,540.00 due Jan 1st
Book & Activity Fee $900.00 $900.00 Not available
Optional Fees for 12th grade only
Annual Fee
Due Aug 1st
Senior Trip $3,000.00
Acceptable Payment Methods TCS does not accept cash payments.
Our preferred method of payment for international students is payment via wire transfer. Please contact the business office for account information.
Contact: Rene Sherwin 434-237-5943 ext. 112 or [email protected]
We also accept checks and money orders, but do not accept credit card payments.
TCS 2014-2015 INTERNATIONAL STUDENT Application for Admission
STUDENT INFORMATION: Date of Application: _______________
______________________________________________________________________________________________________________________________________________________________
Last First (Preferred Name) Middle Grade Entering
_______________________________________________________________________________________________ Sex Birth Date School Last Attended U.S. Cell Phone Email _______________________________________________________________________________________________ Country of Citizenship Country of Birth Primary Language _______________________________________________________________________________________________ U.S. ADDRESS CITY ZIP
_______________________________ Do you attend regularly? Yes Church Attended by Student
County Student Resides In: ______________________
Student Resides With: __________________________ (If parents are divorced/separated, court papers must be on file regarding custody)
GUARDIAN CONTACT INFORMATION: _______________________________________________________________________________________________ Guardian’s Name Email Cell Phone Work Phone Marital Status _______________________________________________________________________________________________ Guardian’s Address (if different from student’s) City Zip _______________________________________________________________________________________________ Guardian Employer Name & Work Email PARENT’S CONTACT INFORMATION: _______________________________________________________________________________________________ Parent’s Names Email Marital Status _______________________________________________________________________________________________ Parent’s Employer
Please initial next to all that apply: ___ TCS occasionally uses pictures of projects, events and students on our website, brochures or twitter account (@TCS_tornadoes),
to highlight our programs. I give permission for TCS to use my child’s picture in these media. ___ I give permission for my family’s contact information to be included in the TCS 2013-2014 Voluntary Student Directory. Note:
student contact information will not be included in this directory.
NEW STUDENTS ONLY: Do any of the applicants have chronic physical, emotional or learning problems that might affect his/her activities and progress in the
Have any of the applicants e If you answered yes to either question, please explain (use back if
needed): ___________________________________________________________________________________________________ Do any of the applicants take a prescription drug on a regular basis? Please list:________________________________
Who recommended TCS to you, or how did you hear about the school? ________________________________________________________
Your reason(s) for wanting your child at TCS? ____________________________________________________________________________
List other children in the family (name, age, grade): ________________________________________________________________________
TCS Family Statement of Cooperation
Parent Handbook & Computer Use Agreement
Parents: please initial beside each item and sign at the bottom ____ I pledge my loyalty to the aims, ideals and moral principles of the school and pledge that my home is in harmony
with the school’s doctrinal beliefs and biblical lifestyle requirements as stated in the statement of faith and statement of non-discrimination. In following Biblical principles, I will bring any questions or criticisms directly to the proper school authority.
____ Understanding that fees do not cover the actual cost of educating my children, I recognize that my participation is needed in prayer and support.
____ I give my permission for my child(ren) to take part in school activities, including sports and school-sponsored trips and absolve the school from liability to me or my child(ren) because of any injury to my child(ren) at school or during any school activity.
____ In case of accident or serious illness I request the school to contact me and I agree to pick up my child within a reasonable amount of time. If unable to reach me, I hereby authorize the school to call my physician and follow his instructions. If it is impossible to contact the physician, the school may make whatever arrangements necessary for the benefit of my child.
____ I understand that my child cannot remain at school after 3:30 pm unless they are participating in a school sponsored activity and that after 3:30 pm, my child will be sent to extended care at the drop in rate of $5.00/hr/family. I understand that if I use the extended care program and pick up my child after 5:45 pm, I will incur a $10.00 fee for every fifteen minutes, or portion of fifteen minutes, that I am late and that this service is for emergency use only.
____ I understand that there is no refund for days not attended, due to the fact that there are still costs that are incurred regardless of whether or not my child is here.
Parent Handbook & Computer Use Agreement (please initial on line and sign below): ____ I agree with and pledge to support the policies and procedures of Timberlake Christian Schools as outlined in the
Parent &Student Handbooks, including the TCS Acceptable Computer Use Policy, as long as my child is enrolled at TCS.
____ I understand that access to the computer system is intended for educational purposes and that TCS has taken precautions to eliminate inappropriate material. I also recognize, however, that it is impossible for the school to restrict access to all inappropriate material and I will not hold TCS responsible for information acquired on the computer system.
____ I grant permission for my child to use the computer system and for Timberlake Christian Schools to monitor his/her use of the computer system.
_______________________________________________________________________________________________
Father’s Signature Father’s Name Date
_______________________________________________________________________________________________ Mother’s Signature Mother’s Name Date
_______________________________________________________________________________________________ Student(s) Name
Student Handbook & Computer Use Agreement (Grades 4-12)
Students: Please initial beside each line and sign below
____ I have personally read the TCS Student Handbook. ____ I agree with and pledge to follow the policies and procedures of Timberlake Christian School as outlined in the
TCS Parent & Student Handbook, including the TCS Acceptable Computer Use Policy, as long as I am enrolled at TCS.
____ I understand that TCS may access and monitor my use of their computer system, including my use of the Internet, e-mail, downloaded material, without prior notice to me. I further understand that should I violate the Acceptable Computer Use Policy, my computer system privileges may be revoked and disciplinary action and/or legal action may be taken against me.
_______________________________________________________________________________________________ Student’s Signature Student’s Name Date
_______________________________________________________________________________________________ Student’s Signature Student’s Name Date
Timberlake Christian Schools
English as a Second Language (ESL) Parent Agreement
Date: __________________ ____________________________________ is being considered for enrollment at Timberlake Christian Schools based on his/her ability to comprehend the English language at a level where he/she can be successful in the classroom. TCS will administer both a reading and writing test to determine his/her level of comprehension by grade level. Also, his/her ability to speak English will be measured. If, at the midterm grading point, which is the end of the first nine weeks, he or she has not exhibited the necessary proficiency in reading, writing, and speaking ability in the English language, the student’s parents will be contacted and an alternative course of action discussed. ESL is included in the international student tuition rate. Depending on the scores received from iTEP’s SLATE plus test, a new student may be required to attend ESL classes until they demonstrate a mastery of English (reading, writing, comprehension) well enough to successfully function in all of their classes. I have read and understand the above conditions and agree to them. ________________________________________________ Signature of Parent or Guardian of above named student) ______________________ Date Signed
Timberlake Christian Schools International Program
Proof of Insurance and Consent to Treatment This form must be submitted before an I-20 will be issued
All international students attending Timberlake Christian Schools are required to have insurance against accident and illness. Students will not be able to start school without proof of insurance.
Student Name ________________________________
Birth Date ____________________________________ Proof of Health and Accident Insurance
Name of Insurance Company ________________________________________ Policy Number _________________________ Name of Agent _________________________ Company Address _________________________________________________ _________________________________________________________________
Phone ________________________________ Fax __________________________________ Please list all applicable medical information. Allergies __________________________________________________________ __________________________________________________________________ Other Medical Problems/Treatments ___________________________________ __________________________________________________________________ __________________________________________________________________
Parent Consent to Treatment and Medical Release. We, the parents/legal guardians of the student named above, consent to any medical examinations, x-rays, anesthetics, medical or surgical diagnosis or treatment procedure deemed necessary for treatment by any attending physician or the emergency physician on duty at any licensed hospital. We hereby give our permission to the Timberlake Christian Schools administration or my child’s host parents to sign for us with no liability involved. Our permission is valid for the duration of our child’s attendance at Timberlake Christian Schools. It is understood that this consent/release is given in advance of any specific diagnosis or treatment being required, and is given to encourage physicians to exercise their best judgment at the requirement of any diagnosis or treatment.
Please circle the medications that TCS may administer:
Tylenol Ibuprofen Tums Other ________________
Parent/Legal Guardian (print) _______________________________________ Signature _____________________________________Date _____________ Address ________________________________________________________ _______________________________________________________________
INTERNATIONAL Financial Agreement for 2014-2015
Student’s Name(s) __________________________________ Grade(s) ______Date___________ We, the parents or guardian, agree to enroll the above named student(s) for the school year 2014 – 2015, agree to pay to Timberlake Christian Schools the following tuition, home-stay and other applicable fees of $_______________.
We understand that all tuition/fees must be paid by one of the following options (check one):
□ Pay 100% of tuition/fees via wire transfer or by check to TCS by August 1st
□ Pay 60% of tuition/fees via wire transfer or by check to TCS by August 1st and remaining balance to TCS (using
same payment method) by January 1st.
*___Financial Policies:
I / We promise to pay the above selected payment amount in its entirety to Timberlake Christian Schools by the due date to keep our account in good standing. We understand that our student will be unable to start school unless we have paid our tuition in full or paid 60% of the tuition/fees by August 1
st.
Any payments that are returned due to insufficient funds will be accessed a $25.00 late fee by TCS, in addition to the fees charged by your bank.
We understand that TCS does not accept CASH payments for tuition.
The student listed on the account that becomes past due by 30 days is subject to dismissal from Timberlake Christian Schools until the account is made current.
All signed contracts with Timberlake Christian Schools are legal and binding through the dated period assigned to each.
*We understand that diplomas, report cards, medical information, or transcripts cannot be released if our account is past due.
*____Withdrawal Policy: If the contracted parties request early withdrawal of a student for any reason:
Prior to the completion of the first week of school/attendance: a $50 administrative fee and no tuition is owed
Within the first month of school/attendance: $50 administrative fee plus a withdrawal fee of one month’s tuition is owed.
After first month of school/attendance: $50 administrative fee, plus a withdrawal fee of 30% of the remaining tuition due (based on days remaining in school year) is owed.
Executive Committee has full authority over all contracts and has created this policy as they will no longer be accepting contract exceptions. No records will be released until withdrawal fees are paid.
I have read and agree to the above financial agreement dated above. (Signed by both parents (if child resides with both) or legal guardian)
Father’s Signature:_______________________________________
Mother’s Signature:______________________________________
Legal Guardian_________________________________________ *Parent/Guardian must initial next to these lines
Business Office Use Only
G/L
Tuition (Discount)
Total
# Pymts
Monthly Pymt
Start Date □ Invoiced □ Sent to FACTS
Annual Pastoral Recommendation Form For Timberlake Christian Schools Grades 6-12
The mission of TCS is to disciple students to become more like Christ. We wholeheartedly believe that students must be and expect that students are regularly attending a church that preaches sound biblical doctrine as part of this spiritual growth process.
The completion of this form does not necessarily mean that a student is accepted into TCS.
Date ________________ Name of Student ____________________________ Grade ________________
Name of Parent or Guardian ___________________________________________
Name of Pastor ____________________________________________________ Name of Church ___________________________________________________ Has the above named student attended your church regularly for the past 3 months? __________
How many services does he or she attend each week? __________________________________
Does he/she participate in any of the ministries of the church and/or to a youth group? __________
Please specify which, or both: How would you describe the current spiritual condition of the above named student?
Have you observed any changes in _________________’s behavior in the last year that would cause you not to recommend him/her? If so, please explain: If we have any questions, we would like to be able to contact you. Thank you for your input!
Signature________________________________________ Phone_________________________ Title/Position_____________________________________ Email__________________________
Please return this form within 7 days. By mail or in person: Timberlake Christian Schools
` 202 Horizon Drive Forest, VA 24551
Online at www.tcs4u.org
By fax: 434-239-3319
By email: [email protected]
A Solid Foundation—Academically and Spiritually
NEW Student Application Evaluation Grades 6-12
Parent: This completed Evaluation Form must be returned to TCS before testing can be done. Please give it to a person
who knows your son or daughter in a teaching or classroom capacity and ask him/her to forward it to TCS as soon as
possible. This person must not be A RELATIVE. Thank you.
To whom it may concern, The parents of __________________________________ have applied for enrollment in our school. We appreciate your completing the following questionnaire so that we may make an informed decision about this applicant. Thank you for your assistance. Grade child will enter: ___________________ Your Name: _____________________________________ Date: _________________________ Occupation: _____________________________________ Daytime Phone:___________________ Relationship to applicant: _______________________________________________________________ How long have you known this individual? ________________________________________________________ How would you evaluate the applicant’s academic efforts (check one)? Good On a scale of 1 to 10, how would you rate the applicant’s response to authority? _________________________ How would you rate the applicant’s overall attitude and approach to life (check one)? Struggling What problem areas, if any, have you noticed in the applicant‘s life during the past 6-12 months? (Consider spiritual, social, academic, emotional, and physical areas.) Please give your evaluation of the applicant’s interest and commitment to spiritual concerns. Please list any other pertinent information that you feel would be helpful:
Please explain. Please return to: Timberlake Christian Schools 202 Horizon Drive Forest, VA 24551
Forms can also be faxed to 434-239-3319 or emailed to [email protected] .
