Applicant's Legal Name *

First Name

Last Name

Applicant's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant's Phone

Country

(###)

###

####

Has the applicant ever been expelled or suspended from school? *

Yes

No

Are there any special needs or learning disabilities that require accommodation? *

Yes

No

Is a language other than English spoken at home? *

Yes

No

School Bus Transportation *

Space is limited and additional fees apply. Buses leave at the end of the school day.

Morning

Afternoon

None

Extended Care *

Age 12 and under. Before school care begins at 7:00 am and after school care ends at 6:00 pm.

Morning

Afternoon

None

Will the applicant require a partial scholarship or financial aid? *

Full scholarships are not available. Partial scholars may be available for local and international applicants. Additional Financial Aid may be available to only local, low-income families. Ask your admissions director for more information.

No

Partial Scholarship

Partial Scholarship and Additional Financial Aid

Tuition Payment Option *

How do you plan on paying your tuition? International students are required to pay by the year ten within ten business days after their visa is approved.

By the Year (Due May 5)

By Semester (Due May 5 and November 5)

By the Month (10 payments May 5 through February 5)

Father Name or Legal Guardian's Name *

First Name

Last Name

Preferred Phone *

Country

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone *

Country

(###)

###

####

Mother's Name *

First Name

Last Name

Mother's Preferred Phone *

Country

(###)

###

####

Mother's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Work Phone *

(###)

###

####

Current Visa Status

Student will apply for an F-1 Visa

Student has an F-1 Visa and will transfer I-20

Student is currently in the United States and will change status to an F-1 Visa

Does the applicant have a TOEFL score above 80?

Not required, the Fairfax Christian School offers an English as a Second Language program. Official test scores should be submitted to the school.

Yes

No

Will the applicant use the Fairfax Christian School's homestay boarding program?

If yes, an additional homestay application will be provided.

Yes

No

Host Parent

First Name

Last Name

Host Phone

(###)

###

####

Local Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Did you use an educational consultant or agency?

Yes

No

Date *

MM

DD

YYYY