Apply to CEA - Conchita Espinosa Academy

Name of Parent/Guardian Submitting Application

First Name of Parent/Guardian submitting the form

Last Name of Parent/Guardian submitting the form

Relationship to child

Student Information

Student's Last Name:

First Name:

Middle Name:

Present Grade:

Grade Applying for:

Date of Birth:

Gender:

Primary language spoken at home:

Other languages spoken by student:

Student Picture

Upload Current Photo

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Home Address

Student's Home Address:

City:

State:

Zip Code:

Home Phone:

Educational History

School student is currently enrolled at:

Please list all other schools student has attended:

Has the student ever been dismissed from any school?

No Yes

If yes, what was the reason?

Has applicant ever been evaluated for educational, learning, behavioral, speech, or emotional reasons?

No Yes

If yes, what was the date of evaluation and by whom?

Has the student applied to Conchita Espinosa Academy previously?

No Yes

If yes, please provide the year:

How did you learn about CEA?

If school tour previously taken please provide name of person who conducted tour:

Please list the names of any persons who have recommended CEA to you.

Name:

Phone Number:

Name:

Phone Number:

Name:

Phone number:

Family Life

Marital status of parents:

Single Married Separated Divorced Widowed

If parents are divorced, who has custody of the child?

Mother's Information

Mother's Name:

Mother's Address:

City, State & Zip

Cellular Phone:

eMail:

Mother's Business Address:

Name of Firm or Company:

Position:

Business Phone Number:

Father's Information

Father's Name:

Father's Home Address:

City, State & Zip

Cellular Number:

eMail:

Father's Business Address:

Name of firm or company:

Position:

Business Phone:

Siblings

Please list the names, ages, and school of all siblings:

SIBLING 1

Name:

Age

School:

Gender

male female

SIBLING 2

Name:

Age:

School:

Gender

Male Female

SIBLING 3

Name:

Age:

School:

Gender

male female

School Philosophy

We feel that it is vital for students attending our Academy and their parents to understand and be in agreement with our philosophy. Our Philosophy We believe in the strength of a well-rounded education. We believe the arts stimulate self-awareness, creativity, self-confidence, communication and thinking skills, and energize all other areas of the curriculum. We believe a strong and demanding academic foundation provides students with the skills and knowledge necessary to succeed in life. We believe the development of a strong, healthy body, mind, and spirit is an essential component in a child's education. We believe in technology working for man, not man working for technology. We believe in the power of character. Discipline, respect, and empathy must be an integral part of a child's education. We believe in the sacred partnership between the home and the school.

Parents' Philosophy and Goals

Your Goals for Your Child. How does our philosophy fit with the goals you have for your child? Please be as specific as possible.

Required supplements

Please provide the required supplements along with the $150 application fee payable online.

Upload a copy of the student’s most recent report card. 1st – 8th grade: Must submit a copy of the student’s latest report card and standardized test scores (if applicable). K3, K4, and Pre-primary Applicants: No documents are required. However, if your child currently attends pre-school, it is encouraged that you submit a copy of their latest progress report, if available.

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Upload letters of recommendation from parents of current or former CEA students, former teachers, pastors, etc. can be submitted and will be taken into consideration

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Conchita Espinosa Academy is a private, independent, coeducational elementary and middle school that admits qualified students of any race, color, religion, nationality or ethnic origin. Admission to “Conchita Espinosa Academy” is based on test results, recommendations, grades from the school previously attended, and the number of openings available.

Conchita Espinosa Academy Reserves the right to cancel this application at any time. The Academy reserves the right to dismiss at any time any student who does not meet the required disciplinary and academic standards set by the school administration.

I agree to the above terms and conditions of the application.

Yes, I agree.

Conchita Espinosa Academy is accredited internationally, nationally and regionally by Accreditation International (AI), National Council for Private School Accreditation (NCPSA), National Independent Private Schools Association (NIPSA), the Middle States Association (MSA), the Southern Association of Colleges and Schools (SACS), and the Association of Independent Schools of Florida (AISF). We are also members of the Independent Schools of South Florida (ISSF).