Campus Student Application - Wellmont Academy

Student Application for K-12 Campus

Thanks for your interest in attending Wellmont Academy. Please fill out this application and we will notify you of the next steps. Please note, a $25 non-refundable application fee is required for submission of all applications.

Step 1 of 6

School Information
Desired School Entrance Date*
MM slash DD slash YYYY
Has student previously attended Wellmont Academy?*
If answer to question above was "yes", what year did student withdraw?
Do other siblings attend Wellmont Academy at this time? If so, please list their names and grades.*
If none, type N/A.
Names and Ages of other school-aged siblings who do NOT attend Wellmont Academy at this time.*
If none, type N/A.
School Attendance History*
School Name Date Started Attending Length of Attendance in Years

Please list all previous schools that your child has attended.
Previous school physical address and admissions office email address and contact person*
We will need this information to request records for your incoming student. If you are a homeschool family, please place parent email information here.
Financial Information
Have you currently received or do you plan on applying for a scholarship award? Please check all that apply*
- Yes, I have or am currently applying for a scholarship.
- No, I plan on private pay
Please check all scholarships that you are applying for or have already received an award letter for.*
- Select All
- Gardiner Scholarship
- FL Tax Credit Scholarship
- FES Scholarship
- HOPE Scholarship
- Private funding scholarship if available
Evaluations and official documents
Please place your child's latest report card here.*
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 12 MB, Max. files: 3.
Recent Standardized Assessment (within last 3 months)*
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 12 MB, Max. files: 3.
If available, please attach a copy of the student's most recent Standardized Test Scores. Examples of standardized scores are the IOWA, MAP, Terra Nova, and KTEA. If you do not have standardized test scores for your child, please go to https://www.homeschool-evaluator.com/ or any FL State tester to receive a KTEA standardized assessment for enrollment and submit this application with your scores.
High School Transcript and College Transcripts
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 12 MB, Max. files: 3.
If available, please attach a copy of your student's high school transcript and any collegiate documents as well. This includes PERT (entrance) scores. If no college classes have been attempted yet but your student has obtained a PERT score, please include your PERT score here.
Copies of Birth Certificate, current Health Form DH3040, and current Immunization Form DH680 or religious or medical exemption.*
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 12 MB, Max. files: 5.
If you do not have a health form that is less than one year old, please submit your latest health form. Before school begins, you must have a health form that is less than 1 year old. These documents are required for your student's school file.
Upload any psychological evaluations or diagnosis, any 504 plan, or IEPs here.
Drop files here or
Accepted file types: doc, docx, pdf, Max. file size: 12 MB, Max. files: 5.
If available, please attach copies of above here. Please note, Wellmont Academy does give limited accommodations, but as a private school, we are not bound by 504 plans or IEPs. We simply use these as tools and guides to determine if Wellmont Academy is a good fit for your child and how to proceed with reachable accommodations goals for your student at our school.
Has your student ever repeated a year, been withdrawn from school, or been placed on probation for any reason? Please explain.*
What areas does your child excel in academically?*
Does your child struggle academically in any areas?*
Does your child struggle socially at all with peers? If yes, how does this typically present itself?*
Does your child struggle with emotional outbursts or behavior issues?*
Core Values
Do you have a Statement of Faith?*
Briefly state your faith beliefs as specifically as possible.
Are you opposed to biblical truth?*
Do you believe that God loves your family?*
We ask this question because our first Core Value is that God's Presence is found in daily encounters with Him. If we do not recognize God's love for us, we will not desire to have time with Him. We want our students to understand God's deep love for them so that they will DESIRE to spend time with Him. Spending time with God changes us fundamentally and makes us better people.
The following are our school's Core Values. Please read these. Do you agree with these values?*
1. God’s presence is found in daily encounters with Him. 2. People come before processes. 3. People must feel valued in order to operate at their best capacity. 4. Questions lead to truth without fear of accusation or repercussion. 5. Appreciating our differences is the best way to support one another in the Body of Christ. 6. God’s Word is the last word. 7. We believe in second chances.
Our school requires our students to share phone and social media passwords with their parents on all platforms to keep our accountability high. Will you agree to make sure that you have access to and follow your student's social media and check their phone regularly for any unsafe conversation or signs of negative mental health?*
Some examples of platforms to be watchful for: Snapchat, Discord, texting, Facebook, Instagram, and Tick Tock.
Do you agree to check your email each day for school updates?*
Do you agree to take an allotment of time each day to check in with your student on their work and sign all agendas (if applicable)?*
Are you comfortable using the internet and technology?*
Do you think Christian Education is important? Please answer yes or no and explain your answer.*
What is your definition of a well-run classroom?*
Application Process Agreement*
Upon receipt of this application, we will call you to schedule a family interview with a member of our staff. Acceptance to Wellmont is determined by our staff and is a matter of prayer. We will notify you of acceptance via email, beginning March 1st. Do you agree to this application process?
Registration Fee Information*
If your family is accepted to Wellmont, you will be able to pay your registration fee of $275/$335/$375 (dependent on when you apply) to hold your child's seat. After your registration fee is paid, you will receive a "welcome" email as well as a login to your parent portal with directions for completing the rest of your paperwork and registering for your child's classes. Your registration fee MUST be paid to hold your child's seat. Do you understand and agree to these terms and conditions?
Family Values Statement*
Wellmont Academy recognizes that families need to be encouraged and supported in order to raise children well. We believe that the local church is the best place to be supported outside of work and school life. Our school is a support network for biblical values, not the primary influence of Christian character for your child. Your child WILL be taught to recognize and abide by Christian values at school. At home, it is also essential that your child be taught and that you model Christian principals and God-given identity for them in order for them to be successful at Wellmont Academy, Do you agree to do your best to become involved in a local church if you are not already?
Identity Statement*
In a society of shifting values, Wellmont Academy chooses to use the biblical standard for evaluating and defining the family. We recognize marriage as a covenant between one man and one woman, and we believe that the responsibility for helping children to see their God-given identity, as defined by the Bible, rests primarily with the family. Within the local Christian church, Wellmont recognizes that different interpretations of the Bible's stance on identity exist. Wellmont Academy abides by the Nashville Statement. When encountering questions regarding identity, identity choice, identity attitudes, and individual behavior, the Nashville Statement's interpretation of the Bible is what we use to determine what the Bible says and what we expect of our faculty and staff, our families, and our students. Do you agree to support the Nashville Statement interpretation of the Bible's stance on identity, marriage, family, and behavior? The Nashville Statement can be found in it's entirety at https://cbmw.org/wp-content/uploads/2017/08/Nashville-Statement-with-Scripture-Ref-1.pdf
Agreement to abide by the rules of Wellmont Academy*
As parents and prospective students, we agree to abide by the rules of Wellmont Academy. We understand that at any time, for any reason, Wellmont may choose to terminate our student's enrollment, making all payments and fees non-refundable if they see fit.
Notice of Rights
Wellmont Academy of Tampa Bay, Inc. admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of it's educational policies, admissions policies, scholarship and load programs and athletic and other school-administered programs.
Application Fee*
Price:
Credit Card*
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

Student Application for K-12 Campus

Step 1 of 6

Student Information

Address Information

Parent/Guardian Information

References

Medical Information

School Information

Financial Information

Evaluations and official documents

Core Values

Notice of Rights

Helpful Links

About Us

Resources

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School Name	Date Started Attending	Length of Attendance in Years