Application to Allegiant Academy

indicates a required answer

1. *

Student's LAST NAME
2. *

Student's FIRST NAME
3. *

Student's Grade Level 2025/26 School Year
9th 10th
11th 12th
4. *

Gender
Male Female
5. 

Father's Name
6. 

Email
7. 

Phone
8. 

Mother's Name
9. 

Email
10. 

Phone
11. *

Preferred Parent for Contact
Father Mother
12. *

Street Address
13. *

Town/City/Zip Code
14. *

Local Church Membership
15. *

Pastor's Name
16. 

Pastor's Phone
17. *

Is your family involved in ministry at your church?

 (1 required)
Yes No
18. 

If yes, please share what ministry and how long you have been involved.
19. *

How did you learn about Allegiant Academy?
20. *

Are you currently homeschooling? 

If so, why did you decide to homeschool and how long have you been homeschooling? 

In not, where does your child attend school?
21. *

Do you belong to a Charter School?

 (1 required)
Yes No
22. 

If yes, what is the name of the charter and the length of time involved?
23. 

If yes, do you plan to continue educating under the oversight of the charter?
24. *

Is your family a member of HSLDA?

(HomeSchool Legal Defense Association)

 
Yes No
25. *

Has your child ever been dismissed from a school for any reason?

 (1 required)
Yes No
26. 

If so, please explain.
27. *

Does your child have a learning or behavioral disorder of any type that might impact classroom behavior? 

 (1 required)
Yes No
28. 

If yes, please explain more
29. *

Does your child have an IEP? (Individualized Learning Plan)

 (1 required)
Yes No
30. 

If so, are they able to participate in a class setting for the duration of the academic day? 

(Upon acceptance, we will request a copy of the Individualized Education Plan (IEP).
31. *

What are some of the issues or challenges you've witnessed in the public education system that have concerned you as a parent?
32. *

I have read the Statement of Faith on website and I understand that Allegiant Academy will teach and operate from a biblical worldview, including praying for students and teaching students how to pray boldly and operate in the Holy Spirit

 (1 required)
Yes
33. *

I understand Allegiant Academy is an academy for Christian homeschoolers and that I/we, as parents(s), in addition to my (our) child(ren), must confess Jesus Christ as our Savior to attend.

 (1 required)
Yes
34. *

I have read and understand the Allegiant Academy Student Code of Conduct stated on the website.  As a parent, I agree to uphold the Code of Conduct and encourage biblical responsibility regarding student behavior.  If I have a disagreement with an Allegiant Academy teacher, student, or parent, I agree to address it in a biblical manner.

 (1 required)
Yes
35. *

FAMILY PHOTO ~ please submit a current family photo including your student 

Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mov, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip
36. *

I acknowledge that a nonrefundable fee of $150 is required for processing my application.

I understand that I will be prompted to make this payment upon submission

 (1 required)
Yes
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