Northridge Community School

Student Profile

Please complete a separate Student Profile for each student applying.

Applicant's Family Name *

Student's Full Name *

Nickname — if commonly used

Age *

Date of Birth *

Anticipated Grade Placement for Next Year *

Section One

List the name and address of all schools this student has attended.

Last Grade Completed

Has this student ever repeated a grade?

Yes No

Has this student ever been dismissed, suspended, or expelled?

Yes No

Has this student had any scholastic difficulty?

Yes No

Any serious discipline problems at school?

Yes No

If you answered "yes" to any of the questions above, please explain further

Section Two

Please summarize your child's present spiritual condition. *

This profile will be reviewed alongside your family's Enrollment Application.

Passcode Required