EmailMe Form - International Student Program Inquiry

STUDENT INFORMATION
Student Name *
First Last
Email *
Applying for grade:
Ninth Grade (9th)
Tenth Grade (10th)
Eleventh Grade (11th)
Twelfth Grade (12th)
Will you require an F1 Student Visa to attend Back Creek Christian? *
FIRST INTERVIEW STEP
Interview via Skype or FaceTime:
(Please select your preferred method) *
Skype
FaceTime
Skype or FaceTime Address or Number: *
Interview Time:
Interviews are scheduled for 7:30 am EST, though another time may be arranged if necessary. *
MM / DD / YYYY
Please select a day Monday-Friday.
PARENT INFORMATION
Parent Name *
First Last
Relationship to Student *
Email
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Questions/Comments

Response
VISIT BACK CREEK CHRISTIAN ACADEMY
Personal campus tours can be scheduled with the main office. During this visit, you will be able to tour the campus and observe our school in action. Tours can be scheduled Monday-Friday.
Would you like to arrange a campus tour?

Response