Online Application

Do you currently have students enrolled with Essential?*

Yes

No

DO NOT COMPLETE THIS FORM!!!!

Current Essential families need to log onto the Member Page to complete the Re-Enrollment form. This application is for new families or families who have withdrawn from Essential.

Parent/Teacher Information

Students can only be enrolled by legal guardians. Please stop and contact us with any special custodial issues.

Parent/Guardian 1*

First Last

Current Family Status

Blended families or foster families can indicate individual custody status for children in the Student Information section. We use this information to effectively communicate with parents/guardians.

Parent/Guardian 2

First Last

Include names of all parents/guardians.

Street Address*

Street Address City ZIP Code

Please enter street address for legal residence.

Do you have a different mailing address?

Mailing Address

Street Address City ZIP Code

Primary Phone*

Primary Phone Type*

Mobile phones are set up to receive text alerts for special Essential communications.

Secondary Phone

Secondary Phone Type

Email*

Enter Email Confirm Email

Secondary Email

Enter Email Confirm Email

Facebook

Connect with us on Facebook at http://facebook.com/EssentialChurchSchool

Twitter

Connect with us on Twitter at @essentialcs

Connect with us on Pinterest at http://pinterest.com/essentialcs

Instagram

Connect with us on Instagram at http://instagram.com/essentialcs

Misc. Information

Let us know a little bit more about you and how you heard about us.

Please list the public school district or public school for which your address is zoned.

Please share how you heard about our school and what made you decide to enroll with Essential.

Thank you for sharing with us!

Student(s) Information

Please include full name and date of birth for each student. According to current Alabama Law, all children that are or will be age 6 in the coming school year are required to be in attendance at a school.

Student 1 Full Name*

First Last

Preferred Name

Student 1 Date of Birth*

Gender

Entering Grade Level*

Please enter the grade level of the student for the 2024-2025 school year.

An undeclared grade level is fine. We do need to know when your student has reached high school level work. Is this student currently doing high school level work?*

Yes

No, but I understand that I am responsible to contact the school as soon as this student is doing high school level work.

Please let us know what type of high school diploma you desire for your student:*

Official School Transcript and Diploma

Independent Homeschool Transcript and Diploma

For students grades 8 and up, we are asking parents to let us know the plan for the student’s high school credits. Please choose one, and contact us with any questions or concerns. More information in the School Handbook.

Are there any special custody issues with this student?*

Please indicate if this student is in a shared custody or foster care situation.

Please explain the special custody issues:

Please upload any files that would confirm your custody of this student or explain the special circumstance.

Drop files here or

Max. file size: 512 MB.

Does this student have special needs or learning challenges?

Thank you for sharing. Although we do not offer special needs services, we can help you find both private and public resources.

What are your student's needs or challenges?

Should we request your student's previous school records?*

All high school level students should make sure we have records of previously earned high school credits.

School Name*

School Address

Street Address City State ZIP Code

Don’t have the address? That’s fine! We will contact you later if we are unable to find the information.

Do you have additional students to enroll?*

Yes

No

Student 2 Full Name*

First Last

Preferred Name

Student 2 Date of Birth*

Gender

Entering Grade Level*

Please enter the grade level of the student for the 2024-2025 school year.

An undeclared grade level is fine. We do need to know when your student has reached high school level work. Is this student currently doing high school level work?*

Yes

No, but I understand that I am responsible to contact the school as soon as this student is doing high school level work.

Please let us know what type of high school diploma you will award your student:*

Official School Transcript and Diploma

Independent Homeschool Transcript and Diploma

For students grades 8 and up, we are asking parents to let us know the plan for the student’s high school credits. Please choose one, and contact us with any questions or concerns.

Are there any special custody issues with this student?*

Please explain the special custody issues:

Please upload any files that would confirm your custody of this student or explain the special circumstance.

Drop files here or

Max. file size: 512 MB.

Does this student have special needs or learning challenges?

Thank you for sharing. Although we do not offer special needs services, we can help you find both private and public resources.

What are your student's needs or challenges?

Should we request your student's previous school records?*

All high school level students should make sure we have records of previously earned high school credits.

School Name*

School Address

Street Address City State ZIP Code

Don’t have the address? That’s fine! We will contact you later if we are unable to find the information.

Do you have additional students to enroll?*

Yes

No

Student 3 Full Name*

Preferred Name

Student 3 Date of Birth*

Gender

Entering Grade Level*

Please enter the grade level of the student for the 2024-2025 school year.

An undeclared grade level is fine. We do need to know when your student has reached high school level work. Is this student currently doing high school level work?*

Yes

No, but I understand that I am responsible to contact the school as soon as this student is doing high school level work.

Please let us know what type of high school diploma you will award your student:*

Official Essential Church School Transcript and Diploma

Independent Parent-Issued Homeschool Transcript and Diploma

For students grades 8 and up, we are asking parents to let us know the plan for the student’s high school credits. Please choose one, and contact us with any questions or concerns.

Are there any special custody issues with this student?*

Please explain the special custody issues:

Please upload any files that would confirm your custody of this student or explain the special circumstance.

Drop files here or

Max. file size: 512 MB.

Does this student have special needs or learning challenges?

Thank you for sharing. Although we do not offer special needs services, we can help you find both private and public resources.

What are your student's needs or challenges?

Should we request your student's previous school records?*

All high school level students should make sure we have records of previously earned high school credits.

School Name*

School Address

Street Address City State ZIP Code

Don’t have the address? That’s fine! We will contact you later if we are unable to find the information.

Do you have additional students to enroll?*

Yes

No

Student 4 Full Name*

Preferred Name

Student 4 Date of Birth*

Gender

Entering Grade Level*

Please enter the grade level of the student for the 2024-2025 school year.

An undeclared grade level is fine. We do need to know when your student has reached high school level work. Is this student currently doing high school level work?*

Yes

No, but I understand that I am responsible to contact the school as soon as this student is doing high school level work.

Please let us know what type of high school diploma you will award your student:*

Official Essential Church School Transcript and Diploma

Independent Homeschool Transcript and Diploma

For students grades 8 and up, we are asking parents to let us know the plan for the student’s high school credits. Please choose one, and contact us with any questions or concerns.

Are there any special custody issues with this student?*

Please explain the special custody issues:

Please upload any files that would confirm your custody of this student or explain the special circumstance.

Drop files here or

Max. file size: 512 MB.

Does this student have special needs or learning challenges?

Thank you for sharing. Although we do not offer special needs services, we can help you find both private and public resources.

What are your student's needs or challenges?

Should we request your student's previous school records?*

All high school level students should make sure we have records of previously earned high school credits.

School Name*

School Address

Street Address City State ZIP Code

Don’t have the address? That’s fine! We will contact you later if we are unable to find the information.

Do you have additional students to enroll?*

Yes

No

Student 5 Full Name*

Preferred Name

Student 5 Date of Birth*

Gender

Entering Grade Level*

Please enter the grade level of the student for the 2024-2025 school year.

An undeclared grade level is fine. We do need to know when your student has reached high school level work. Is this student currently doing high school level work?*

Yes

No, but I understand that I am responsible to contact the school as soon as this student is doing high school level work.

Please let us know what type of high school diploma you will award your student:*

Official Essential Church School Transcript and Diploma

Independent Homeschool Transcript and Diploma

For students grades 8 and up, we are asking parents to let us know the plan for the student’s high school credits. Please choose one, and contact us with any questions or concerns.

Are there any special custody issues with this student?*

Please explain the special custody issues:

Please upload any files that would confirm your custody of this student or explain the special circumstance.

Drop files here or

Max. file size: 512 MB.

Does this student have special needs or learning challenges?

Thank you for sharing. Although we do not offer special needs services, we can help you find both private and public resources.

What are your student's needs or challenges?

Should we request your student's previous school records?*

All high school level students should make sure we have records of previously earned high school credits.

School Name*

School Address

Street Address City State ZIP Code

Don’t have the address? That’s fine! We will contact you later if we are unable to find the information.

If you have additional students, please use the space below to share their full name, preferred name, date of birth, gender, and grade level.

Tuition

To complete enrollment, the yearly family tuition must be received. Use the options below to pay online or communicate with us your method of payment. We do not prorate tuition for late or midyear enrollments.

Please note that on August 1st we will enter our Late Registration period and a $25 late fee will be added to the tuition costs. Registration will completely close on August 31st. Midyear Registration (in December) will include the late fee.

How do you prefer to pay?*

Yearly Family Tuition

Price:

Late fee has been applied for late or midyear registration.

Special Code

Only issued for special circumstances

Total

Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Please make all payments payable to Essential Church School. If your payment is not received by August 1st, the $25 late fee will be required. Payments should be mailed to Essential Church School, PO Box 382034, Birmingham, AL 35238-2034 for receipt BEFORE August 31st to avoid cancellation of your application. Please Note: We will be unable to confirm enrollment until payment is received and processed. AFTER August 31st, we will cancel your enrollment application if we have not received your tuition payment.

We will gladly email you an invoice for the tuition due. You will still be able to pay online later. Please Note: We are unable to confirm enrollment until payment is received and processed. Payment MUST be received BEFORE September 1st. AFTER August 31, your application and invoice will be voided.

Please detail your request here:
The full tuition must be paid, even if a family decides to withdraw or change enrollment after setting up a payment plan with Essential.
Please Note: We are unable to confirm enrollment until an official arrangement has been made. Some initial payment will be due BEFORE August 1st. Unfortunately, we are unable to make payment arrangements during late registration periods.

Policies & Procedures

Please read carefully and check each box showing your acceptance of Essential Church School policies and procedures. This must be completed in order to submit your application. Please take time to review our Handbook and your responsibilities!

*
I have read the guidelines and policies of Essential Church School as found in the Handbook and understand and agree with them.
I have read the Statement of Faith for Essential Church School, and my family and I will support its Christian beliefs and faith.
I understand that as the teacher, I am responsible for the education of my child/student, and I will not hold Essential Church School, its administrator, staff or volunteers liable for the education of my child.
I am a legal custodian/guardian of all of the above named students.

Please re-enter your email address as electronic signature of this form.*

By entering your email address, you are again confirming that you have completed this application honestly and completely.

Signature
Please use mouse or stylus to sign here and confirm your acceptance of the school policies and acknowledge your responsibilities as stated and checked above.

Phone
This field is for validation purposes and should be left unchanged.

Online Enrollment Application 2024-2025

DO NOT COMPLETE THIS FORM!!!!

Parent/Teacher Information

Misc. Information

Student(s) Information

Tuition

Policies & Procedures