Applicant's Legal Name *

First Name

Last Name

Applicant's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant's Phone

Country

(###)

###

####

Has the applicant ever been expelled or suspended from school? *

Yes

No

Are there any special needs or learning disabilities that require accommodation? *

Yes

No

Is a language other than English spoken at home? *

Yes

No

Will the applicant require a partial scholarship or financial aid? *

Full scholarships are not available. Partial scholars may be available for local and international applicants. Ask your admissions director for more information.

No

Partial Scholarship

Father Name or Legal Guardian's Name *

First Name

Last Name

Preferred Phone *

Country

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone *

Country

(###)

###

####

Mother's Name *

First Name

Last Name

Mother's Preferred Phone *

Country

(###)

###

####

Mother's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Work Phone *

(###)

###

####

Current Visa Status

Student will not attend in-person classes at the Fairfax Christian School this school year

Student will apply for US F-1 Visa and switch to in-person classes when approved

Student currently has a US F-1 Visa

Does the applicant have a TOEFL score above 80 or Duolingo Score above 115?

Not required, the Fairfax Scholars offers an English as a Second Language program. Official test scores should be submitted to the school.

Yes

No

Did you use an educational consultant or agency?

Yes

No

Date *

MM

DD

YYYY