International Student Registration Application
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2021-2022
International
Student Registration
Application
Dr. Mark Wilson - Administrator
27249 Luther Drive, Santa Clarita, CA 91351 661.252.7371 www.sccs.cc
Accredited by the Western Association of Schools & College (WASC)
Member of the Association of Christian Schools International (ACSI)
2
2021-2022 I-20 Application
Table of Contents
Registration Checklist …...………………….…………………………….……………………………3
Admission Policies ..……………………………………………………………..….……..……………4
Introduction to SCCS ...……………………..……………………………………….…………………5
School Motto & Mission Statement ...……………...……………………………………………...…5
Expected Schoolwide Learning Results ...………..………………………………….………………6
General Information ………………...………………………………………………………...……….7
SCCS Parental Statement of Cooperation………………...………………………………...………7
SCCS Doctrinal Statement ……………………...…………………………………………………….8
Registration Application ……………………………………………………………………………...10
Admissions Questionnaire …………………………………………..…………………………….…12
Authorization of Consent for Treatment ……………………………….……….…………………15
Student Expectations …………………………………….………………………………..………….16
Parental Expectations ……………………….………………………………………………….…….18
Enrollment Signature Page ……………………………………..………………………………..….20
Admissions Essay ……………………………………….……………………….…………………….21
May 20213
Welcome to Santa Clarita Christian School
Thank you for your interest in enrolling your child at SCCS. Our international program is only
available to 9th-12th grade students. It is NOT available to Kindergarten-8th grade. It is a
privilege for us to work with parents who are committed to Christian education and who desire to see
their children in a program striving for spiritual growth and academic excellence in a caring atmosphere.
The first step is to read this application packet and determine if your child qualifies for enrollment:
1. Does your family regularly attend a Protestant Bible-believing church?
2. Do you agree with our doctrinal statement?
3. Do you agree with the philosophy of SCCS and willing to support its policies and guidelines?
4. Does your child have a good academic and disciplinary record?
REGISTRATION CHECKLIST
The following information must be submitted for registration. All documents must be
written in English.
______ Registration Application
______ $100 Non-refundable Application Fee (due before Skype interview)
______ $350 Registration Fee (due before I-20 can be issued)
______ Admissions Questionnaire
______ Student Essay
______ Financial Responsibilities and Agreement
______ Authorization of Consent to Treatment
______ International Student Expectations
______ International Parental Expectations
______ Enrollment Signature Page
______ School Transcripts or Grade Reports. Actual course names must be listed
(i.e., “Algebra 1” not “Mathematics”)
______ A TOEFL Jr. score of 750 or above
______ Proof of Medical Insurance (upon arrival)
______ Immunization Records
______ Copy of Passport (showing F-1 stamp if student is transferring)
______ $18,600 tuition (due after acceptance letter is received and before
an I-20 can be issued).
• Once this information is received, you will be notified if you are a qualified candidate for our I20
program and an interview will be scheduled. We will interview via Skype with our school Campus
Pastor. After the interview, you will be notified of acceptance or denial within 2-3 days.
• A TOEFL Jr. Score is required from all applicants including transfer students. An applicant’s
TOEFL Jr. score may be waived or deemed unnecessary by the Campus Pastor only after an in-
person or Skype interview.
• A $350 registration fee and $18,600 tuition must be paid before the I20 can be issued.
If you have any questions regarding the enrollment process, please contact Mrs. Kris Chau at
chaukl@yahoo.com
May 20214
You may wish to go to the following websites for helpful information concerning your child’s
education in the U.S.
SEVP (Student and Exchange Visitor Program) www.ice.gov/sevis
U.S. State Department–General Information www.travel.state.gov/content/visas/en.html
For the nearest U.S. Embassy in your home country www.usembassy.state.gov/
Wait times for your Visa interview http://travel.state.gov/content/visas/en.html
U.S. education information www.educationusa.state.gov
Admission Policies
SCCS is a Christian School for Christian families who already attend Bible believing churches and who
share a desire to see their children grow spiritually as well as academically. The admission policies are
based on a common agreement in Bible doctrine and active church membership in churches of like faith
and practice to the sponsoring church of SCCS, Santa Clarita Baptist Church. The school’s complete
doctrinal statement is included in this packet in the Registration Application section.
The Christian education at SCCS is for families that regularly attend Protestant, evangelical, Bible-
believing churches. This promotes a consistency between what is taught at home, at school, and at
church. SCCS is not merely a private school or an alternative to public education...it is a Christian school
with goals of spiritual growth for each student. It is vital that families who are considering SCCS
evaluate their own church affiliation and spiritual goals before applying for enrollment. We expect all our
students to attend church on a regular basis, remaining as a student at SCCS is based on faithful church
attendance.
SCCS is also a school with high academic expectations. It is the goal of SCCS to be on the cutting edge of
education and to challenge students to achieve at the highest levels in each class. Due to these
challenging academic goals, students tend to have more homework than in other schools and have more
difficult assignments to complete. We want to openly acknowledge this so that the increased level of
difficulty is not a surprise when it is experienced.
SCCS admits students of any race, color, national or ethnic origin to all the rights, privileges, programs,
and activities generally afforded to students at the school. SCCS does not discriminate in the
administration of its education policies, admission policies, athletic programs, or other school-
administered programs. SCCS strongly believes the Bible teaches that any form of racial discrimination
is wrong and is to be condemned. SCCS warmly welcomes students of all nationalities.
SCCS has not been established to serve as a reform school or a place to “fix” behavioral problems.
Attendance at SCCS is a privilege that is available to students who desire a Christian education and who
are willing to strive for academic excellence. The administration reserves the right to deny admission or
to dismiss students who do not conform to the goals of the school in actions or attitudes. Because full
parent-school cooperation is vital, SCCS will not accept students who do not wish to attend or who are not
living at home or in the home of a parent-approved guardian.
May 20215
Introduction to SCCS
History of Santa Clarita Christian School
In 1982 the First Baptist Church of Saugus and The Temple Baptist Church of Canyon Country merged
to form Santa Clarita Baptist Church. In July of that year, the church started a traditional elementary
and secondary school called Santa Clarita Christian School. They began their first year in September
1982 with 110 students and 12 faculty members.
The school continues to grow with current enrollment at 440 students in kindergarten through grade 12.
Due to the growth of the school, a new education building was begun in August of 1998 and was
completed in February of 1999. This facility added nine new classrooms, including a science lab and
home economics lab. Added to its existing library and state-of-the-art computer lab, the school has
complete facilities needed to meet all the educational needs of its students.
The Administrator works closely with the Elder Board of Santa Clarita Baptist Church, which serves as
the School Board, to chart the course for SCCS and work toward school improvement.
Santa Clarita Christian School has enjoyed a positive reputation in the community and the demand to
enroll children in the school is high. Several grades have waiting lists. The school is accredited by the
Western Association of Schools and Colleges (WASC) and is a member of the Association of Christian
Schools International (ACSI). The history of Santa Clarita Christian School is filled with evidences of
God’s blessing as it has educated hundreds of children over the years. It continues to press forward to
fulfill its mission statement and to provide a Christian education that strives for academic excellence,
spiritual growth, and character development.
We encourage all of our graduates to attend a 4 year college or university. Our graduates have been
accepted and attend the following colleges and universities: Abilene Christian, Azusa Pacific, Biola,
Baylor, Cal Poly Pomona, Cal State Bakersfield, Cornell, Dordt, Georgetown, John Hopkins, Liberty,
Loyola Marymount, The Master’s University, Nyack, Pepperdine, Point Loma, San Diego Christian,
SDSU, UC Riverside, UCD, UCLA, USC, Vanguard, and Westmont among others.
School Motto, Mission Statement
Teaching Minds – Training Hearts for God
Proverbs 22:6
The mission of Santa Clarita Christian School is to partner with Christian parents of
like faith to challenge students’ minds and train their hearts for God through a
distinctively biblical education. The school seeks to pursue academic excellence,
promote spiritual growth, and encourage character development in order to produce
students who are prepared to make a difference in the world for God.
May 20216
Expected Schoolwide Learning Results(ESLRs)
In accordance with the school’s mission and philosophy of education, the following ESLRs have been
established to form the basis for all learning goals, school activities, programs, and students’ growth
intellectually, physically, emotionally, socially, and spiritually. Santa Clarita Christian School desires
that all students achieve the following:
#1 Students as Committed Christians
• Accept Jesus Christ as personal Savior, forming a personal relationship with God Himself.
• Develop a spiritual life through daily Bible reading, prayer, application of Biblical principles to
life, character development, and faithful attendance at a Bible-believing church.
• Accept the Bible as the Word of God, the basis for all truth, and the authority for all matters of life.
• Accept personal responsibility for thoughts, speech, actions, and attitudes.
• Affirm a biblical worldview that looks at life, academic studies, government, social issues, diverse
cultures, and world events from God’s point of view as found in Scripture.
#2 Students as Independent Learners
• Develop specific learning skills that include listening, reading with understanding, writing with
clarity, researching from multiple sources, organizing time and materials efficiently, and using
technology creatively.
• Establish positive relationships with others in the learning process, utilizing individual abilities
and skills in a team effort to successfully accomplish group goals.
• Convey thoughts, ideas, beliefs, and convictions in a clear and accurate way using effective
speaking techniques and excellent writing skills.
• Strive for excellence in all subject areas, complete assignments with diligence, and contribute to
class discussions and group projects.
• Commit personally to a life of learning, the never-ending quest for truth and understanding.
#3 Students as Critical Thinkers
• Collect, evaluate, analyze, and synthesize information in a logical way.
• Make wise decisions based on accurate evaluation of relevant information.
• Discern truth from error in all learning situations by comparing information to the source of truth,
the Word of God.
• Use higher levels of thinking to apply knowledge to new issues, questions, or problems.
#4 Students as Healthy, Productive Citizens
• Promote physical fitness through regular exercise and proper eating habits.
• Develop emotional stability by realizing that self-worth comes from God’s approval, not man’s
approval.
• Make proper lifestyle choices that reflect a commitment to Christ, especially relating to personal
purity before marriage and the determination not to abuse the physical body with alcohol or
foreign substances.
• Treat all people with respect, demonstrating kindness to others in words and actions, and
abhorring any form of racial or cultural discrimination by accepting all men and women as created
equal by God.
• Practice responsible citizenship through community service, voting, and praying for government
leaders.
May 20217
General Information
Accreditation
The Federal Government or the State of California do not approve or "accredit" schools. However, other
private organizations do offer accreditation programs that benefit the school through self-study and
evaluation by outside professional educators. The main accreditation agency on the West Coast for public
and private schools is the Western Association of Schools and Colleges (WASC). SCCS is accredited by
WASC and is a member of the Association of Christian Schools International (ACSI), so that our school
credits are accepted by other schools, colleges, and universities without any difficulty. In connection with
accreditation standards, SCCS has a well-defined Action Plan that governs growth, development, and
school improvement.
Chapel & Spiritual Life Activities
The spiritual growth of students is very important at SCCS. A chapel service is held each week to provide
the students with the opportunity to sing in worship to God and to hear a message from the Bible.
Regular staff speakers, guest speakers, visiting missionaries, and other special presentations make the
chapel program a time of spiritual challenge and growth. Students are asked to bring their Bibles to
chapel each week. There are two weeks during the year that are set aside as Spiritual Life Emphasis
Weeks. These provide an avenue to serious spiritual growth, times of fellowship with other students, and
the development of a closer bond between students and teachers. The priority of these weeks is to present
a challenge to all the students to know Jesus Christ as their personal Savior and to encourage them to
commit their lives to Him. Special chapel services and other activities are planned as part of these weeks.
School Hours
Grades 9-12 7:50 a.m. - 2:45 p.m.
Office Hours: 7:30 a.m. - 3:30 p.m.
School Dates for 2020-2021
First Day of School: August 12, 2021 (Orientation on August 11th)
Last Day of School: May 27, 2022
May 20218
SCCS Parental Statement of Cooperation
• I understand that SCCS is a Christian school under the direction of Santa Clarita Baptist
Church, whose goal is to bring children to know Jesus Christ as their personal Savior, to
encourage them to be faithful to the Word of God and to challenge them to grow spiritually.
• I understand that SCCS is a conservative Christian school that will not tolerate profanity,
ungodly actions or behavior, or disrespectful attitudes toward authority. I understand the
mission and purpose of SCCS and agree to support and cooperate in any way at home and at
school to enhance and fulfill this purpose and philosophy.
• I agree to cooperate with the administration and faculty in the education of my child according
to their guidelines and expectations.
• I give my child permission to take part in school-related activities, including field trips and
athletic trips, and absolve the school from liability in the event of any injury that occurs on
such a trip. I understand that I will be notified in advance of any school or class-sponsored
trip and will be asked to sign a permission slip.
• I agree to support the dress code as outlined in the school handbook and to see that our
children abide by those guidelines.
• I have read and agree to comply with the school’s financial policies as stated on the Financial
Responsibilities Agreement.
• I understand that SCCS reserves the right to ask any student to withdraw from school who
does not willingly cooperate with school guidelines and procedures, or whose attitude, in the
opinion of the administration, is detrimental to the school or to other students.
• I understand that my child may not drive an automobile during their first year at SCCS, and may only drive
during their 12th grade year. Parents will take full responsibility for any issues (cost or otherwise) that occur
if they disobey this directive. In addition to SCCS requirements, all state and local laws must be strictly
adhered to (valid license, own vehicle and insurance, no other student in car, and host family
approval/oversight).
• I agree to work with administration and faculty as partners in the education of my child. I
understand that talking to other parents about school problems, or undermining the authority
of teachers and administrators by complaining to others hurts the school and my child, and I
agree to only talk to those who are either part of the problem or part of the solution.
• I agree to attend as many parent meetings and school functions as possible to show my child
that I am deeply interested in his/her education.
• I agree to allow SCCS to use pictures of my child in school related documents/ publications.
• I will read the Parent/Student Handbook and agree to abide by the policies and procedures it
outlines. It is available online at www.sccs.cc.
May 20219
SCCS Doctrinal Statement
The following Doctrinal Statement is the position of Santa Clarita Baptist Church and
Christian School and reflects what we will be teaching your child here at SCCS.
1. We believe that the Bible, the 66 books of the Old and New Testaments, is the inspired Word of God, that it is
completely and fully inerrant in its original writings, that it is totally accurate in all that it teaches, and that it
is the final authority for all questions of faith and practice in daily living. (2 Tim. 3:16-17, Jn. 17:17, 2 Pet. 1:20-
21, Ps. 119:105)
2. We believe that there is one and only one God, the God of the Bible, who eternally exists in three persons, the
Father, the Son, and the Holy Spirit. (Heb. 11:6, Jn. 4:24, Ps. 102:27, Jn. 1:1-2, Jn. 20:28)
3. We believe that Jesus Christ is the Son of God, that He is absolute deity, and have existed from eternity in the
Godhead with the Father and the Holy Spirit. Jesus was born to the virgin Mary by the power of the Holy
Spirit, lived a sinless life as both God and man on earth so that He could die on the cross to pay for sin, and then
arose from the dead to conquer death for all who accept Him as their personal Savior. (Jn. 1:1, 14, Col. 1:16, 17,
Is. 7:14, Heb. 9:26, Matt. 3:17, Heb. 4:15, 1 Cor. 15:3-4, Jn. 3:16)
4. We believe that the Holy Spirit is a Divine Person whose ministry is to convict of sin, to bear witness to truth, to
act as the Agent of the new birth, to seal, guide, teach, sanctify, and help believers as He indwells everyone who
accepts Jesus Christ as personal Savior. (Jn. 14:16, 26, Jn. 16:8-11, Eph. 5:18, Jn. 16:13)
5. We believe that Adam was created by God in innocence but, by voluntary transgression, fell into sin and plunged
the whole human race into condemnation. As a result of this fall, every person is born as a sinner, is a sinner by
nature and conduct, and is in need of a Savior to be saved from eternal judgment and death. (Gen. 1:27, Gen.
2:7, Rom. 3:9-10, 1 Cor. 15:22, Rom. 3:19, 23, Rom. 6:23, Rom. 10:13)
6. We believe that salvation and the gift of eternal life can only be attained by accepting Jesus Christ as personal
Savior by faith in His substitutionary death and the shedding of His blood on the cross. His payment for sin
reconciles believers to God and is a gift to be received, not earned by works. To accept Christ as Savior,
individuals must admit their own sin, recognize that only Christ can forgive sin, ask God to forgive them, believe
that Jesus is the Son of God who died for them, and then ask God to save them. They then become a child of
God and are secure in their salvation forever. Those who accept Christ will enjoy heaven forever, while those
who reject Christ will suffer eternal and conscious punishment apart from God. (1 Cor. 15:22, Rom. 3:23, Rom.
6:23, Jn. 10:9-10, Jn. 14:6, Jn. 3:14-15, Rom. 5:1,10, Eph. 2:8-9, 1 Jn. 5:13)
7. We believe that Jesus Christ Himself will someday return bodily as clearly stated in the Bible. We believe that
His return at the Rapture is imminent and will occur before the Tribulation Period, and that His Second Coming
to earth will occur before His Millennial Reign (Jn. 14:1-6, Matt. 24:27,30, Matt. 25:31, I Thess. 4:8-18, Rev. 7:14,
20:1-6, Dan. 9:26,27)
8. We believe in the prominence of the local church as instituted by Christ before His death and resurrection. The
church is empowered by the Holy Spirit and is a place of worship, spiritual growth, evangelism, and service to
others. We believe the only two ordinances of the church are baptism by immersion in water after salvation, and
the remembrance of Christ's payment for sin in the ordinance of the Lord's Supper. (Eph. 2:20-21, Col. 2:12,
Matt. 3:16-17, Acts 2:38-41, 1 Cor. 11:23-26, Eph. 4:11-16, Matt. 28:19-20, Mk. 16:15)
9. We believe that God created the heavens and the earth, including all life, by His direct act, not by the
process of evolution, and that the six days of creation were literal, solar days as stated in Scripture.
(Gen 1:1-2:7, Col. 1:16-17, Jn. 1:3)
10. We believe that all saved individuals should live a life pleasing to God, separated from religious heresy, from
worldly practices and habits, from sinful activities, and from associations that cloud the distinctions of being a
follower of Christ. (1 Jn. 2:15-17, 2 Cor. 6:17, 2 Cor. 7:1, 1 Cor. 10:23-33, 1 Pet. 1:15-1
May 202110
International Student I-20
Registration Application 2021-2022
Family Information: (Please print in ink)
Children's Full Names Enrolling
Who Are Enrolling at SCCS M/F Grade Age Date of Birth
________________________________________________ ___ _____ ____ ___/___/___
________________________________________________ ___ _____ ____ ___/___/___
Name & address school currently attending ____________________________________________
_________________________________________________________________________________
Have your children ever repeated a grade?______ If so, what grade ______
Are you working with an agency? ______ If so, name of agency ___________________________
Skype Address to reach the student: ________________________________________________
Home Address: _____________________________________________________________________________________________
_______________________________________________________________ Country ____________________________________
Mailing Address: ___________________________________________________________________________________________
______________________________________________________________ Country _____________________________________
Father's Name ____________________________________________________ Home Phone #__________________________
Employer ________________________________Occupation ______________ Cell Phone #____________________________
Marital Status: Married ___ Widower ___ Single ___ Email_________________________________
Separated ___ Divorced ___
Mother's Name ___________________________________________________ Home Phone #___________________________
Employer ________________________________ Occupation _____________ Cell Phone #_____________________________
Marital Status: Married ___ Widow ___ Single ___ Email__________________________________
Separated ___ Divorced ___
If separated or divorced, who has legal custody of the children listed above?______________________________________
Name of church your family attends ______________________________________________________________________
How often do you attend?_______________________________________________________________________________
Briefly comment on why you wish to enroll your child at SCCS:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Have any of your children on this application been involved in any activity that has resulted in an arrest, court
appearance, or court supervision?_____ If yes, please explain_________________________________________________
Have any of the children applying for enrollment been suspended or expelled from another school? _______ If yes,
please explain ______________________________________________________________________________________________
May 202111
Family Name ___________________________________
Has your child ever been part of special education at another school? _____ Are there any social, behavioral, or
academic problems with the children listed above that could affect their education at SCCS? _____
If yes, please explain
_____________________________________________________________________________________________________
Medical Information:
The following health information is confidential. It is helpful to the School Nurse to have current health information
as health issues can have an impact on the student during the school day.
Any medical conditions, including but not limited to: chronic illness such as asthma, diabetes, disabilities, seizure
disorders, or allergies to food or medications:
_________________________________________________________________________________________________________
Prescription medications taken regularly ___________________________________________________________________
* refer to Parent/Student Handbook regarding school policy on taking medications during school hours
Student Treatment Permission and Emergency Release:
In the event of an emergency, whom should SCCS contact? (Someone available to come to SCCS to pick up your
child)
Name __________________________________ Relationship ___________________________ Phone _________________
Name __________________________________ Relationship ___________________________ Phone _________________
I, the undersigned parent or legal guardian, do hereby authorize any staff member of Santa Clarita Christian School
to seek emergency medical care for the children listed on this application while under supervision of SCCS during
school or any school-related activity. It is understood that an effort shall be made to contact me prior to rendering
treatment to my child, but I agree to allow medical personnel to proceed with treatment if I cannot be reached.
Consent is also given for any licensed paramedic, physician, or surgeon to give medical attention, to administer such
treatment, drugs, or medicines, and perform such medical procedures he/she thinks is required to handle the
emergency.
Parent/Guardian Signature _______________________________________________ Date ___________________
Host Family Information:
Male guardian’s name ____________________________________________________________________
Female guardian’s name __________________________________________________________________
Address _________________________________________________________________________________
City _______________________________________________________ Zip __________________________
Home phone number __________________________ Email address _____________________________
Male guardian’s cell # _____________________________ Work # _________________________
Female guardian’s cell # ___________________________ Work # _________________________
27249 Luther Drive Santa Clarita CA 91351 661.252.7371 www.sccs.cc
May 202112
I-20 Admissions Questionnaire
For Students Entering Grades 9th -12th
We ask that the student who is applying to SCCS in grades 9th – 12th answer the questions below.
Parents should not fill this out for the student since SCCS wants to know the student’s viewpoint on the
questions asked. Please have this completed and submit this with the registration materials. Thank you
for your cooperation with this questionnaire.
Student Name ___________________________________________ Grade _______ Date _________________
1. Do you want to attend SCCS? _______ Why?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
2. Do you have any questions about SCCS?
______________________________________________________________________________________________
______________________________________________________________________________________________
3. Who are the people you know at SCCS?
______________________________________________________________________________________________
______________________________________________________________________________________________
4. What activities interest you? (sports, music, drama, leadership, volunteer, clubs,
mission trips)
______________________________________________________________________________________________
______________________________________________________________________________________________
5. What are your plans after high school?
______________________________________________________________________________________________
______________________________________________________________________________________________
6. How have teachers impacted in your life?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7. Are you a Christian? _____Yes _____No _____ I’m not sure. What do you think it means to
be a Christian? ____________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
May 202113
8. Do you want to grow spiritually as a Christian? _____ How can a person grow spiritually
and how can SCCS help you grow?_______________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
9. How many times do you go to church each month? _______ What church activities are
you involved in? _______________________________________________________________________
What was the most recent church activity you participated in?
_________________________________________________________________________________________
10. Do you have any problems getting along with other students at school? ______ If yes,
please explain why______________________________________________________________________
__________________________________________________________________________________________
11. Have you ever been suspended or expelled from another school? ________ If yes, please
explain:
___________________________________________________________________________________________
___________________________________________________________________________________________
12. Have you ever tried drinking alcohol, smoking or drugs? _______ If yes, please explain
______________________________________________________________________________________________
______________________________________________________________________________________________
13. What were problems at your current school that you hope our school can resolve?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
14. What are your academic strengths and weaknesses?________________________________________
______________________________________________________________________________________________
15. How did you hear about SCCS? _____________________________________________________________
16. Rank the importance of the following factors that helped you choose SCCS.
(On A Scale of 1 to 5 with 1 being highest and 5 being the lowest.)
_____Academics _____ Christian teachers _____ Sports ____Friendly environment ____
Other ___________________________________________________
Thank you for your honest answers to all these questions; we truly appreciate your comments!
May 202114
Financial Responsibilities and Agreement for International Students (I-20)
High School (9th-12th)
Student’s Name ______________________________________________ Grade ________
The following financial responsibilities are understood and agreed to when applying to
Santa Clarita Christian School and registering as an I20 international student.
All tuition and fees are payable IN FULL to begin attendance at Santa Clarita
Christian School.
Application fee: $ 100
Registration Fee: $ 350 (payable to SCCS before the I-20 can be issued)
Remaining Tuition and Fees: $18,600 (payable before the I-20 is issued to student)
Total I-20 Fees $19,050
• Medical Insurance - Proof of paid medical insurance coverage must be obtained
before a student may start classes.
• Fees entitle you to: textbooks, lunches, a yearbook, PE uniforms, Spiritual Life Retreat,
iServe, spring formal, banquets, graduation fees, and the host family coordinator fee
required for all I-20 Students.
• Fees include one sport of the student’s choice. This does not cover additional fees and
charges for participation in the sport, just the fee for participation.
• Fees do not include: fees for participation in a second or third sport, extracurricular
classes or overnight trips (such as choir tour).
• When SCCS places your child with a family, you will be required to pay a monthly stipend
of $1,000 per child to the host family.
• If you withdraw/fail to attend/or are dismissed there is no refund after the first
day of class.
We have read the financial policies above and agree to abide with this written
agreement.
_________________________________________________ ____________________
Father’s Signature Date
_________________________________________________ ____________________
Mother’s Signature Date
27249 Luther Drive Santa Clarita, CA 91351 661.252.7371 Fax 661.252.4354 www.sccs.cc
“Teaching Minds - Training Hearts for God”
May 202115
AUTHORIZATION OF CONSENT FOR TREATMENT
OF INTERNATIONAL (I-20) STUDENT
In any and all situations where Santa Clarita Christian School or its agents determine that medical or
dental services are reasonably necessary for the health or well-being of the student, this authorization of
consent grants to the entities set forth, the authorization to consent to any such medical or dental services
for the student.
Student and parents do hereby authorize Santa Clarita Christian School agents and the students host
family to consent to any x-rays, anesthetic, medical or surgical diagnosis treatment or procedure, which
also includes emergency treatment and hospital care, as is deemed advisable by any licensed physician,
surgeon or dentist. This authorization is given pursuant to the provisions of Family Code of California
sections 6550 and 6910.
Student and parents hereby authorize any hospital which has provided treatment to the student, to
surrender physical custody of such student to any of the Santa Clarita Christian School agents or host
family upon completion of treatment.
These authorizations shall remain in effect during the term of the student’s enrollment at Santa Clarita
Christian School.
Student and parents give permission to the above authorized agents to administer prescriptions and non-
prescription medications including but not limited to: analgesics, cough suppressants, antihistamine,
stomach treatment to my child (and self) when the need arises.
Any and all treatment and procedure costs will be the responsibility of the parents to pay.
____________________________________________ ________________
Student’s Printed Name Date
______________________________________________________________
Student’s Signature
_________________________________________ ________________
Father’s Signature Date
____________________________________________ ________________
Mother’s Signature Date
27249 Luther Drive Santa Clarita, CA 91351 661.252.7371 Fax 661.252.4354 www.sccs.cc
“Teaching Minds - Training Hearts for God”
May 202116
INTERNATIONAL (I-20)
STUDENT EXPECTATIONS 2021-2022
We are excited that you have chosen Santa Clarita Christian School as the school you wish to
complete your high school academic career. We commit that you will receive a quality Christ
centered education focusing not only on academic excellence but encouraging students to become
Committed Christians, Independent Learners, Critical Thinkers and Healthy, Productive
Citizens, as defined in our school’s Expected Schoolwide Learning Results (ESLR’s). As we are
committing the above to you, we also ask for a commitment from you. We have outlined below our
expectations of you to help secure the best possible relationship between you, the school and host
family.
School Relationship
~Please take time to read thru our Parent/Student Handbook. It outlines our guidelines for
dress code, behavior expectations, homework and much more. We expect all of our students to
abide by the expectations listed in the handbook. It is available online at www.sccs.cc.
~You will be expected to abide by the rules set forth by each of your teacher’s and behave in an
appropriate manner, showing respect to all students and adults at SCCS.
~You will make a concerted effort to improve your ability in the English language.
~You may not drive an automobile during your first year at SCCS and may only drive during your 12th grade
year. Parents will take full responsibility for any issues (cost or otherwise) that occur if they disobey this
directive. In addition to SCCS requirements, all state and local laws must be strictly adhered to (valid license,
own vehicle and insurance, no other student in car, and host family approval/oversight).
Host Family Relationship
~You are expected to comply with your host family’s schedule. This would include what time to
wake, have meals, complete chores, attending family events, etc.
~You should keep your personal belongings in your room when not in use.
~You should abide by your host family’s rules regarding use of kitchen, noise level, meals, use of
computers, privacy, having friends over, going out with friends, homework times, bedtimes and
curfews.
~You are expected to contribute to host family chores such as but not limited to; cleaning
bathrooms, yard work, cleaning up after meals, keeping your room and bathroom clean, etc.
~You are expected to regularly attend church with your host family.
May 202117
~Your parents are expected to provide you with a monthly allowance to purchase personal items
such as clothes, toothpaste, school supplies, etc.
~Your host family must be aware of all prescription and non-prescription medication you are
taking.
~When you are not at your host home, your host family must always know where you are. Be
sure they have your cell phone number.
~Please provide a copy of your medical insurance coverage to your host family.
~Your host family will provide meals you eat with them. If you decide to go out to dinner with
friends, you are responsible for paying for your meal.
~Rules of the host family regarding computers and all electronic devices must be followed. Host
families have permission to access your devices to help provide accountability and
encouragement to make good choices.
~You cannot participate in any dangerous sports or activities such as hang gliding,
bungee jumping and sky diving. Your parents will accept full responsibility for any situation
arising from your involvement in any such activity.
Santa Clarita Christian School reserves the right to terminate a student’s I20 if his or her
conduct is considered detrimental or incompatible with the interests of SCCS. In this case, all
fees paid will be nonrefundable and the student’s I20 will be cancelled.
If you have any questions, we are here to help you in any way we can.
For academic questions or concerns – please contact Mrs. Michele Puglisi at mpuglisi@sccs.cc or
661-252-7371.
For all other concerns – please contact Mrs. Kris Chau at chaukl@yahoo.com or
661-755-2152.
I understand and comply with the items noted in this document.
_______________________________________________ __________________
Student’s printed name Date
_______________________________________________________
Student’s signature
27249 Luther Drive Santa Clarita, CA 91351 661.252.7371 Fax 661.252.4354 www.sccs.cc
“Teaching Minds - Training Hearts for God”
May 202118
INTERNATIONAL STUDENT (I-20)
PARENTAL EXPECTATIONS 2021-2022
We are honored that you have chosen Santa Clarita Christian School for your child to pursue
academic excellence in the United States. We are attaching a copy of the International Student
Expectations so you are aware of what we are requiring of your child. As mentioned in your
child’s contract we commit that your child will receive a quality Christ centered education
focusing not only on academics but encouraging students to become Committed Christians,
Independent Learners, Critical Thinkers and Healthy, Productive Citizens, as defined in our
school’s Expected Schoolwide Learning Results (ESLR’s). We ask that you read our
Parent/Student Handbook (it is available online at www.sccs.cc) as it outlines our expectations
for dress code, homework, behavior and much more. You will need to sign our Financial
Responsibilities Agreement as well as the Authorization of Consent for Treatment. This form
identifies statement of cooperation issues. Your signature indicates your agreement to meet
these expectations.
~I agree to support Santa Clarita Christian School and my child’s host family according to their
guidelines and expectations.
~I will be in constant contact with my child to encourage them in their academic, behavioral and
spiritual pursuits.
~If my child is with a host family, I will stay in contact with them answering all phone calls or
emails as promptly as possible. I will also be prompt in issuing the host family monthly stipend.
~All adults in the host family have had background checks.
~I will answer emails and phone calls from the school’s administration and faculty as promptly
as possible.
~I agree to allow SCCS to use pictures of my child in school related documents and publications.
No personal information is publicized.
~I give permission for my child to participate in school related activities, including but not
limited to, field trips, retreats and athletic trips. I absolve SCCS and its employees from liability
in the event of any injury that occurs on such a trip. Any and all treatment and procedure costs
will be my responsibility to pay in a timely manner and we agree to indemnify and hold harmless
SCCS for all such costs.
~I have provided a copy of my child’s medical insurance coverage to Administration and host
family (if applicable).
May 202119
Page 2 – International Student (I20) Parental Expectations
~I will indicate on my child’s SCCS application and to their host family any prescription and
non-prescription medication my child is taking.
~My child will arrive with the necessary funds needed for them to purchase clothes, sundries
(toothpaste, shampoo, etc.), school supplies and miscellaneous items needed (approx. $400-$500).
~Your child may not drive an automobile during their first year at SCCS, and may only drive during their 12 th
grade year. Parents will take full responsibility for any issues (cost or otherwise) that occur if they disobey this
directive. In addition to SCCS requirements, all state and local laws must be strictly adhered to (valid license,
own vehicle and insurance, no other student in car, and host family approval/oversight).
~Your child cannot participate in any dangerous sports or activities such as hang gliding,
bungee jumping and sky diving. Parents will accept full responsibility for any situation arising
from their involvement in any such activity.
~I have read and understand the statements in the Doctrinal Statement.
Santa Clarita Christian School reserves the right to terminate a student’s I-20 if his or her
conduct is considered detrimental or incompatible with the interests of SCCS. In this case, all
fees paid will be nonrefundable and the student’s I-20 will be cancelled.
If you have any questions, we are here to help you in any way we can.
For academic questions or concerns – please contact Mrs. Michele Puglisi at mpuglisi@sccs.cc or
661-252-7371.
For all other concerns – please contact Mrs. Kris Chau at chaukl@yahoo.com or
Mrs. Betsy Tobón at tobon@sccs.cc who serves as the Designated School Official (DSO)
for Santa Clarita Christian School.
_________________________________________________ _______________
Your Child’s Printed Name
_________________________________________________ ________________
Father’s Signature Date
_________________________________________________ ________________
Mother’s Signature Date
27249 Luther Drive Santa Clarita, CA 91351 661.252.7371 Fax 661.252.4354 www.sccs.cc
“Teaching Minds - Training Hearts for God”
May 202120
International Student (I-20)
ENROLLMENT SIGNATURE PAGE
STUDENT’S NAME ____________________________________________________________
After reading each item please sign, date and return to the school office with your registration fees.
This will secure your child’s roster spot for the upcoming school year. Thank you!
Medical Consent
We agree that in the event our child becomes ill or sustains an injury while in the care of SCCS and SCCS
believes the illness or injury is of an urgent nature, 911 may be called and/or our child may be
transported to the nearest hospital/medical facility for care. We hereby consent to all medical treatment
by the attending physician deemed necessary for our child. It is understood that an effort shall be made
to contact me prior to rendering treatment. We hereby agree to accept responsibility for any costs that
result in connection with the care or hospitalization of our child. We furthermore agree to indemnify and
hold harmless SCCS for all such costs.
Father’s Signature _______________________________________ Date __________________
Mother’s Signature ______________________________________ Date __________________
Parental Statement of Cooperation
I have read and agree to the statements in the Parental Statement of Cooperation.
Father’s Signature __________________________________________ Date_________________
Mother’s Signature _________________________________________ Date _________________
Doctrinal Statement
I have read and agree to the statements in the Doctrinal Statement.
Comments:
____________________________________________________________________________________________
Father’s Signature __________________________________________ Date_________________
Mother’s Signature _________________________________________ Date _________________
Thank you for completing this form.
It must be submitted with your registration application.
May 202121
I-20 Admissions Essay
For Students Entering Grades 9th -12th
We ask that each student who is applying to SCCS in grades 9 th – 12th to write a one to two page essay.
Parents, teachers, or other adults should not assist the student since SCCS wants to know the student’s
viewpoints. The essay should be written in the student’s own handwriting. Please have this essay
completed and submit it with the registration materials.
Student Name _________________________________________ Grade _______ Date _______________
ESSAY QUESTION:
In the next one to two pages, please explain your personal testimony of your faith in
Jesus Christ.
o Who is Jesus?
o How/when were you saved?
o How does your relationship with Jesus Christ impact your life now?
o How is your current life different from before you put your faith in Christ?
May 202122 Student Name ______________________________________ Grade _______ Date ______________________ Essay Continued . . . May 2021
23 May 2021
You can also read
