Apply Online : Dakota Adventist® Academy Bismarck ND

Student Contact Information

Name

Preferred Name

Date of Birth

Gender

Grade Entering

Student Citizenship

Address

Primary Phone Number

Parent #1 Contact Information

Name

Address

Primary Phone Number

Parent #2 Contact Information

Name

Address

Primary Phone Number

Medical Information

Are there any medical conditions that might affect your life at school?

If yes please explain

Education Information

8th Grade School

Phone Number

School's Email Address

Report Card Submitted?

List most recent highschool attended and years of attendance.

Highest Grade Completed

Phone

Residence Information

Please check all that apply:

Dorm Student
Day Student

References

Principal/Teacher Name

Phone Number

Pastor/Coach Name

Phone

Adult (non-family) Name

Phone

Disclaimer: We will contact you/your parents prior processing your application

Upon acceptance, how would you like to receive your registration packet digitally or a physical copy?

Dakota Adventist^® Academy

Apply Online

Student Contact Information

Parent #1 Contact Information

Parent #2 Contact Information

Medical Information

Education Information

Residence Information

References

Disclaimer: We will contact you/your parents prior processing your application

Dakota Adventist^® Academy