SCCCA
  
    
School Admission Inquiry Form

Please fill out the following form.  Upon submission of this inquiry, an account will be generated for you, and we will contact you via email shortly.

 Parent / Guardian Information
Title Title
First Name First Name
Last Name Last Name
Address Address
City City
State/Region State/Region
Zip/Postal Code Zip/Postal Code
Country Country
Home Phone Home Phone
Work Phone Work Phone
Cell Phone Cell Phone
Email Email
Relationship Relationship
 Student Information
FirstMiddleLastDOBCurrent GradeGender
 Additional Information
Select Program
Preferred Chinese characters
Do parents speak Chinese at home
Family pri CommunicationLanguage
Child #1-Year of learningChinese
#1-Regular School Grade
#1-Chinese Listen/Speak Abillity
#1-ChineseRead/LiteracyAbility
Child #2-Year of learningChinese
#2-Regular School Grade
#2-Chinese Listen/Speak Abillity
#2-ChineseRead/LiteracyAbility
Child #3-Regular School Grade
#3-Year of learningChinese
#3-Chinese Listen/Speak Abillity
#3-ChineseRead/LiteracyAbility
 Comments