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Student Admissions

Thank you for your interest in Heritage Academy. Our staff earnestly pray for the Lord’s leading for each student that is led to apply. Please review our Bulletin and look over our various ministries online to learn more about the school program and follow the steps below to apply.

Please Follow The Steps One-By-One To Apply

Heritage Academy has a variety of unique ministries so before you complete the admissions process please take some time to read the following two booklets.

These booklets will offer an overview of life on the Heritage campus; the dorm, classroom, vocational, social, and chapel life. There are other details contained in these booklets that will also help you make the decision if Heritage Academy is the right school for you to attend.

May God lead you in your decision.

Read The Heritage Academy Bulletin

Read The Heritage Academy Standards Handbook

Student Application

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Person Filling Out This Application

First Name *

Last Name *

Phone *

Email *

Relationship To Student *

Student's Contact Information

Student's First Name *

Student's Last Name *

Student's Address *

Address 2

City *

State (United States Only)

Foreign Province / Territory

Zip Code / Postal Code *

Country *

Primary Phone Number *

Secondary Phone Number

Email

Student's Personal Information

Gender *

Male
Female

Birthdate MM/DD/YYYY *

City of Birth

Student's Social Security Number (if applicable)

Student Resides with... *

Father and Mother
Father
Mother
Neither Father and Mother

Student's Academic Information

Student's current grade in school? *

Eighth
Ninth
Tenth
Eleventh
Twelfth

Student is seeking entry into which grade? *

Ninth
Tenth
Eleventh
Twelfth

Which semester is being applied for? *

Fall
Spring

Name of the last school the applicant attended *

Address of the last school the applicant attended. *

City

State (United States Only)

Zip Code / Postal Code *

Foreign Province / Territory

Country *

Phone *

Has the applicant been tested for learning difficulties? *

Yes
No

If yes, please describe...

Has the applicant ever undergone an educational or psychological evaluation administered by a clinical psychologist, psychiatrist or counselor? If so, all paperwork must be sent in total so that adequate planning and evalution can take place. *

Yes
No

If yes, please describe...

Student's Church Information

Student's Church Membership/Denomination *

Is the student baptized? *

Yes
No

Date of Baptism

Place of Baptism (Church Name)

Student's Parental Information

Father's First Name *

Father's Last Name *

Address 1 *

Address 2

City *

State (United States Only)

Foreign Province / Territory

Zip Code / Postal Code *

Country *

Primary Phone *

Secondary Phone

Email

Father's Occupation

Father's Employer

Father's Church Membership/Denomination *

Baptized *

Yes
No

Father's Responsibility *

Receives Grades
Tuition Payments
Both

Mother's First Name *

Mother's Last Name *

Address 1 *

Address 2

City *

State (United States Only)

Zip Code / Postal Code *

Foreign Province / Territory

Country *

Primary Phone *

Secondary Phone

Email

Mother's Occupation

Mother's Employer

Mother's Church Membership / Denomination *

Baptized *

Yes
No

Mother's Responsibility *

Receives Grades
Tuition Payments
Both

This Personal Response from the student is important. We prefer to know that the student completed this themselves but also realize there are extenuating circumstances that may prevent the student from being able to complete this form. In that case, please make sure the prospective student hears the questions and answers so that the answers reflect fully the sentiments of the prospective student.

Student's Personal Response

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Person Completing The Personal Response

First Name *

Last Name *

Phone *

Email

Student's Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State (United States Only)

Foreign Province / Territory

Zip Code / Postal Code *

Country *

Email

Primary Phone *

Secondary Phone

Questions

Committment to Christ *

I have accepted Jesus as my Savior
I am actively seeking to pattern my life after His example
I have not accepted Jesus as my Savior, but I chose to learn about Him.
I believe in Jesus, but I don't think about Him often
I am not interested in committing myself to Jesus at this time.

Personal Devotion *

I have regular daily devotions including Bible study and prayer.
Bible study and prayer are an important part of my life.
I have devotions on an irregular basis
I rarely spend time with God.
I am not interested in spending time with God.

Spirit of Prophecy *

I have regular daily devotions including Bible study and prayer.
Bible study and prayer are an important part of my life.
I have devotions on an irregular basis
I rarely spend time with God.
I am not interested in spending time with God.

Evangelism/Preaching *

I have spoken for an evangelistic series.
I have given a sermon at church.
I have worked with health evangelism.
I have taught a Sabbath School class.
I am interested in learning to speak publicly.
I am not interested in public speaking

Leadership (How do your peers perceive you?) *

As a leader.
As a follower.
As one who encourages others.
As one who stands for principles.
As someone who is easily influenced.
As someone who is impatient.

Discipleship (How do those who are responsible for your supervision perceive you?) *

As someone who is well-meaning.
As someone who is respectful.
As one who is cooperative.
As someone who is head-strong.
As one who is independent.
As someone who is disrespectful.

Music *

I play a musical instrument.
I have sung in a choir.
I have no musical experience.

Student Pledge *

I affirm that the answers to these questions are my own. I wish to be trained as a worker for God, and if I am accepted as a Heritage Academy student, I will abide by the standards and guidelines as outlined in the Heritage Academy Bulletin and Heritage Academy Standards. Furthermore, I pledge to cooperate with these principles even if my own personal views are somewhat different than those of Heritage Academy.

Principal Recommendation Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Student's First Name

Student's Last Name

Address 1

City

State

Zip / Post Code

Phone

Principal's First Name

Principal's Last Name

Principal's Phone Number

School's Name

School's Address

City

State

Zip / Post Code

Country

School's Phone

How well do you know the applicant? *

Intimately
Fairly well
Casually

Home Background *

Two-parent home; stable
Two-parent home; unstable
One-parent home; stable
One-parent home; unstable

Home Discipline *

The discipline is well balanced.
The parents are overbearing
Too little discipline is asserted.
The discipline is inconsistent.

Has the applicant been raised in a Christian home? *

Yes
No

Christian Experience *

The student actively pursues a Christian life.
The student has a passive involvement in Christian life.
The student seems disinterested in the Christian life.
The student is antagonistic toward the Christian life.

Personal Appearance *

The student is well groomed.
The student appears neat and clean.
The student dresses carelessly.
The student dresses slovenly.

Altruism

The student demonstrates an inner concern for the needs of others.
The student will act on behalf of others when asked.
The student must be strongly encouraged to accommodate others.
The student is self-centered; unconcerned about others.

Integrity *

The student is consistently trustworthy and honest.
The student is generally trustworthy and honest.
The student is occasionally dishonest.
The student is frequently dishonest.

Obedience *

The student responds well to authority.
The student is usually obedient.
The student is resentful of authority.
The student is unmanageable and unpredictable.

Emotional Stability *

The student is serene and generally happy.
The student is generally well balanced.
The student is excitable or moody.
The student is apathetic and withdrawn.

Leadership *

The student leads peers in a positive manner and direction.
The student prefers to follow, but will stand against poor group behavior.
The student follows others of questionable judgement.
The student leads others in poor group behavior.

Social Relationships *

The student is exceptionally well-liked and respected.
The student is generally well-liked
The student has a small circle of friends.
The student is a social misfit.

Industry *

The student works hard and is ambitious.
The student is a good dependable worker.
The student needs constant supervision to be productive.
The student is lazy and unproductive.

Has the applicant ever been dismissed, suspended or received serious disciplinary sanction? *

Yes
No

If yes, please explain.

To your knowledge, does the applicant use foul language? *

Yes
No

To your knowledge, has the applicant used the following substances? *

Tobacco
Alcohol
Drugs
None of the above

Would you *

highly recommend this student
recommend this student
recommend with reservation
not recommend this student

Teacher Recommendation Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Student's First Name

Student's Last Name

Address 1

City

State

Zip / Post Code

Phone

Teacher Recommendation's First Name

Teacher Recommendation's Last Name

Teacher Recommendation's Phone Number

School's Name

School's Address

City

State

Zip / Post Code

Country

School's Phone

How well do you know the applicant? *

Intimately
Fairly well
Casually

Home Background *

Two-parent home; stable
Two-parent home; unstable
One-parent home; stable
One-parent home; unstable

Home Discipline *

The discipline is well balanced.
The parents are overbearing
Too little discipline is asserted.
The discipline is inconsistent.

Has the applicant been raised in a Christian home? *

Yes
No

Christian Experience *

The student actively pursues a Christian life.
The student has a passive involvement in Christian life.
The student seems disinterested in the Christian life.
The student is antagonistic toward the Christian life.

Personal Appearance *

The student is well groomed.
The student appears neat and clean.
The student dresses carelessly.
The student dresses slovenly.

Altruism

The student demonstrates an inner concern for the needs of others.
The student will act on behalf of others when asked.
The student must be strongly encouraged to accommodate others.
The student is self-centered; unconcerned about others.

Integrity *

The student is consistently trustworthy and honest.
The student is generally trustworthy and honest.
The student is occasionally dishonest.
The student is frequently dishonest.

Obedience *

The student responds well to authority.
The student is usually obedient.
The student is resentful of authority.
The student is unmanageable and unpredictable.

Emotional Stability *

The student is serene and generally happy.
The student is generally well balanced.
The student is excitable or moody.
The student is apathetic and withdrawn.

Leadership *

The student leads peers in a positive manner and direction.
The student prefers to follow, but will stand against poor group behavior.
The student follows others of questionable judgement.
The student leads others in poor group behavior.

Social Relationships *

The student is exceptionally well-liked and respected.
The student is generally well-liked
The student has a small circle of friends.
The student is a social misfit.

Industry *

The student works hard and is ambitious.
The student is a good dependable worker.
The student needs constant supervision to be productive.
The student is lazy and unproductive.

Has the applicant ever been dismissed, suspended or received serious disciplinary sanction? *

Yes
No

If yes, please explain.

To your knowledge, does the applicant use foul language? *

Yes
No

To your knowledge, has the applicant used the following substances? *

Tobacco
Alcohol
Drugs
None of the above

Would you *

highly recommend this student
recommend this student
recommend with reservation
not recommend this student

Pastor's Recommendation Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Student Information

Student's First Name

Student's Last Name

Address

City

State

Zip / Post Code

Phone

Pastor's Information

Pastor's First Name

Pastor's Last Name

Pastor's Phone Number

Church Name

Church Address

City

State

Zip / Post Code

Country

How well do you know the applicant? *

Intimately
Fairly well
Casually

Home Background *

Two-parent home; stable
Two-parent home; unstable
One-parent home; stable
One-parent home; unstable

Home Discipline *

The discipline is well balanced.
The parents are overbearing
Too little discipline is asserted.
The discipline is inconsistent.

Has the applicant been raised in a Christian home? *

Yes
No

Christian Experience *

The student actively pursues a Christian life.
The student has a passive involvement in Christian life.
The student seems disinterested in the Christian life.
The student is antagonistic toward the Christian life.

Personal Appearance *

The student is well groomed.
The student appears neat and clean.
The student dresses carelessly.
The student dresses slovenly.

Altruism

The student demonstrates an inner concern for the needs of others.
The student will act on behalf of others when asked.
The student must be strongly encouraged to accommodate others.
The student is self-centered; unconcerned about others.

Integrity *

The student is consistently trustworthy and honest.
The student is generally trustworthy and honest.
The student is occasionally dishonest.
The student is frequently dishonest.

Obedience *

The student responds well to authority.
The student is usually obedient.
The student is resentful of authority.
The student is unmanageable and unpredictable.

Emotional Stability *

The student is serene and generally happy.
The student is generally well balanced.
The student is excitable or moody.
The student is apathetic and withdrawn.

Leadership *

The student leads peers in a positive manner and direction.
The student prefers to follow, but will stand against poor group behavior.
The student follows others of questionable judgement.
The student leads others in poor group behavior.

Social Relationships *

The student is exceptionally well-liked and respected.
The student is generally well-liked
The student has a small circle of friends.
The student is a social misfit.

Industry *

The student works hard and is ambitious.
The student is a good dependable worker.
The student needs constant supervision to be productive.
The student is lazy and unproductive.

Has the applicant ever been dismissed, suspended or received serious disciplinary sanction? *

Yes
No

If yes, please explain.

To your knowledge, does the applicant use foul language? *

Yes
No

To your knowledge, has the applicant used the following substances? *

Tobacco
Alcohol
Drugs
None of the above

Additional Comments

Would you *

highly recommend this student
recommend this student
recommend with reservation
not recommend this student

Family Friend Recommendation Form

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Student's First Name

Student's Last Name

Address 1

City

State

Zip / Post Code

Phone

Family Friend's First Name

Family Friend's Last Name

Family Friend's Phone Number

Family Friend's Address

City

State

Zip / Post Code

Country

Phone

How well do you know the applicant? *

Intimately
Fairly well
Casually

Home Background *

Two-parent home; stable
Two-parent home; unstable
One-parent home; stable
One-parent home; unstable

Home Discipline *

The discipline is well balanced.
The parents are overbearing
Too little discipline is asserted.
The discipline is inconsistent.

Has the applicant been raised in a Christian home? *

Yes
No

Christian Experience *

The student actively pursues a Christian life.
The student has a passive involvement in Christian life.
The student seems disinterested in the Christian life.
The student is antagonistic toward the Christian life.

Personal Appearance *

The student is well groomed.
The student appears neat and clean.
The student dresses carelessly.
The student dresses slovenly.

Altruism

The student demonstrates an inner concern for the needs of others.
The student will act on behalf of others when asked.
The student must be strongly encouraged to accommodate others.
The student is self-centered; unconcerned about others.

Integrity *

The student is consistently trustworthy and honest.
The student is generally trustworthy and honest.
The student is occasionally dishonest.
The student is frequently dishonest.

Obedience *

The student responds well to authority.
The student is usually obedient.
The student is resentful of authority.
The student is unmanageable and unpredictable.

Emotional Stability *

The student is serene and generally happy.
The student is generally well balanced.
The student is excitable or moody.
The student is apathetic and withdrawn.

Leadership *

The student leads peers in a positive manner and direction.
The student prefers to follow, but will stand against poor group behavior.
The student follows others of questionable judgement.
The student leads others in poor group behavior.

Social Relationships *

The student is exceptionally well-liked and respected.
The student is generally well-liked
The student has a small circle of friends.
The student is a social misfit.

Industry *

The student works hard and is ambitious.
The student is a good dependable worker.
The student needs constant supervision to be productive.
The student is lazy and unproductive.

Has the applicant ever been dismissed, suspended or received serious disciplinary sanction? *

Yes
No

If yes, please explain.

To your knowledge, does the applicant use foul language? *

Yes
No

To your knowledge, has the applicant used the following substances? *

Tobacco
Alcohol
Drugs
None of the above

Would you *

highly recommend this student
recommend this student
recommend with reservation
not recommend this student

We require a current medical examination as well as a medical history on the prospective student.

You will need to download, print, complete and mail the documents back to the school.

Medical Examination Document

Medical History Document

Medical Treatment Consent Form

The following agreements need to be downloaded, printed, signed and mailed or faxed to Heritage Academy.

Alarm System Agreement

Cell Phone Agreement

Computer Agreement

Enrollment Contract

Medication Administration Form

Disaster Response Mission Trip Permission Form

Off Campus Release And Permission Form

Parental Commitment Form

Parental Permission Form

Boy’s Dean: Josh Haley, +1 931-510-6718

Girl’s Dean: Nathalie Forgues, +1 931-839-6675

School: +1 931-839-6675

To have the application processed a payment of $25 is required. This does not guarantee acceptance.

Pay Registration Fee Online

2020-2021 Tuition

When you have completed the steps above, please call to ensure all of the forms have been received. When they have been received, the Acceptance Committee will meet and prayerfully consider your young person’s application. A letter will be sent from the Registrar’s office to inform you of the Acceptance Committee’s decision.

In order to secure a place on the student roster the entrance fee must be sent upon receipt of the acceptance letter.

You might find the following information helpful as you plan for the coming school year.

What To Bring and School Supplies

Off Campus Release Form

Additional Student Fees

Student Uniforms

Please do not hesitate to contact the school office (931-839-6675) for assistance throughout the application process.

We welcome your questions and input.

CONTACT US

Heritage Academy

23100 Clarkrange Hwy

Monterey, TN 38574 United States

Phone: 931.839.6675

Fax: 931.839.6673

eMail: support@heritagetn.org

Send a message with contact form

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