Skip Navigation

Inquire: "Cornerstone Questionnaire"

Watch the video and then please fill out the Questionnaire below. Our Enrollment Office will follow up with you!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone *
  • How Did You Hear About Us? *
    Details:

  • 1. [From video] Share your personal testimony of faith in Jesus Christ in 1-2 paragraphs. If children are in grades 6-12, include their personal testimony as well.
    *

  • 2. [From video] Describe how the beliefs, values, and actions of your family align with the discipleship model of education at Cornerstone, outlined in the video above. (1-2 paragraphs)
    *

  • 3. [From video] Read Cornerstone's faith and belief statement: Do you affirm all of these statements or do you have questions about any specific one(s)?
    *

  • 4. What church does your family regularly attend?
    *

  • 5. On a scale of 1-5, how important to you is discipling your child/ren to be followers of Jesus Christ? (For more on Biblical Discipleship, click to listen to the Cornerstone Prepcast Episode 1.) 
    *

  • (explain question 5 below)

  • 6. On a scale of 1-5, how involved are you with your child's education? (helping with HW, attending school events, volunteering, etc.)
    *

  • (explain question 6 below)
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *

  • What school does the student currently attend?
    *

  • Have there been any challenges in past school/s? (academic, attendance, social, discipline, etc.) 
    * Yes   No

  • (If yes, explain below.)
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •