Admissions Inquiry

Request Information

If you would like more information on the admissions process, please complete the form below.

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Scholar's Information

Scholar's Full Name*

First Middle Last

Grade Applying*

Age*

Date of Birth*

City / State of Birth*

City State

Parent / Guardian Information

Provide the Full Name and Address of the Parent(s)/Guardian(s) submitting this application:

Name*

First Middle Last

Address*

Street Address City State Zip

Phone*

Alternate Phone

Email*

Occupation*

Employer*

Scholar now lives with*

Scholar’s Medical Information

Please provide any health problems your scholar may have.

Please list any medications the scholar requires.

Parent Questionnaire

The purpose and mission of Valiant Cross Academy is to provide excellent educational experiences for all of its scholars. We believe with love, discipline, and a dedication to high expectations that all scholars can achieve. The long-term goal is to teach each scholar the skills necessary to become lifelong learners and productive citizens.

1. Describe the scholar's academic performance, extracurricular activities, or other accomplishments that best reflect the scholar's abilities, interests, and character.

2. What do you consider to be the scholar's most favorable characteristics and talents (academic, social, music and arts, athletic, etc.)?

3. Which aspects of VCA's program have most influenced you to seek enrollment?

4. Why do you believe VCA is a good match for you scholar?

Financial Information

Adjusted Gross Income From Federal Tax Form*

Number of Dependents*

Number of People in Your Household*

Please briefly describe your need for financial assistance (if needed)

Consent

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Contact Us

Valiant Cross Academy
301 Dexter Avenue
Montgomery, AL 36104

(334) 694-9200

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