Admissions Inquiry

Request Information

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

"*" indicates required fields

Scholar's Information

Scholar's Full Name*

First Middle Last

Grade Applying*

Age*

Date of Birth*

Social Security Number*

City / State of Birth*

City State

School most recently attended and phone number:*

Does your scholar have any siblings attending VCA?

If yes, please list their names and grade.

Parent / Guardian Information

Please provide the full legal name and address of the scholar's Parent(s)/Guardian(s):

Scholar now lives with*

Parent/Legal Guardian 1*

First Middle Last

Address*

Street Address City State Zip

Phone*

Email*

Occupation*

Employer*

Work Phone*

Parent/Legal Guardian # 2*

First Middle Last

Please type N/A if no information is to be provided.

Address*

Street Address City State Zip

Phone*

Email*

Occupation*

Employer*

Work Phone

Is there a court order of assigned custody and/or visitation?*

If yes, a copy of the order must be provided to the Admissions Office before the start of school.

Scholar’s Medical Information

Please list all medical conditions your scholar may have:*

Please list any allergies your scholar may have:*

Please list any medications the scholar is currently taking:*

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?*

5. Has your scholar ever repeated a grade?*

If yes, please list the grade(s) here.

6. Has your scholar ever been expelled, asked to withdraw, suspended, or dismissed from a previous school?*

If yes, please explain.

7. Will your scholar need a scholarship or financial assistance to attend VCA?*

Please note that all scholarships are need-based. Eligibility is determined by the State of Alabama 2024 Poverty Threshold Guidelines and is not determined by Valiant Cross Academy.

Financial Information

Name of Responsible Party*

First Middle Last

Phone Number*

Address*

Street Address City State ZIP Code

Email Address*

Employer*

Occupation*

Adjusted Gross Income From Federal Tax Return*

Number of Dependents*

Number of People in Your Household*

Did you claim the scholar on your most recent tax return?*

If no, please provide the name and the relation to the scholar of the adult that claimed the scholar on their most recent income tax returns.

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

Has your scholar ever received a scholarship through the Alabama Accountability Act?*

If yes, please list the name of the organization along with the year(s) the scholar received a scholarship.

Are you currently receiving any monthly government or private financial assistance?*

If yes, please list the organization(s) providing support along with the amount of support received.

Scholar Race/Ethnicity

Ethnicity*

Race*

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Contact Us

Valiant Cross Academy
301 Dexter Avenue
Montgomery, AL 36104

(334) 694-9200

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Request Information

Scholar's Information

Parent / Guardian Information

Scholar’s Medical Information

Parent Questionnaire

Financial Information

Scholar Race/Ethnicity

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5th Annual Breakfast with the Scholars Fundraiser