Christina Seix Academy

This inquiry form serves as the first step in our admissions process for the 2028 - 2029 school year. It helps us get to know your family and keeps a record of your interest ahead of the application window, which runs September 1 - October 1, 2027.

To be eligible for admission, applicants must:

Live with a single adult demonstrating economic need.
Be turning three years old between July 1, 2027, and June 30, 2028 (date of birth between July 1, 2024, and June 30, 2025).
Reside in the greater Mercer County area.

If your child meets these requirements, we encourage you to complete the form below.

About the Applicant

Name

First

Middle

Last

Suffix

Preferred Name

Date of Birth

mm/dd/yyyy

Gender

Please select the race/ethnicity that best describes your child

If you selected Multi-Racial or Other, please self-identify

Current Grade

n

Current School

Applying for Grade

For the School Year

Does this applicant have any siblings at Christina Seix Academy?

Yes No

If so please list the sibling name(s):

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Gender

Date of Birth

mm/dd/yyyy

Please select the race/ethnicity that best describes you

If you selected Multi-Racial or Other, please self-identify

What is the legal marital status of the student's parent or guardian?

What is the household income?

Contact Information

Email

Primary Phone (xxx-xxx-xxxx)

Type

Number

Mailing Address

Additional Information

How did you hear about Christina Seix Academy?

Please specify

Staff Member

Name of Organization

Contact

Type

Number

Parent at CSA: