Student Online Application – Cairo Covenant School

Student Full Name *

Email *

Birthdate *

Anticipated Grade *

Country *

Gender *

Father’s Full Name *

Mother’s Full Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Parent Email 1 *

First Phone Number *

Name of church you regularly attend *

Parent Email 2 *

Second Phone Number *

How did you hear about CCS? *

If your child is already in another school what is the reason for seeking a different school? *

Name of Employer

Employer Category

Does your employer offer any subsidization for your child’s tuition?

Phone