Online Application For Admission Application For Admission Name* First Middle Last Please upload a current photo of the student.Accepted file types: jpeg, pdf, png, jpg, jpg, jpeg.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home phone*Mother's phone (work or cell)*Father's phone (work or cell)*Father's email address* Mother's email address* Best way to contact*Mother's email addressFather's email addressMother's phone numberFather's phone numberStudent gender*MaleFemaleDate of birth* Date Format: MM slash DD slash YYYY Applying for school year beginning August*2021202220232024What grade will the student be entering in that year?*Fourth gradeFifth gradeSixth gradeSeventh gradeEighth gradeNinth gradeTenth gradeEleventh gradeTwelfth gradeStudent's current school*Student's current grade*Not school age yetKindergartenFirst gradeSecond gradeThird gradeFourth gradeFifth gradeSixth gradeSeventh gradeEighth gradeNinth gradeTenth gradeEleventh gradeTwelfth gradeEstimated grade average in English at current school*A, B, C, etc.Estimated grade average in math at current school*A, B, C, etc.Current math course*Pre-Algebra, Geometry, etc.Previous schools attended and dates*If student has not attended any other schools, please type "NA"Family's religious affiliation*Father's name* First Middle Last Father a veteran?*YesNoWhat military branch?*Air ForceArmyMarinesNavyCoast GuardNoneFather's profession and place of employment*Father's educationPlease include the name of institution, degree, and year completed. Please enter "NA" if there was no higher education.Mother's name* First Middle Last Mother a veteran?*YesNoWhat Military Branch?*Air ForceArmyMarinesNavyCoast GuardNoneMother's profession and place of employmentMother's educationPlease include the name of institution, degree and year completed. Please enter "NA" if there was no higher education.Does the student have brothers or sisters?*YesNoStudent's brothers and sisters*Please include their ages and the schools they attend. If there are no siblings, please type "NA."Student's special Interests and hobbies*Student's favorite book*Student's favorite subject in school*Student's preferred sports or outdoor activities*Soccer, hiking, etc.Student's awards and honors*Has the applicant ever had any educational or psychological testing?*YesNoPlease explain the circumstances and type of testing.*If there was none, please type "NA."Has the applicant ever been suspended, expelled, or asked to withdraw from school?*YesNoPlease explain the circumstances surrounding this event.*If there were no events, please type "NA"Please describe any family, health, or learning concerns of which Chelsea Academy should be aware.*If there are none, please type "NA."How did you hear about Chelsea Academy?*Parent's signature*By entering my name in the blank above, I acknowledge this as my official online signature.Today's date* Date Format: MM slash DD slash YYYY Describe your child’s particular strengths, weaknesses, and educational background; your hopes for your child; and your reasons for applying to Chelsea Academy. Parent's statementOr upload one below Upload parent's statementAccepted file types: pdf, doc, docx, jpg, png, jpeg.Applicant’s essay: (1) Describe a person whom you admire and explain why, or (2) describe an achievement or obstacle that you overcame and explain what you learned from the experience. Your essay should be handwritten on a separate sheet of lined paper, and it should not exceed 300 words. Upload student's essayAccepted file types: doc, docx, pdf, jpg, jpeg, .Or submit to [email protected]Non-refundable application fee*Non-refundable application fee for Chelsea AcademyI understand and agree that this fee is non-refundable and represents my agreement to process this payment through the means I will specify below.Total $0.00 Payment options*I'd like to pay with my credit card.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Chelsea Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs. Acknowledgement* I understand that Chelsea Academy is an independent Catholic school in Virginia, USA, and is NOT affiliated with Chelsea Football Club.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.