Eugene Christian Student Interest Form

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Thank you for your interest in Eugene Christian School!

Please fill out this brief form and we will be in touch with additional information, and we'll do our best to answer any questions you might have about ECS. For immediate information regarding tuition and programming, please visit our Admissions page at eugenechristianschool.com/admissions.

If you have multiple children, please fill out this form for your oldest prospective student and add the others in the notes section.

If you have any difficulties in filling out this interest form, please contact the ECS office by e-mail or phone.

admissions@eugenechristianschool.com

(541) 686-9145

All of God's grace,

Eugene Christian School Staff
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Student Name* This field is required.
First Name
Last Name
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Student Gender* This field is required.
Male
Female
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Grade Level* This field is required.Grade for interested school year
PreK3
Prek4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Select a level
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Student Date of Birth* This field is required.
Date
Year
Month
Day
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School Year of Interest* This field is required.
2023-2024 (Start Sept. 2023)
2024-2025 (Start Sept. 2024)
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Parent / Guardian Name * This field is required.You may include both parent first names in the first name field.
First Name
Last Name
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Parent Phone* This field is required.
Area Code
Phone Number
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E-mail Address* This field is required.
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Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Most recent school child has attended* This field is required.
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Eugene Christian School is a discipleship model school - we believe parents and students must be in fellowship with a Bible believing church that aligns with our statement of faith. Furthermore, parents who desire to enroll their children at ECS will express their primary motive for enrollment as continuing the Christian training that has begun in the home. Do you have a home church? * This field is required.
YESNO
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If answered yes on previous question, please list the name of the church you attend.
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If answered no on previous question, please explain why you answered that way.
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How did you hear about Eugene Christian School?* This field is required.
Internet search
Social media
Family or friend
Co-worker
ECS staff member
Other
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Take a tour of Eugene Christian SchoolTours are being scheduled on a rolling basis. Indicate a few days and times that will work for you!
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Additional informationQuestions or comments? Additional students? List them here!
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