Student Application Form

Welcome to Cypress Hybrid Academy!

We are delighted at the prospect of welcoming your family into our community. At Cypress Hybrid Academy, our vision is to cultivate a nurturing environment where students are empowered to grow academically, spiritually, and personally, preparing them to thrive as lifelong learners and compassionate members of society.

Application Process

When you’re ready to begin the application process, simply complete the form below. Families applying for multiple children only need to fill out one form—just select the number of children you’re applying for, and the form will automatically adjust to include everything you need.

A non-refundable enrollment fee of $25 per child is due with each application. Families applying for more than one child will only pay for up to two children (maximum $50), and the fee is waived for any additional siblings.

Important Date Requirements:

At Cypress Hybrid Academy, we want each child to be developmentally ready to thrive and delight in learning. For this reason, students must meet the age requirement for their grade level by August 1st.

For example, children must be 4 years old by August 1st, 2026 to enter the Saplings program (JrK/Kindergarten) for the 2026 school year.

Family Interview

To ensure alignment with Cypress Hybrid Academy’s mission, vision, and values, all prospective parents and guardians are invited to participate in a family interview. This meeting provides a meaningful opportunity to share more about our approach to classical, Christ-centered education and to answer any questions you may have about our community.

As part of the application process, parents and guardians will also be asked to read and sign Cypress Hybrid Academy’s Statement of Faith and Family Covenant, affirming their partnership with us in nurturing students toward truth, goodness, and beauty.

Equal Opportunity Statement

Cypress Hybrid Academy values diversity and does not discriminate on the basis of race, color, national origin, gender, age, disability, or other protected characteristics. Our goal is to offer equal opportunity for all qualified applicants, with decisions made based on the best interests of the student and alignment with our school's mission. With that said, the academy reserves the right to accept or deny any applicant, at its sole discretion, in order to preserve the mission and values of our community.
Student Application Form
How many children will you be applying for? *
If more than 4, please start a new application for the remainder of applicants. We will refund your enrollment fee.
First Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Age on August 1st 2026*
Grade Applying for*

Saplings Year 1 (Jr K)Saplings Year 2 (K)Little Oaks (1st-2nd)Cedar (3rd-4th)Cypress (5th-6th)
Second Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Age on August 1st 2026*
Grade Applying for*

Saplings Year 1 (Jr K)Saplings Year 2 (K)Little Oaks (1st-2nd)Cedar (3rd-4th)Cypress (5th-6th)
Third Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Age on August 1st 2026*
Grade Applying for*

Saplings Year 1 (Jr K)Saplings Year 2 (K)Little Oaks (1st-2nd)Cedar (3rd-4th)Cypress (5th-6th)
Fourth Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Age on August 1st 2026*
Grade Applying for*

Saplings Year 1 (Jr K)Saplings Year 2 (K)Little Oaks (1st-2nd)Cedar (3rd-4th)Cypress (5th-6th)
Parent/Guardian's Information
Parent/Guardian's Name - Primary*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person*

First NameLast Name
Emergency Phone Number*
Please enter a valid phone number.
Health History
Does the child or do any of the children have any allergies, please list them down below:*
*List allergies by child’s name (e.g., Ava – eggs, Noah – none).
Does the child or do any of the children currently take any medications? If yes, please list them below:*
*List medications by child’s name (e.g., Ava – EpiPen, Noah – none).
Has the child or any of the children been previously hospitalized or undergone any surgery in the past?
List hospitalizations/surgeries by child’s name (e.g., Anne– broken arm, 2023; William– none).
Does the child or any of the children have any medical conditions that you would like to declare?
List medical conditions by child’s name (e.g., Sophia– asthma, 2023; Liam– none).
Student Information
First Child

First NameLast Name
Describe your child to us. Please comment on your child’s personality, interests, and favorite activities apart from school.
Describe your child’s academic interests, school habits, and work ethic.
Has your child ever been tested for a learning difference or been placed on an Individual Educational Plan (IEP)? *

YesNo
If yes, please specify the type and/or purpose.
Is there anything else of which we should be aware to help us know your child better?
Second Child Information

First NameLast Name
Describe your child to us. Please comment on your child’s personality, interests, and favorite activities apart from school.
Describe your child’s academic interests, school habits, and work ethic.
Has your child ever been tested for a learning difference or been placed on an Individual Educational Plan (IEP)? *

YesNo
If yes, please specify the type and/or purpose.
Is there anything else of which we should be aware to help us know your child better?
Third Child Information

First NameLast Name
Describe your child to us. Please comment on your child’s personality, interests, and favorite activities apart from school.
Describe your child’s academic interests, school habits, and work ethic.
Has your child ever been tested for a learning difference or been placed on an Individual Educational Plan (IEP)? *

YesNo
If yes, please specify the type and/or purpose.
Is there anything else of which we should be aware to help us know your child better?
Fourth Child Information

First NameLast Name
Describe your child to us. Please comment on your child’s personality, interests, and favorite activities apart from school.
Describe your child’s academic interests, school habits, and work ethic.
Has your child ever been tested for a learning difference or been placed on an Individual Educational Plan (IEP)? *

YesNo
If yes, please specify the type and/or purpose.
Is there anything else of which we should be aware to help us know your child better?
Faith
Please include the name of your Church. Are you a member? List name(s) of Pastor(s).
In order to fulfill the mission of Cypress Hybrid Academy, it is essential that at least one parent or guardian be a professing Christian. In the space below, please describe your belief in and relationship with Jesus Christ.
Parent Questionnaire
Describe your homeschool experience. Have you homeschooled your children before? If so, how many years have you been homeschooling? What barriers have you encountered or do you anticipate encountering if this is the beginning of your homeschool journey?
In your own words, describe how you see Cypress coming alongside of you in your homeschool journey.
Please describe your primary reasons for seeking admission for your child to Cypress Hybrid Academy. Which of these reasons is most important to you and why?
Cypress Hybrid Academy is distinct in its adherence to a Christ-centered classical model of education. What is your understanding of Classical Christian education?
Please Review our Statement of Faith below
Reminders
Cypress Hybrid Academy Covenant

As a covenant school, Cypress Hybrid Academy endeavors to partner with Christian families in the education of their children. The CHA Covenant outlines the blessings in this agreement. We invite the believing parents, parent, or guardian to enter into this covenantal agreement by signing below.

The School and Parents covenant together in the following ways:
1. We covenant to live out our Christian life and witness. Therefore we will endeavor to
• pray earnestly for one another, the school, and families.
• worship at a Christian church regularly so as to be fully devoted to God.
• build a strong Christian community by encouraging others and resolving conflict biblically through respectful and honest
conversations with those involved.

2. We covenant to support the school as a “light on a hill” in the Wayne County area. Therefore we will
• seek to serve others within the life of the school through volunteering.
• uphold the name of CHA, bearing a Christian witness both inside and outside the community through thought, word, and deed.
INTERVIEW. The school administrators will conduct a family interview as the last step prior to admission. You will schedule an interview date and time at the end of this form after the enrollment fee has been paid.
Parent/Guardian Signature*

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Family Interview Instructions
Family interviews will take place at Oaks Church, 1859 Burbank Rd, Wooster, OH 44691. This is the location of Cypress Hybrid Academy. We perform interviews on Tuesday, Thursday and Friday from 10AM-2PM. Plan for an interview to last 45 minutes to 1 hour. We will discuss your application and provide a brief tour and discuss next steps in your enrollment. Please take the time to select a date and time that works best for you and your family. It is preferred that both parents/guardians and students enrolling attend the interview. We look forward to meeting your family!
Family Interview

Non-refundable Enrollment Fee*

Non-refundable FeePlease select the quantity for the amount of children you have applied for in the above application.

$25.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Should be Empty:

Student Application Form

Parent/Guardian's Information

Health History

Student Information

Faith

Parent Questionnaire

Reminders

Payment Methods