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407.850.2322
Schedule a Tour
About
School At-A-Glance
Academics
Athletics
Arts
Campus & Student Life
Staff
Technology
Admissions
Welcome Packet
Tuition & Financial Aid
Schedule A Tour
Testimonials
Resources
School Forms & Downloads
Calendar & Schedule
From The Headmaster
Prayer Request & Pastor Referrals
RenWeb Portal
RightNow Media
Apply
Donate
Prayer & Referrals
Prayer Requests
Referrals
How can we pray for you?
First Name
Last Name
Email
Your Prayer Request
Submit Form
Referral
Thank you for reaching out! In effort to best support you and/or others, please complete the referral form below. Once completed, your referral will be reviewed and addressed no later than 2 school days from your referral date.
Your First Name
Your Last Name
Email
Are you a student, parent or teacher?
- Select -
I am a student
I am a parent
I am a teacher
Who are you looking for support for?
- Select -
Myself
Another student at CFCA
Both myself and other students at CFCA
What is the best phone number to reach you?
In effort to follow up with this referral, what is the best time to reach you?
Student's First Name
Student's Last Name
Student's Grade
Reason for referral?
Issues with peers
Family Issues that concerns student
In need of Gospel conversation follow up
Abrupt changes with behavior, moods and/or overall appearance that is concerning
In need of a Check In
Questions about God, church, etc.
Other
What is your area of concern?
Behavioral Concerns
Social Concerns
Emotional Concerns
Family Concerns
Spiritual Concerns
Other concerns
Please share the reason you're reaching out, including any additional information you think is important.
Provide a brief narrative in regards to checked reason for referral. Please include approximate date the concern(s) was noticed and what has been done (if anything) to address this concern thus far.
What do you think will help you and/or the other student?
What do you think will help our student?
Please list any staff who may be familiar with your area(s) of concern.
Is the other student aware of the referral?
- Select -
Yes
No
Is your student aware of this referral?
- Select -
Yes
No
Is the parent/guardian aware of this referral?
- Select -
Yes
No
Submit Form
CFCA admits students of any race, color, national & ethnic origins, to all rights, privileges, programs & activities generally accorded to or made to students in the school.
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