Searchlight Virtual School Enrollment Application: School of Christian Formation

Student Information

Date of Enrollment*

Name*

First Last

Address*

Street Address City State ZIP Code

Primary Telephone*

Cell Phone (if different from primary)

Email*

(Arch) Diocese*

Reason for Enrollment*

Name of Parish*

Name of School*

Position*

Explain*

Select from the Following Categories and Provide the Requested Information

For those in the Diocese of Palm Beach, more than one selection may apply. For those in a diocese other than the Diocese of Palm Beach, go directly to #4.

1. I am an employee or volunteer in a Parish in the Diocese of Palm Beach. I am seeking Advanced Catechist Certification.

Yes
No

Parish*

Please provide the name of the parish and year in which you received both the Basic and the Intermediate Catechist Certifications. This information will be confirmed by the Diocese of Palm Beach.

Year*

2. I am working in a Catholic School in the Diocese of Palm Beach. I am seeking Level 2 or Level 3 certification.

Yes
No

I need:*

School*

Please provide the name of the school and year in which you received the Foundation and Level 1 Certifications. This information will be confirmed by the Diocese of Palm Beach.

Year*

School*

Please provide the name of the school and year in which you received the Level 2 Certification. This information will be confirmed by the Diocese of Palm Beach.

Year*

3. I am a member of the Diocese of Palm Beach. I have taken other School of Christian Formation Courses.

Yes
No

Please list the courses for which you already have credit. This information will be confirmed by the Diocese of Palm Beach.*

4. I am a member of a diocese other than the Diocese of Palm Beach.

Yes
No

My diocesan affiliation is:*

Please provide the name of your (Arch) Diocese:*

Pre-Enrollment Checklist

Please read each statement. A check to the left of each item indicates agreement.

I have thoroughly reviewed the Searchlight Virtual School web site.*

Yes

I have read the “SCF School Policies.” I understand my responsibilities as an online student.*

Yes

I have reviewed the “SCF Enrollment Process” page of the web site. I understand that to obtain the online materials needed for each course, I must order each course online through PayPal. I understand that a course fee is non refundable.*

Yes

I have updated my Adobe Acrobat Reader to the most current version.*

Yes

I understand that a $5 Processing Fee is due at the time of enrollment. This fee is paid online through PayPal.*

Yes

CAPTCHA

Please review the information you have provided before submitting your enrollment application. If there are circumstances regarding your enrollment that need personal consideration, please contact Michelle Willis directly. Phone: 772-563-9457 or E-mail: Michelle@SearchlightVS.com.

Name

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