Counsel Credit Form – BaSix Knowledge Academy

2024 SUMMER ENROLLMENT APPLICATION - This form should be completed by Parent or Guardian. TRANSFER OF CREDITS ONLY! (If you are desiring to enroll as a BaSix FULL TIME student, do not complete this form. Complete our Year - Round Enrollment Application under the Admissions tab)

Transient Student's First Name *

Last Name *

Date of Birth

Student Personal Email (Do Not Use School Email) *

Parent's Email *

Student's Mailing Address *

Student's Mailing Address

City

State/Province

Zip/Postal

Current Transient Student's School Enrollment & Contact

Transient Student's Cell Phone: *

Parent's Cell Phone: *

Current School Name for 2024 *

School Address

City

State/Province

Zip/Postal

Suggested Course Names & Units (Units should be in a 1/2 or 1 whole format. Example Algebra I part A and B would be 1 whole unit needed. Just Part A, would be a 1/2. YOU CAN TAKE 2 FULL CREDITS TO TRANSFER BACK TO YOUR SCHOOL!

(See basixknowledge.com for list of courses offered. Click courses tab at top of site) All core courses will count (.5) in units and electives are(1) full unit.

Course

Unit

Course

Unit

Course

Unit

Course

Unit

Counselor’s Name:

Desired Division

Desired Division (Choose from Drop-Down Menu Below)

Which Quarter Do You Desire to Attend?

Tuition -- with Teachers

Tuition -- Online Academy (Without Instruction)

PAYMENT AGREEMENT ---- (I AGREE TO BEING BILLED/CHARGED FOR ATTENDING BASIX KNOWLEDGE ACADEMY. I UNDERSTAND THEIR IS A NO REFUND POLICY FOR ANY MEANS OTHER THAN IN THE FORM OF SERVICES RENDERED. I ALSO AGREE THAT A LATE FEE/DECLINE FEE OF $50 WILL BE ASSESSED AND MY CHILD'S ACCOUNT MAY BE LOCKED UNTIL PAYMENT IS CLEARED.

I AGREE AND DESIRE TO PAY THE TUITION IN FULL WITHOUT ANY FEES ADDED.

I AGREE, BUT I NEED TO DIVIDE THE TUITION INTO 2 EQUAL PAYMENTS WITH A $25 FEE ADDED TO EACH PAYMENT. (ONLY ALLOWED ON PAYMENTS OF $500 OR MORE) FIRST HALF AND $25 FEE WILL BE MADE TODAY! MY SECOND PAYMENT WILL RUN 3 WEEKS AUTOMATICALLY FROM THE DATE OF THE START OF THE QUARTER. A LATE FEE OF $50 WILL BE ADDED TO MY ACCOUNT FOR DECLINE PAYMENTS AFTER THE DUE DATE.

Credit/Debit Card Payment Information-- (Payment will be run by our office within 24 hours of receiving application)

Credit Card Number

Expiration Date

CVV

Billing Address

City

State/Province

Zip/Postal

Country

POLICIES: YOU MUST CHECK ALL BOXES!

I am a Summer Student ONLY taking credits at BaSix Knowledge Academy. I am not enrolled as a student of BaSix Knowledge Academy but considered a student of the school listed on this application.

Any EOCT TESTS THAT MAY BE GIVEN FOR COURSES I TAKE ARE MY RESPONSIBILITY. I MUST CHECK WITH MY HOME SCHOOL REGARDING THESE DATES. BASIX IS NOT RESPONSIBLE FOR RELAYING OR MEETING THESE DATES AND DEADLINES FOR ME.

BASIX KNOWLEDGE ACADEMY IS A 26+ YEAR, GEORGIA PRIVATE HIGH SCHOOL. ALL DECISIONS ARE THE SOLE RESPONSIBILITY OF THE PRESIDENT AND/OR THE BOARD OF DIRECTORS.

I MUST BE ABLE TO SUCCESSFULLY WORK AND MEET ALL ACADEMIC DEADLINES. I MUST HAVE ACCESS TO A COMPUTER AND STABLE INTERNET CONNECTION TO BE SUCCESSFUL.

BASIX KNOWLEDGE IS NOT NCAA APPROVED FOR COURSES TO RECEIVE COLLEGE CREDIT FOR ATHLETES.

I UNDERSTAND IF I CHOOSE TO ATTEND WITHOUT INSTRUCTORS, I AM RESPONSIBLE FOR ENSURING ALL ASSIGNMENTS ARE TURNED IN BASED ON THE SCHEDULE GIVEN TO ME. I ALSO UNDERSTAND I AM NOT ALLOWED RETAKES ON ASSIGNMENTS. I MUST DO MY BEST THE FIRST TIME! IF I CHOOSE TO ATTEND THE DIVISION THAT ATTENDS VIRTUAL CLASS (3 DAYS A WEEK) I CANNOT MISS MORE THAN 3 CLASSES AND I MUST LOG IN DURING THE FIRST 10 MINUTES TO BE COUNTED PRESENT. I MUST ALSO SHOW MY FACE ON CAMERA AND BE SITTING IN A QUIET AREA.

ALL PAYMENTS ARE FINAL. IF PAYMENT ARRANGEMENTS ARE DESIRED, THERE IS A $25 FEE ADDED. FINALS ARE NOT GIVEN TO STUDENTS WITH BALANCES. REFUNDS ARE NOT OFFERED FOR ANY REASON, IF A CREDIT IS THE STUDENT'S ACCOUNT, IT CAN ONLY BE USED FOR BASIX EDUCATIONAL TUITION PURPOSES. ALL NSF AND LATE FEES ARE THE RESPONSIBILITY OF THE CARD HOLDER. ACCOUNT HOLDER IS ALSO AGREEING NOT TO CANCEL OR DISPUTE PAYMENTS ONCE APPROVED.

I UNDERSTAND THAT MY BEHAVIOR WHILE IN ATTENDANCE MUST REMAIN RESPECTFUL OF OTHERS, MYSELF AND MY COMMUNITY. I AM NOT ALLOWED TO POST ONLINE ON ANY SOCIAL MEDIA OUTLET ANYTHING NEGATIVE REGARDING FELLOW STUDENTS, STAFF OR THE MISSION OF BASIX KNOWLEDGE ACADEMY. I AM NOT ALLOWED TO TAKE PICTURES ADDITIONALLY AND POST FOR ANY REASON. ALL WILL BE GROUNDS FOR IMMEDIATE DISMISSAL. BASIX HAS A "NO BULLYING" ENVIRONMENT; THEREFORE, MY COMMUNICATION WITH OTHERS MUST BE RESPECTFUL IN ALL FORMS.

Student Signature: Student is signing and agreeing to do their BEST and to not procrastinate and waste time or money! Student is agreeing to have access to a laptop or tablet and a stable internet connection and quiet environment to study daily! Student is committing to completing assignments on time and to communicate when help is needed. Student takes responsibility for his/her actions and grades!

Clear

Parent Signature--YOUR ID IS REQUIRED. BEFORE SUBMITTING, PLEASE STOP NOW AND EMAIL A PICTURE OF YOUR ID TO RECORDS.BASIX@GMAIL.COM TO COMPLETE YOUR ENROLLMENT. THE ID MUST BE OF THE PARENT/GUARDIAN FOR STUDENT (UNDER 18).

BaSix Knowledge Academy is not held liable if courses above are not verified by Parent with Counselor. Furthermore, as the parent/guardian you are agreeing to and giving BaSix Knowledge Academy permission to administer courses above and to hold harmless BaSix Knowledge Academy and its staff from all liabilities. You are also agreeing to our no-refund policy other than in the form of services. Chargebacks and declines and late payments will be the responsibility of Parent. Student's accounts may be locked due to late payments. Final exams are not permitted to students with final balances at the end of the quarter.

Parent's Signature *

Clear

CREDIT FORM

2024 SUMMER ENROLLMENT APPLICATION - This form should be completed by Parent or Guardian. TRANSFER OF CREDITS ONLY! (If you are desiring to enroll as a BaSix FULL TIME student, do not complete this form. Complete our Year - Round Enrollment Application under the Admissions tab)

Current Transient Student's School Enrollment & Contact

Suggested Course Names & Units (Units should be in a 1/2 or 1 whole format. Example Algebra I part A and B would be 1 whole unit needed. Just Part A, would be a 1/2. YOU CAN TAKE 2 FULL CREDITS TO TRANSFER BACK TO YOUR SCHOOL!

Desired Division

Credit/Debit Card Payment Information-- (Payment will be run by our office within 24 hours of receiving application)

Parent Signature--YOUR ID IS REQUIRED. BEFORE SUBMITTING, PLEASE STOP NOW AND EMAIL A PICTURE OF YOUR ID TO RECORDS.BASIX@GMAIL.COM TO COMPLETE YOUR ENROLLMENT. THE ID MUST BE OF THE PARENT/GUARDIAN FOR STUDENT (UNDER 18).

Schedule a virtual appointment to speaker with an administrator regarding enrolling.

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