Bass Memorial Academy

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Summer Work Application

If you would like to work for Graduation, Campmeeting, the summer, or any combination of these, please fill out the application below ASAP!
First Name*

Last Name*

What methods may we use to contact you?*

Phone

Email

Phone*

Email*

Indicate your age as of May 20.*

Under 16

16 or Older

Indicate the date you will turn 16.*

Indicate when you are wanting to work.*

Camp Pitch and Campmeeting (May 20 – June 2)

Summer Work Program (June 2 – July 10)

Both Terms (May 20 – July 10)

Indicate all of the jobs you are willing to work (May 20 – June 2)*

Cafeteria

Dorm

Grounds

Nursing Home

Indicate all of the jobs you are willing to work (June 2-July 10)*

Cafeteria

Grounds/Garden

Nursing Home

Blueberries

Please list any circumstances we should be aware of with respect to your involvement in the summer work program.
Student Re-application
Download the following PDF form for submission with the application.
(requires adobe acrobat reader on a mac or PC or a fillable PDF app on a tablet or smartphone)
Consent to Treat (click here)

Returning Student Application 2013-2014
This form is only for students who have been enrolled at Bass Memorial Academy previously. New students need to fill out the New Student Application.
Student's First Name*

Student's Last Name*

All of the contact information from my INOW account is accurate.*

Yes

No

This includes mailing address, home#, work#, cell#, and email for you or your parents/guardians.

Information has changed for the following people:*

Student

Father/Guardian

Mother/Guardian

Living Arrangments*

Student lives with parent(s)/guardian(s) at the same address.

Father/guardian lives at a different address than the student.

Mother/guardian lives at a different address than the student.

Select all of the following that have changed:*

Student’s Mailing Address

Student’s Home Phone Number

Student’s Cell Number

Student’s Non-BMA Email Address

Father/Guardian’s Mailing Address

Father/Guardian’s Home Phone Number

Father/Guardian’s Work Phone Number

Father/Guardian’s Cell Phone Number

Father/Guardian’s Email Address

Mother/Guardian’s Mailing Address

Mother/Guardian’s Home Phone Number

Mother/Guardian’s Work Phone Number

Mother/Guardian’s Cell Phone Number

Mother/Guardian’s Email Address

Student's Mailing Address*
Street AddressCity

StateZip Code

Student's Home Phone*

Student's Cell Phone*

Student's Non-BMA Email*

Father/Guardian's First and Last Name*

Father/Guardian's Mailing Address*
Street AddressCity

StateZip Code

Father/Guardian's Home Phone*

Father/Guardian's Work Phone*

Father/Guardian's Cell Phone*

Father/Guardian's Email*

Mother/Guardian's First and Last Name*

Mother/Guardian's Mailing Address*
Street AddressCity

StateZip Code

Mother/Guardian's Home Phone*

Mother/Guardian's Work Phone*

Mother/Guardian's Cell Phone*

Mother/Guardian's Email*

Have there been any changes in the student's medical insurance information the school has on file from previous enrollment?*

Yes, there have been changes.

No, there have not been any changes.

Front of Insurance Card

If you can scan or take a picture of the front of your insurance card, you can attach the image here. If not, we will need a copy of the updated card before we can re-enroll.

Back of Insurance Card

Attach the file containing an image of the back of the insurance card here.

Will you be applying for financial assistance?*

Yes

No

Have you ever received financial assistance from Bass?*

Yes

No

How much financial assistance have you received monthly?*

Please describe any financial circumstances that we should know about that won't be reflected in your federal tax returns.

Copy of your federal tax return listing your adjusted gross annual income.

If you don’t have a digital copy, you can mail or fax to the school (888) 557-1815. Re-applications cannot be processed for financial assistance without this document.

Consent to Treat Form for 2013-2014

If you have signed the consent to treat form, you can attach a digital copy here. If unable to do so, you can mail or fax it to the school (888) 557-1815.
Application
2013-2014 Application (click here)

To complete online, you must fill out in one sitting. Please allow enough time to complete.
Once your application has been submitted, you may be asked to submit additional documentation.

PDF Version Coming Soon!

Bass Memorial Academy
Admissions
6433 US Hwy 11
Lumberton, MS 39455
Fax (888) 557-1815
Transcript Request
Transcript Request Form
Please fill out the following form and allow up to a week to process. If you need it earlier, please contact the school after you have completed this form to see if a rush delivery is possible.
(601) 794-8561
admin@bassmemorialacademy.org
Name*
FirstLast

Please list your first and last name at the time of your graduation.

When do you need this competed by?*

This is not a guarantee, but it helps us manage our priorities. If if is an emergency, fill out this form and then call the office.

Years you attended BMA*

To the best of your knowledge, is your account current?*

Yes

No

I don’t know

We are not able to release transcript records for accounts that are not current. If your account is not current, we will notify you of your balance when this request is submitted.

Name of the institution to send the transcript request*

How should we send your transcript?*

Mailed

Faxed

Please select all that apply.

Institution Address*
Street AddressAddress Line 2City

StateZip Code

Institution Fax Number*

How many printed copies do you need sent to the institution?*

What is the best number where you can be reached?*

In case there are any issues with the transcript or the account.

Please provide your email address as an additional method of contact.

Please provide any additional instructions we may need.
Request Information
Information Request Form
Please fill out the following form and we will be in touch with you.
Name*
FirstLast

Address*
Street AddressCity

StateZip Code

Methods of Phone Contact*

Home Phone

Personal Cell Phone

Parent Cell Phone

Select only those that apply.

Home Phone*

Personal Cell Phone*

Parent Cell Phone*

Email

Please provide if available.

Preferred Method of Contact*

Email

Phone

Regular Mail

Are you a US Resident?*

Yes

No

What is your current grade in school?*

7th

8th

9th

10th

11th

What type of school do you currently attend?*

SDA School

Public School

Christian School

Private School

Homeschool

If you are a Seventh-day Adventist, please provide the name of your local church and pastor.

Please check all that apply.*

I would like more information about Bass Memorial Academy

I am interested in visiting the school for a campus tour

I would like to apply

Please take a moment to tell us how you heard about us.
Student Handbook

2012-2013 Student Handbook

This handbook represents the combined prayers, discussion, and experience of our faculty and staff. It is our hope that this handbook will help us to deliver the kind of education our Lord has commissioned us to provide.

The final version of this handbook will be available at the beginning of school. All major changes have been made and only a final editing needs to be done. Please look through the handbook and feel free to ask any questions you may have.

Student Handbook (click here)

FAQ’s about the policies found in our handbook (click here)

Reader

Summer Work Application

Student Re-application

Returning Student Application 2013-2014

Application

2013-2014 Application (click here)

Transcript Request

Transcript Request Form

Request Information

Information Request Form

Student Handbook

2012-2013 Student Handbook

6433 US Highway 11 Lumberton, MS 39455 • (601-794-8561) • (Fax 888-557-1815)