Student Referral Program

For every student you refer for the 2026-2027 school year, you receive a $100 Visa gift card- NO LIMIT!

*Gift cards will be disbursed September 2026.

Conditions:

*Must be enrolled at JCA

Your student and the referred student must be accepted and enrolled at JCA for Fall 2026.

*Must apply for ESA

Your student and the referred student must apply for the State of Iowa ESA and allocate their fund to Joshua Christian Academy for the Fall of 2026.

Referral Program Submission

Indicate your relation to JCA(Required)

JCA Staff/Teacher

JCA Family

Personal Information

Please fill this section out about yourself.

Your Name(Required)

First

Last

Campus you primarily work at(Required)

Phone(Required)

Email(Required)

Personal Information

Please fill this section out about your family.

Parent/Guardian Name(Required)

First

Last

Parent/Guardian Name

First

Last

Student Name(Required)

First

Last

Campus Your Student Attends(Required)

Student Referred Information

Parent Guardian Referred Name(Required)

First

Last

Parent Guardian Referred Name

First

Last

Phone(Required)

Email(Required)

Student Name(Required)

First

Last

Relation to Student(Required)

Signature(Required)

Student Referral Program

For every student you refer for the 2026-2027 school year, you receive a $100 Visa gift card- NO LIMIT!

Conditions:

Referral Program Submission

Personal Information

Personal Information

Student Referred Information

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