International Student Application Form

International Student Application Form

Please complete this admission form by printing neatly or typing below. Return the form with the $1,000 USD registration fee to Living Word Lutheran High School. Registration fees are non-refundable unless the student is not accepted for enrollment (80% or $800 USD refundable if not accepted). Registration fee will be applied to tuition at the time of acceptance.
Student Name*

First NameLast Name
Student Email*
example@example.com
Student Cell Phone Number*
Date of Birth*

DayMonthYear
Gender*

MaleFemale
Country of Birth*
Language(s) spoken at home*
International Address (from home country)*

Street Address

Street Address Line 2

CityState / Country

Postal / Zip Code
US Address

Street Address

Street Address Line 2

CityUS State

Postal / Zip Code
Do you suffer from any medical condition/disability that may affect your studies?

YesNo
If yes, please specify from the following

HearingLearningMobilityVisualMedicalOther
Other, Please specify
Upload current academic transcript or report card

Cancelof
Name of Education Recruiter
Student Interest Survey

Check all that apply
Athletics

BaseballBasketballDanceFootballGolfSoccerTrack & FieldCross CountryVolleyball
Student Interest Survey

Student CouncilBandChoirDrama/Theater
Parent/Guardian Details
Parent / Guardian Name*

First NameLast Name
Relationship*
Parent Cell Number
Parent Email*
example@example.com
2nd Parent/Guardian Details (if applicable)

Complete this section if there is another adult / parent / guardian that would like to receive correspondence from our school.
2nd Parent / Guardian Name*

First NameLast Name
Relationship*
2nd Parent Cell Number
2nd Parent Email*
example@example.com
Other comments?
Should be Empty:

International Student Application Form

Student Interest Survey

Parent/Guardian Details

2nd Parent/Guardian Details (if applicable)