Crean Lutheran Academy Application

Crean Lutheran Academy Application

I have no greater joy than this, to hear of my children walking in the truth. 3 John 1:4
Applicant Information

Thank you For your interest in Crean Lutheran Academy!
Student Name

First NameMiddle NameLast NameSuffix
Gender
Birth Date
MM/DD/YYYY
Student's Personal Email
Student Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Race/Ethnicity

Other
Educational Background
NOTE: Crean Lutheran Academy is a High School Preparatory year. Your student must complete 8th grade before enrolling. Please put your students anticipated date of completion for 8th grade.
Ex. Graduation, May 31, 2025
Name of Student's Current School
The above school should be the school where student is transitioning to Crean Lutheran from.
Current School's Website Address
Please list all the schools (K-8) the student has attended, what grade (K-8) they attended for each, and the corresponding city and state each school was located in:
EX: Crean Lutheran Academy, High School Preparatory Year, Irvine, CA
Household Information
Primary Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Home Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian in Primary Household (This is the applicants primary parent)

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Student
Does the applicant live with this parent?
Is this parent financially responsible for the applicant?
Primary Email Address. This is the email address all information will be sent to (please list one email).
Parent Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status
Company/Job Title
If Home Parent, Not Employed, or Retired please note that here.
Parent/Guardian in Primary Household

PrefixFirst NameMiddle NameLast NameSuffix
Relationship to Student
Does the applicant live with this parent?
Is this parent financially responsible for the applicant?
Email Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status
Company/Job Title
If Home Parent, Not Employed, or Retired please note that here.
Does the student have any documented learning challenges or disabilities?
Does the student have any documented medical needs?
If 'Yes' to either of the above questions please indicate here, if not applicable put "N/A".
What is the name of the students home church?
If you do not have a home church please put that or indicate if you would like help finding a church.
Has your student been baptized?
Please share the most significant activities your student participates in either inside or outside of school.

Please include the following: Activity Title, Grade Levels of Participation, Description of Activity/Award.
Examples: Club Basketball Player, 5th-8th grade, Flames Basketball Club, 3 years as point guard - Leading scorer on the team in 2024. Ren McCormack in Footloose - 6th-8th grade, Lead in the school musical March 2024, have been cast in 3 musicals and part of the crew for one Boy Scouts of America - 4th-8th grade, in Scouts for over 5 years and have earned 15 merit badges.
Would you like to release the right for Crean Lutheran to request records on your students behalf?
Please provide the email address for your student's most recent Math teacher that they had for a full semester.
NOTE: Cannot be someone in your immediate family.
Please provide the email address for someone that can give a character reference on your student.
NOTE: Cannot be someone in your immediate family.
Parent/Guardian Signature: I hereby certify that the above statements are true and correct to the best of my knowledge

Final Step!

Application Fee

*Non-Refundable

$60.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Crean Lutheran Academy Application

Applicant Information

Educational Background

Household Information

Please share the most significant activities your student participates in either inside or outside of school.

Final Step!*

Final Step!