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 Name
Middle Name
Last Name
Suffix
Gender
*
Female
Male
Birth Date
*
MM/DD/YYYY
Student's Personal Email
*
Student Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Race/Ethnicity
*
American Indian or Alaskan Native
Asian or Asian American
Black or African American
Hawaiian or Other Pacific Islander
Hispanic or Latino
Non-Hispanic White
Choose Not To Specify
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:
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EX: Crean Lutheran Academy, High School Preparatory Year, Irvine, CA
Household Information
Primary Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Home Address (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian in Primary Household (This is the applicants primary parent)
*
Mr.
Mrs.
Dr.
Prefix
First Name
Middle Name
Last Name
Suffix
Relationship to Student
*
Please Select
Father
Mother
Stepfather
Stepmother
Grandparent
Guardian
Does the applicant live with this parent?
*
Yes
No
Is this parent financially responsible for the applicant?
*
Yes
No
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
*
Please Select
Employed
Self-Employed
Student
Home Parent
Not Employed
Retired
Company/Job Title
If Home Parent, Not Employed, or Retired please note that here.
Parent/Guardian in Primary Household
Mr.
Mrs.
Dr.
Prefix
First Name
Middle Name
Last Name
Suffix
Relationship to Student
Please Select
Father
Mother
Stepfather
Stepmother
Grandparent
Guardian
Does the applicant live with this parent?
Yes
No
Is this parent financially responsible for the applicant?
Yes
No
Email Address
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employment Status
Please Select
Employed
Self-Employed
Student
Home Parent
Not Employed
Retired
Company/Job Title
If Home Parent, Not Employed, or Retired please note that here.
Does the student have any documented learning challenges or disabilities?
*
Yes
No
Does the student have any documented medical needs?
*
Yes
No
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?
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Yes
No
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?
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Yes
No
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!
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Application Fee
*Non-Refundable
$
60.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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