Application Form

Valley Lutheran High School

Application for Admission (New Students)
Student Information
Things you will need:
1. Student Information
2. Parent/Guardian Information
3. Student Essay Responses
Name*

First NameLast Name
Applying for Grade*
Academic Year*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Gender*
Student Cell
Student Email
example@example.com

Church Information
Home Church
Denomination
If you are a member of an association church, we will contact your Pastor to confirm your active congregational membership, making your student eligible for a tuition discount.
Pastor Signature

Does your child have documented special learning needs?*
Has your child been involved with any significant school discipline (suspension, expulsion, etc.) within the last two years?*

Student Essay

Student, please answer the following questions, each in less than 200 words.
Why do you want to be educated in this type of academic and spiritual setting?*

0/200
What goals do you have for the school year (educational, spiritual, social, etc.)?*

0/200

Valley Lutheran High School is a Christian educational community centered on God and his redemptive action through His Son, Jesus Christ. We are called into a personal relationship with him, which in turn, is lived out in relationships with each other. You are asked as a student and parent/guardian to be in a community commited to God, prayer, worship and a lifestyle that reflects a holy, loving God. With these thoughts in mind, please sign below and submit this application to Valley Lutheran High School.
Parent/ Guardian Signature*
Type full name of Parent/Guardian for signature*
Type full name of Student for signature*
Date*

MonthDayYear
Date
Student Signature*
Date*

MonthDayYear
Date

Fee must be paid in order to complete and submit application.*

Application Fee$75.00

Enter coupon

Total $0.00

Valley Lutheran High School