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 Name Last Name
Applying for Grade *
Academic Year *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth *

Month Day Year
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 *

Month Day Year
Date
Student Signature *
Date *

Month Day Year
Date

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

Application Fee $ 50.00

Enter coupon

Total $ 0.00

Valley Lutheran High School