New Student Application

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This application is for new students only and must be approved by Lighthouse Christian Academy administration.

Student Name*
Age*
Gender*
Grade Entering*
Home Phone:*
Father's Name:
Mother's Name:
Name of Legal Guardian if not mother or father:
Home Address:*
Work Address:
Church Attended:*
Do you attend your church regularly?*
Enrollment History
School last attended:*
Address of school last attended:*
Phone:*
Previous school email for record release (if applicable)
Have all, if any, financial obligations to previous schools attended been fulfilled?
Has applying student been expelled, dismissed, suspended, or refused admission to another school?*
If you answered yes to the above question please explain:
Has student ever used alcohol, tobacco, or drugs?
Has student ever been arrested or accused of a crime?
If student has ever had any disciplinary difficulties please explain:
Please indicate academic level of student's previous work:
Date of Application*
MM slash DD slash YYYY

Enter the date you are submitting this application
APPLICATION DISCLAIMER:*
I understand the application disclaimer:
I understand that applicant acceptance is subject to approval by Lighthouse Christian Academy's administration. Submitting of this application is the first step in the enrollment process. Further documentation and consent forms can be downloaded by clicking the link below the submit button. All forms must be filled out, signed, and mailed along with the $50 enrollment fee to Lighthouse Christian Academy. Please contact us with any questions.
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