K-8 Application 1 – Mount Olive Lutheran School

Transitional Kindergarten - 8th grade Application

We are so thrilled that you have decided to enroll your child at Mount Olive Lutheran School. Please fill out the form below completely. A member of our admission team will contact you when you application has been received. Welcome to the Mount Olive Family!

Child first name

Child Last Name

Birthdate

Gender:

Social Security Number

Home Church

Baptismal Birthdate

Mom's first name

Mom's Last Name

Mom's Email

Mom's Cell Number

Dad's first name

Dad's Last Name

Dad's Email

Dad's Cell Number

Are there other children in the family?

Yes No

Sibling Name & Grade

Child's permanent Street Address

City

Zip Code

Present School

Years attended

Current Grade

School Phone

Has the student experienced learning difficulties in reading?

Yes No

Has the student experienced learning difficulties in math?

Yes No

Has the student experienced any discipline problems?

Yes No

Has the student ever been suspended?

Yes No

Does the student have any special needs?

Yes No

If yes, please describe them.

Please indicate your child's strengths, special talents, and passions.

How were you reffered to Mount Olive?