Grades 7-9
Lakeview Christian School
Student Application Form
STUDENT INFORMATION: Entering Grade _________
Full legal name _____________________________________________
LAST FIRST MIDDLE NICKNAME
Address __________________________________________________
#, STREET CITY PC
Phone _________________ Gender ____M ____F Citizenship ___________________
Date of Birth __________________ Language spoken at home ________________________
Month Day Year
Applicant lives with ___both parents ____mother ____father ____other (legal papers required)
Medical Concerns _____________________________________________________________
Please explain _________________________________________________________________
BC Care Card # __________________________ Learning Disabilities ____ No ____Yes
Family Doctor __________________________________ Phone ________________________
Emergency Contact ______________________________ Phone _________________________
Baptized SDA _____ Yes _____No Church attending ________________________________
Field Trip Permission for the applicant to go on field trips and off-campus activities __Yes __No
List previous school(s) attended (include copy of latest report card)
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School Name |
Address |
Grade(s) completed |
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Other children in family (list names in order of birth, oldest first)
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Name |
Date of Birth |
M/F |
Age |
Grade |
School Attending |
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STUDENT CONTRACT
I voluntarily agree to uphold the ideals and standards set forth in the most recent Lakeview Christian School Handbook. I will order my personal living and conduct at school in harmony with these principles, and my signature pledges cooperation to these values, if admitted as a student.
____________________ ___________________________________
Date Studentís Signature
PARENT INFORMATION
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INFORMATION |
FATHER |
MOTHER |
LEGAL GUARDIAN |
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Name |
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Home Phone # |
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Work Phone # |
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Religious Affiliation |
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Citizenship |
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PARENT CONTRACT
I certify that the statements contained herein are true and correct to the best of my knowledge, knowing that willfully withholding or misrepresenting information may result in refusal of admission or dismissal from the school.
I have read the Lakeview Christian School Handbook and voluntarily agree to uphold the ideals and standards set forth therein, and pledge my cooperation to these values, once my child is admitted.
My financial obligations are clearly understood and I agree to pay accordingly.
____________________ ___________________________________
Date Parentís Signature
For School Use Only
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Documents Received |
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Studentís Application Forms |
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Legal Residency of Parents Form |
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Internet Permission Form |
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90 days Probation Form |
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Transfer of Records Form (grade 1-8) |
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Classroom Volunteer Form (grade 1-8) |
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Student Questionnaire (grade 1-8) |
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Recommendation Forms (grade 1-8) |
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CRD Health Record (Kindergarten only) |
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Medical Information Form (school administering medication) |
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Finances |
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Registration Fee ($50.00) |
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Earthquake Kit Fee ($15.00) |
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Monthly Tuition Cheques (postdated to 1st of each month) |
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T-Shirt(s) Order (size __________ quantity _______) |
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Documents Copied for School Use |
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Birth Certificate |
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BC Care Card |
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Latest Report Card from Previous School |
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Legal Papers (in case of custody) |
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Volunteer Driverís Forms (optional) |
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Grade 1-8 Student Questionnaire
Lakeview Christian School is a Christian school committed to foster academic and spiritual excellence, as well as growth in social skills and physical fitness. Our mission is to provide you with quality Christian education and a school environment that promotes respect for others, and a personal relationship with Jesus Christ.
Please answer the following questions to help us determine if we can meet your needs.
Name _______________________________________________________________________
Grade ______________________________________ Date ___________________________
How did you learn about LCS? Explain ___________________________________________
____________________________________________________________________________
Why do you want to attend LCS? Explain _________________________________________
____________________________________________________________________________
How do you feel about our program which incorporates daily worship, prayer and Bible classes?
____________________________________________________________________________
Have you ever been suspended from school? ____ Yes ____No If yes, pls. explain when, why and where
____________________________________________________________________________
What grade did you receive on your last report card for the following core subjects?
Mathematics _________ Science ___________ Socials ___________ English ___________
Describe yourself in 3-5 words ___________________________________________________
____________________________________________________________________________
What are your hobbies? ________________________________________________________
Lakeview Christian School
Recommendations for grade 1-8 students
The confidential recommendation below is for:
Studentís name _________________________________ Date ______________________
Recommender:
This student has applied for admission to Lakeview Christian School. Since applicants are required to have this form on file before admission can be considered, your prompt appraisal of this applicant will be appreciated. Please bear in mind that Lakeview Christian School is a Christian school eager to admit students who are in harmony with Christian values and ideals.
How long have you known this student? ___________________ years
How well do you know this student? ____ Well _____Some ____Little _____Records only
____ I recommend the applicant without reservation.
____ I recommend the applicant with reservation.
____ I can not recommend this applicant at this time.
Please describe the applicant in 3-5 words _____________________, ___________________,
_______________________, ____________________________, ______________________.
Please rate the applicant in the following areas:
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Poor |
Average |
Excellent |
No basis
For judgement |
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Spiritual Contribution |
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Academic Performance |
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Classroom Behaviour |
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Respect for Staff |
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Respect for Peers |
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Respect by Peers |
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Reading ability |
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Ability to follow directions |
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Leadership ability |
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Self-control |
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Please return this form to:
Lakeview Christian School
729 Cordova Bay Road
Victoria BC V8Y 1P7
Phone: (250) 658-5082 Fax: (250) 658-5072
Recommendations:
Please list the name and address of three people who know you well and are NOT related to you. Two should be school officials from your last school (eg teacher, principal), and another a non-relative (eg youth leader, pastor, supervisor).
Name __________________________________ Position ______________________________
Adress_____________________________
__________________________________________
City /Province ___________________________ Postal Code ___________________________
Phone (____)____________________________ Fax (____) ___________________________
Name __________________________________ Position ______________________________
Adress_____________________________
__________________________________________
City /Province ___________________________ Postal Code __________________________
Phone (____)____________________________ Fax (____) ___________________________
Name __________________________________ Position ______________________________
Adress_____________________________
__________________________________________
City /Province __________________________ Postal Code ___________________________
Phone (____)____________________________ Fax (____) ___________________________
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