“A Grace Place”
 

ST. JOHN’S LUTHERAN SCHOOL

1500 North “C” Street, Oxnard, CA  93030    (805) 983-0330

www.stjohnsoxnard.com

 

 
Student last name ____________________   Student first name  ____________________ 

Applying for School Year ______ - ______   Grade ______  

 

ADMISSION PROCEDURES – GRADES K-8

 

1.      NEW STUDENTS   

     

    A.  Complete this application. PLEASE PRINT.

 

    B. Include the following:

       1.   Latest Standardized Test results

       2.  Most current report card

       3.  $25.00 non-refundable testing fee       
       4.  Kindergarten applicants: birth certificate showing student will be 5 years old by December 1st.

           Once accepted, a complete health and dental check-up is required prior to entering school in August. 

           Forms will be provided with acceptance package.

 

    C.      Schedule of testing

        Once all required documents are received, a staff member will contact you to schedule a convenient testing time. 
        Within one week of testing, we will contact you regarding your student’s enrollment status.

 

    D.      A non-refundable registration fee is due upon acceptance to hold your student’s place in class.

 

    E.      Tuition is due on the 1st of each month.  Our school year is from August to June. 

         Any tuition paid is non-refundable.

 

2.  NOTICE OF NON-DISCRIMINATION POLICY                 

 

        St. John’s Lutheran School admits students of any race, color, national and ethnic origin to all the rights, privileges,
        programs and activities generally accorded or made available to students at the school. 

        It does not discriminate on the basis of race, color, national and ethnic origin in administration
        of its educational policies, admissions policies and athletic and other school-administered programs.  

 

 

 

Text Box: OFFICE USE ONLY Date Rec’d: _____              PC:  ____                            Accepted:  yes  /  no                    Date Reg. Fee paid:  _______________ Rec’d by:  ______              Testing date:  _____               Date letter sent:  ______                            Acceptance packet:  _______________     Testing Fee:  ___               Tested by:  _______               Reg. due by:   ________                 Notes:  ____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________                                                                                                                                                                                                                                                                                         

 

 

 

 

 

 

 

 

 

THE STUDENT – FAMILY & CHURCH

 

Student:  _________________________________    Sex ________   Birthdate:  ______________________________

Address:  ___________________________________________________________________________________________

                                  Street                                              City                                  Zip

 

Home Phone Number:  ________________________

 

Father's name ___________________________________  Occupation:  _________________________________________

 

Work address ___________________________________  Work and/or cell phone _______________________________

 

Mother's name __________________________________  Occupation:  _________________________________________

 

Work address ___________________________________  Work and/or cell phone _______________________________

 

Child lives with  a) ____both parents  _____ b) Mother    ____ c) Father    d) Other  ____________________________

 

List any special custody arrangements we should be aware.  __________________________________________________

____________________________________________________________________________________________________

 

Names of brothers/sisters                         Age             Date of birth             School

____________________________________________________________________________________________________
____________________________________________________________________________________________________

 

Financial obligations are the responsibility of ______________________________________________________________

How did you hear about St. John’s Lutheran School?

 

    [  ] Friend:  ___________     [  ] Family:  ____________   [  ] Website    [  ]Other  ____________________________

 

Reasons for applying for enrollment:  _____________________________________________________________________

Are you a member of St. John’s Lutheran Church?   Yes ____   No ____   Church affiliation:  _____________________

Child baptized?  _______      Date of baptism _______________   Where baptized ____________________________

THE STUDENT - PERSONAL

 

Last school attended __________________________________________________________________________________

 

School address _______________________________________________________________________________________

 

Date of attendance ___________________________________________________________________________________

 

Reason for leaving ____________________________________________________________________________________

 

Does your child have any specific education needs (reading, speech, gifted, remedial, etc.)?  ________________________

 

Explain:  _____________________________________________________________________________________________

 

Does your child have any physical, emotional, psychological needs or limitations (allergies, medications, handicaps)? ____

 

Explain:  _____________________________________________________________________________________________

 

_____________________________________________________________________________________________________

 

 

 

I/We agree to the terms as stated above and would like to apply for admission.  

 

(Parent Signatures)  ___________________________________        _________________________________________