Northern Lights Community School

33 Questions

1) Last Name (required) Required*

(Please complete a separate application form for each student applying to NLCS)

2) First Name (required) Required*

3) Middle Name (required) Required*

4) Birthdate (Month/Day/Year) (required) Required*

5) Street Address (required) Required*

6) City/State/Zip Code (required) Required*

7) Home Phone (required) Required*

8) Email Required*

9) Grade applying for Required*

10) (Year) (required) Required*

11) Student Status (required) Required*

12) Is this student a child of a current NLCS Staff member? Required*

Yes

13) Is this student a sibling of a currently enrolled student at NLCS? Required*

Yes

14) How did you hear about us? Required*

15) Parent/Guardian Information: Required*

Mother / Father / Guardian (required)

16) Last Name (required) (Guardian 1) Required*

17) First Name (required) (Guardian 1) Required*

18) Middle Name (required) (Guardian 1) Required*

19) Phone (required) Required*

20) Email (Guardian 1) Required*

21) Street Address (required) (Guardian 1) Required*

22) City/State/Zip Code (required) (Guardian 1) Required*

23) Mother / Father / Guardian (optional) (optional)

24) Last Name (optional) (optional)

25) First Name (optional) (optional)

26) Middle Name (optional) (optional)

27) Phone (optional)

28) Email (Guardian 2) (optional)

29) Street Address (optional)

30) City/State/Zip Code (optional)

31) Who does the student live with? (optional)

32) Parent/Guardian Electronic Signature (required) Required*

33) Date (required) Required*

Forms

Apply Now

1 forms were found.

Northern Lights Community SchoolPO Box 2829Warba, MN 55793Phone 218-492-4400Fax 218-492-4402