Northern Lights Community School

Forms

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1 forms were found.

33 Questions

1) Last Name (required) *

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

2) First Name (required) *

3) Middle Name (required) *

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

5) Street Address (required) *

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

7) Home Phone (required) *

8) Email *

9) Grade applying for *

10) (Year) (required) *

11) Student Status (required) *

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

Yes

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

Yes

14) How did you hear about us? *

15) Parent/Guardian Information: *

Mother / Father / Guardian (required)

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

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

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

19) Phone (required) *

20) Email (Guardian 1) *

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

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

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) *

33) Date (required) *

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