PO Box 908, Abbeville, LA 70510

(337) 893-8740

APPLICATION FOR ADMISSION

NOTICE OF NON-DISCRIMINATORY POLICY

Lighthouse Christian Preparatory School admits students of any race, color, religion, national and ethnic origin to all 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, nationality, religion or ethnic origin in administration of its educational policies, and athletic and other school-administered programs or hiring.

MISSION STATEMENT

The mission of LCPS is to assist families in Christian training of their middle and high school children through academic, spiritual, social, and developmental contexts. Our goal is to help the children in our care to make the best of their God given talents and abilities, to challenge themselves to achieve beyond their expectations, and to be prepared to live a fruitful life.

Applying for Grade______For School Year______Date Application Received______

Application for Enrollment

Lighthouse Christian Preparatory School

PO Box 908

Abbeville, LA 70510

(337) 893-8740

STUDENT DATA

Name: ______SSN:______

(Last) (First) (Middle)

Street Address:______City:______State:_____ Zip:______

Male ⃝ Female ⃝ Race:______Date of Birth:______Telephone: ______

Student Email:______Student Cell Phone#:______

Church Affiliation:______Do you want bus transportation? ⃝ Yes ⃝ No

Extracurricular interests or hobbies:______

Last school attended:______

(Name) (Complete Address)

Attended LCPS/LCA in past? Yes ⃝ No ⃝ If Yes, when? ______

Referred to LCPS by: ______

FAMILY DATA
DATA / FATHER / MOTHER
Full Name
Address (if different)
Home phone
Employer
Occupation
Work Phone
Email
Cell phone

List other children in family:

______

(Name) (Age) (Name) (Age)

______

(Name) (Age) (Name) (Age)

If not living with parents give the following information of guardian:

Name:______Legal Relationship:______

Address:______

Employer:______Occupation:______

Business Phone:______Cell Phone:______

Email Address:______Church Affiliation:______

HEALTH DATA
  1. Name and explain any health condition(s), past or present, which need to be brought to the school’s attention to safeguard this applicant at school (e.g. Diabetes, seizures, asthma, emotional disorders, educational challenges, etc) or which would restrict physical activity levels:

______

______

  1. Is the applicant taking any prescription medication(s)? Yes ⃝ No ⃝ Specify ______
  1. Has the applicant been tested for any of the following (please check)?

⃝ Speech/Language⃝ Attention Deficit Disorder

⃝ Learning Disabilities⃝ Attention Deficit Hyperactivity Disorder

⃝ Emotional Issues (which affect learning)⃝ Other ______

  1. Doctor’s Name:______Telephone: ______

CERTIFICATION

Lighthouse Christian Preparatory school was founded on Christian principles and is operated by Christian staff members. We understand that all students will participate in daily Bible study and weekly chapel assemblies. We agree to support and follow all rules and regulations of the school and do not expect the school to change any of its codes due to our personal beliefs. We further understand that all students new to LCPS are accepted on academic and behavioral probation for a period of one calendar year. By our signatures hereon, we certify that we understand these policies and that all information provided on this application is true and correct to the best of our knowledge.

Parent’s Signature ______Date ______

Student’s Signature ______Date ______

Student Name:______(Please write name)

Application Checklist

(For Office Use Only)

We appreciate your interest in applying to Lighthouse Christian Preparatory School. If you have questions at any time during the application process, please contact (337) 893-8740 or (337) 654-9481. Your application will be considered complete once all of the following forms/documentation has been received and satisfied by the admissions office.

______Completed application packet______Release of records

______Birth Certificate______Tuition Contract

______Social Security Card______Handbook Verification

______Shot Record______Statement of Cooperation/Discipline

______Medical Release Form______Tuition fee schedule

______Use of image waiver______Corporal Punishment form (6-8 only)

______Transportation permission______Carpool form

______Free lunch form______Liability Release

SCHOLARSHIP STUDENTS

______Scholarship acceptance form

______Special Education Waiver

______Receipt of Rules form