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Registration
Becca Reddig
2022-03-09T11:29:45-07:00
1a Lustre Christian High School Student Application
Step
1
of
10
- Basic Info
0%
Basic Information
Applicant Name
*
First
Middle
Last
Current Grade
*
8
9
10
11
12
Seeking Admission for Grade
*
9
10
11
12
Target Date for Admission
*
August, 2024
January, 2025
August, 2025
This field is hidden when viewing the form
Target Date for Admission
Month
Day
Year
Date of Birth
*
Month
Day
Year
Gender
*
Male
Female
Social Security Number
*
I don't have a social security number
Home Phone
*
Cell Phone
Student Email
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Are you a US Citizen?
*
Yes
No
Do you plan to stay in the dorm?
*
Yes
No
How did you hear about us?
*
NICHE.com
boardingschoolreview.com
Other
How did you hear about us? Other
*
Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Parent/Guardian Employer
Parent/Guardian Phone
*
Parent/Guardian Email
*
Parent/Guardian's Relationship to Student
*
Parent/Guardian's address is different from student
Yes
Parent/Guardian's Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Would you like to add another Parent/Guardian?
Yes
Parent/Guardian's Name
*
First
Last
Parent/Guardian's Employer
Parent/Guardian's Phone
*
Parent/Guardian's Email
*
Parent/Guardian's Relationship to Student
*
Parent/Guardian's address is different from student
Yes
Parent/Guardian's Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Previous School Information
School Last Attended
*
School Phone
*
School Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
School Administrator
First
Last
School Counselor
First
Last
Student Essay
Please explain briefly why you want to attend Lustre Christian High School.
*
Do you know Jesus Christ as your personal Savior?
*
Yes
No
Personal Testimony
*
Name of Pastor or Youth Group Leader
First
Last
Phone of Pastor or Youth Group Leader
Parent Essay
Parent/Guardian: Please tell us the reasons for your student's application and a brief family history.
*
Dormitory Residency Application
Lustre Christian High School (LCHS) offers students on-campus residence. The dormitory facility was built by the people of the community to ensure both a Christian environment and safety of the students. It is important that the school understands the past history of each of the applicants seeking residency at the dorm.
Has the applicant ever been expelled from school?
*
Yes
No
Please list school expelled from and reason for expulsion.
This field is hidden when viewing the form
Is or has the applicant been enrolled in a special education program?
Yes
No
Please explain
Has the applicant ever received a psychological examination other than required for special education?
*
Yes
No
Please explain
Has the applicant ever been arrested, served, or is serving probation?
*
Yes
No
Please Explain
Has or does the applicant smoke cigarettes?
*
Yes
No
Please Explain
Has or does the applicant consume alcoholic beverages?
*
Yes
No
Please explain
Has or does the applicant engage in forms of controlled self-injury such as cutting, severe scratching, burning, head banging or any other forms of self-punishment?
*
Yes
No
Please explain
Has or does the applicant use chemicals such as marijuana, cocaine, crack, etc?
*
Yes
No
Please explain
Does the applicant have a medical condition that requires the use of prescription medication?
*
Yes
No
Please list names and dosage amounts.
ALL DORM STUDENTS WILL BE ON A 30 DAY PROBATION PERIOD
During the 30 day period, the students will show his/her willingness to abide by all dorm guidelines, dorm discipline policy, and prove to live in harmony with other dorm students. An unwillingness to cooperate with Dorm Parents, lack of academic performance, spiritual commitment, and/or discipline problems will be cause for dismissal from the dorm.
Realizing that Lustre Christian High School is a Christian school supported in part by prayers, tithes and sacrificial gifts of God's people, and further realizing my responsibility before God and community to maintain a good witness, I affirm that the above statements are true of the applicant and that no effort has been made to deceive, hide, or neglect the transmittal of any information vital to the application process by either party signed below.
Medical Information Form
Do you have any special medical information of which we should be aware?
*
Yes
No
For example: Allergies, Diabetes, or Medications
Please list your medical concerns
*
Do you have medical insurance that will cover your child full-time while attending LCHS?
*
Yes
No
Financial Agreement Form for US Citizens
All fees are due and payable at the beginning of the pay period option of your choice or as indicated. The costs are kept as low as possible to be consistent with responsible operations. The tuition payment covers only a portion of your student's education. If financial assistance is needed, please make the necessary arrangements locally prior to your student's admission. Please notify the school at your earliest convenience of your financial arrangements. Payments not received as per chosen option or as indicated will be charged an additional $50 per month penalty. The tuition and room & board costs at LCHS for one academic year are as follows:
Yearly
Semester (2 payments)
Monthly (9 payments)
Tuition
$3,800
$1,950
$475
Room & Board
$7,700
$3,950
$900
Totals
$11,500
$5,900
$1,375
Yearly
$11,500
$11,800
$12,375
Yearly
Semester (2 payments)
Monthly (9 payments)
Tuition
$3,800
$1,950
$475
Yearly
$3,800
$3,900
$4,275
Tuition, Room & Board
Quantity
Price:
$11,500.00
Quantity
Tuition
Quantity
Price:
$3,800.00
Quantity
Lunches
Price:
Cost of lunches is subject to changes as per review by Lustre Grade School and will be billed by them.
Payment Plan
Yearly
Semester
Monthyly
Payment Plan
Yearly
Semester
Monthly
Room Deposit
Quantity
Price:
$250.00
Quantity
A $250 room deposit is required at the beginning of the year. This is refundable at the end of the school year if the room is left in good condition. Any difference withheld for damages is required before the beginning of the next school year for returning students.
Total Amount for Year*
$0.00
* Amounts are just for reference. Final invoice will be issued by LCHS.
Transcripts: Grades will be entered on Official Transcript upon completion of the semester and receipt of full payment.
Tuition Includes: Books, Admission to Student Activities (Music, Athletic, Drama at LCHS only) LCHS does not supply stamps, envelopes, pencils, pens, notebooks, paper, flash drives, etc. to individual students.
Financial Agreement Form for International Students
All fees are due and payable at the beginning of the pay period option of your choice or as indicated. The costs are kept as low as possible to be consistent with responsible operations. If financial assistance is needed, please make the necessary arrangements locally prior to your student's admission. Please notify the school at your earliest convenience of your financial arrangements. Payments not received as per chosen option or as indicated will be charged an additional $50 per month penalty. The tuition and room & board costs at LCHS for one academic year are as follows:
Yearly
Semester (2 payments)
Tuition
$6,800
$4,000
Room & Board
$7,700
$3,900
Totals
$15,500
$7,900
Insurance Once Off
$1,000
$1,000
Yearly
$15,500
$16,800
Tuition, Room & Board International
Quantity
Price:
$15,500.00
Quantity
Payment Plan
Yearly
Semester
This field is hidden when viewing the form
Discounts
Full payment
Select which discounts you believe you will be eligible for.
Yearly Total*
$0.00
* Prices are just for reference. Final invoice will be issued by LCHS.
Transcripts: Grades will be entered on Official Transcript upon completion of the semester and receipt of full payment.
Tuition Includes: Books, Admission to Student Activities (Music, Athletic, Drama at LCHS only). LCHS does not include personal items. Room & Board: LCHS Dorm committee will provide the approved applicant with items necessary for the Dorm upon approval. Travel arrangements are the Applicant's responsibility. All travel arrangements are to be provided to the Dorm Committee upon acceptance to LCHS.
Application Complete
Thank you for completing your application, before you hit submit, you may want to ensure your entries are accurate. You can review your application by clicking the "Previous" button below.
I affirm that all information submitted on this application is true to the best of my knowledge.
*
Yes
No
Signature
*
Name
This field is for validation purposes and should be left unchanged.
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