A Seventh-day Adventist School

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Sample Application
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Oak Street Christian School Student Application

Minnesota Conference of Seventh-day Adventist Schools

Grades 1-8 
 

1.  Grade applying for _________      Date of application  ______________________________________ 

                                    Student Social Security # _________________________________ 

2.  Full legal name of student ____________________________________________________  Sex ____________

                                           Last                                 First                                 Middle 

Date of Birth _________________    Place of birth ________________________________________  Age ________

            Mo  Day  Year

Check document submitted to verify   Birth Certificate (  )        Notarized Statement (  )

birthdate for child    Hospital Statement (  )  Passport or Visa       (  )

entering kindergarten or 

First Grade    Verified by ___________________________________________

                                          School Official 

3.  Student Living with    Father (      )        Mother (    )     Stepfather (    )   Stepmother (   )

      Other  _______________________

            Specify 

Home Address ____________________________________________________  PO Box ______________________

                          Number                          Street 

_____________________________________________________________  Telephone _______________________

      City                            State                          Zip 

Legal Names of those                                                           Language
checked in # 3.                         Denomination   Membership   used at home     Occupation     Business Phone

____________________________   _______   ___________   ____________     __________   _________________

 

____________________________   _______   ___________   ____________     __________    ________________ 

5.  Is this student sponsored by an Adventist church member?     Yes (  )   No (  )

     Is this student a baptized member of the Adventist church? Yes (  )  No (  ) 

      If Yes, indicate Year baptized  _____  Church where membership is held  _____________________________ 

      If church has some other church affiliation, specify _______________________ 

6.  School last attended   ________________________   ______________________________  _________________

                                                       Name                                       Address                              Telephone 

7.  Names of other children                      Sex   Age       Living        School child is attending at home 

_________________________________  ____ _____  ________ ____________________________________ 

_________________________________  ____ _____  ________ ____________________________________ 

_________________________________  ____  _____  ________ ____________________________________

A Seventh-day Adventist School
2910 Oak St | Brainerd, MN 56401-3860