Online Form
TRINITY LUTHERAN SCHOOL-APPLICANT INFORMATION 
The application fee is $50. You may call our school office, 808-621-6033, to pay with a credit card once you have submitted the application. Or you may mail payment (check or money order) to our school office.
A copy of the applicant's birth certificate is required prior to enrollment.

Grade Applying For
School Year Applying For
Last Name
First Name
Middle Initial
Preferred Name
Current Grade
Date of Birth  
 Male
 Female
Birthplace (City, State)
Primary Address
Student's Baptismal Date  
Name & Location of Home Church
STUDENT LIVES WITH (select all that apply): 
 Father
 Mother
 Step-father
 Step-mother
 Grandparent(s)
 Other (please explain)
STUDENT LIVES AT (select one): 
 One Location
 Two Locations
 More Locations
ARE PARENTS DIVORCED? 
 Yes
 No
HOW DID YOU HEAR ABOUT TRINITY LUTHERAN SCHOOL?  
 Google Search
 Social Media
 Radio Ad
 Referral (Include name below)
Referred by:
 Other
If Other, please describe:
PLEASE LIST ALL SCHOOLS ATTENDED: 
Grade Levels Attended; Name of School; Location
Grade Levels Attended; Name of School; Location
Grade Levels Attended; Name of School; Location
Grade Levels Attended; Name of School; Location
Grade Levels Attended; Name of School; Location
HAS THE APPLICANT SKIPPED A GRADE? 
 Yes
 No
If yes, please explain & specify grade:
SUPPLEMENTARY STUDENT INFORMATION 
PLEASE TELL US ABOUT YOUR REASONS FOR APPLYING TO TRINITY LUTHERAN SCHOOL?
IN WHAT WAYS DO YOU BELIEVE YOUR CHILD WILL CONTRIBUTE TO THE TRINITY LUTHERAN SCHOOL COMMUNITY?
HAS YOUR STUDENT EVER BEEN DIAGNOSED WITH ANY TYPE OF LEARNING DISABILITY?
 Yes
 No
If yes, please explain:
DOES YOUR STUDENT TAKE PRESCRIPTION MEDICATION FOR A LEARNING OR ATTENTIVENESS DIAGNOSIS?
 Yes
 No
If yes, please explain:
HAS YOUR STUDENT EVER BEEN DIAGNOSED WITH ANY TYPE OF SOCIAL, EMOTIONAL, OR BEHAVIOR CONDITION?
 Yes
 No
If yes, please explain:
HAS YOUR STUDENT EVER BEEN SUBJECT TO SERIOUS BEHAVIOR OR ACADEMIC DISCIPLINARY MEASURES, PLACED ON PROBATION, SUSPENDED, EXPELLED, OR ASKED TO WITHDRAW FROM ANY SCHOOL?
 Yes
 No
If yes, please explain:
WAS YOUR STUDENT EXCESSIVELY TARDY OR ABSENT FROM SCHOOL MORE THAN 10 DAYS DURING THE PAST SCHOOL YEAR?
 Yes
 No
If yes, please explain:
EXTRACURRICULAR & CO-CURRICULAR ACTIVITIES 
Activity; Years; Accomplishments, Awards, Etc...
Activity; Years; Accomplishments, Awards, Etc...
Activity; Years; Accomplishments, Awards, Etc...
FAMILY INFORMATION 
Father or Legal Guardian Name (Last, First):
Employer &/or Military Branch of Service:
Cell Phone:
Alternate Phone:
Home address (if different from child):
City
State & Zip Code:
Email address:

Mother or Legal Guardian Name (Last, First)
Employer &/or Military Branch of Service:
Cell Phone:
Alternate Phone:
Home address (if different from child):
City
State & Zip Code:
Email address:

#1 Sibling (Name, Age, Grade)
APPLYING TO TRINITY?
 Check here if YES
#2 Sibling (Name, Age, Grade)
APPLYING TO TRINITY?
 Check here if YES
#3 Sibling (Name, Age, Grade)
APPLYING TO TRINITY?
 Check here if YES

ADMISSION POLICY 
Trinity Lutheran School admits students of any race, color, gender, nationality, and ethnic origin to activities generally accorded or made available to students at the school. We do not discriminate on the basis of race, color, gender, nationality, and ethnic origin in the administration of our educational policies, admission policies, scholarship programs, athletics, and other school-administered programs. Children with special needs are accepted on a non-discriminatory basis as long as our staff and our facility are able to meet their specific needs.
PARENTAL PLEDGE OF SUPPORT 
We, the parents/guardians of this student applicant, pledge that we will give our full support to the administration, faculty, and staff of Trinity Lutheran School with regard to the mission, vision, and philosophy of the school, as well as with regard to the work and conduct required of our child. We further pledge that we will partner with Trinity Lutheran School in Christian education in our home through example by word and deed. We pledge that we will make tuition payments on time and promptly meet otther financial obligation as they arise, as well as give of our time and talent of the sake of contributing to the overall ministry of the school, including regular prayer.
Parent/Guardian Signature:
Date:  
Parent/Guardian Signature:
Date: