Admissions - Grand View Christian School

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New Student Visit Form

1. How did you find out about GVCS? *
GVCS Gala Friend/Family Social Media/ Website Online Search Church News Media Sporting/Fine Arts Event Other
2. Names of Parents/Guardians *
3. Phone Number: *
4. Address: *
Address 1
Address 2

City

State

Zip
5. Relationship to Student: *
Guardian Grandparent Parent Other (please note below)
6. if other, please list here
7. Church: *
8. Student #1 Name: *
9. Current School: *
10. Current Grade: *
Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
11. Student #2 Name (if no more students, skip to question #24):
12. Current School:
13. Current Grade:
Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
14. Student #3 Name (if no more students, skip to question #24):
15. Current School:
16. Current Grade:
Preschool/Kindergarten Transition Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
17. Student #4 Name (if no more students, skip to question #24):
18. Current School:
19. Current Grade:
Preschool/Kindergarten Transition Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
20. Does your student have a current IEP or 504 plan? *
Yes No
21. Has your student been on an IEP or 504 plan in the past? *
Yes No
22. Does your student participate in an (ESL) English Second Language program? *
Yes No
23. Has your student been diagnosed with any social/emotional disorders? *
Yes (please select below) No
24. If yes, please choose one, if no, skip to next question:
Anxiety Autism Depression Other
25. Has your student ever been suspended or expelled from school? *
Yes (if selected, please explain below) No
26. If yes, please explain. if no, skip to next question:
27. Why are you interested in GVCS?
28. Which school would you like to visit? * (1 required)
Preschool & Elementary School (2905 NE 46th Ave. Des Moines) Middle School (1701 E. 33rd St. Des Moines) High School (1701 E. 33rd St. Des Moines) Both Schools
29. Any questions/concerns in particular you would like to discuss?
30. I prefer to be contacted by: *
Phone Email
31. Enter Your Email Address: *
32.