Admissions - Grand View Christian School

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: *

11. Student #2 Name (if no more students, skip to question #24):

12. Current School:

13. Current Grade:

14. Student #3 Name (if no more students, skip to question #24):

15. Current School:

16. Current Grade:

17. Student #4 Name (if no more students, skip to question #24):

18. Current School:

19. Current Grade:

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.