Admissions Application
OFFICE USE
Application also available online at: www.westernmennoniteschool.org/applynow STUDENT INFORMATION
☐ Male ☐ Female
Student name:
Date:
Applying to enter the 20 ☐6
☐7
☐8
☐9
- 20
☐ 11
☐Hispanic
☐ $50 non-refundable application fee
☐ 12
Step 2
RACE/ETHNICITY (Check all that apply) ☐African American ☐American Indian/Alaskan Native ☐Hawaiian/Pacific Islander
☐Asian
☐Caucasian
☐Other:
FAMILY INFORMATION Father: Lives with student: ☐ Yes ☐ No
Alumnus: Year
Email:
Employer:
Home Phone:
State
Mother: Lives with student: ☐ Yes ☐ No
☐ OSAA Transfer Form ☐ Pastor/Mentor reference
☐ Adult friend reference
Address: City
☐ Copy of student’s most recent report card or transcript
☐ Teacher reference
Cell Phone: Street
☐ Application Received Date:
school year in grade:
☐ 10
Step 1
☐ Attach current photo here:
Zip Alumnus: Year
Email:
Employer:
Home Phone:
Cell Phone:
Address: Street
City
State
Stepparent/Guardian: Lives with student: ☐ Yes ☐ No
Zip Alumnus: Year
Email:
Employer:
Home Phone:
Cell Phone:
Address: Street SIBLINGS Name
City
State Grade
Zip
Western Mennonite School admits qualified students of any race, color, nationality or ethnicity.
Current School
Do you anticipate needing financial aid* from WMS? ☐ Yes ☐ No *Funds are limited. For priority consideration, submit your financial aid application before April 15.
[ADMISSIONS APPLICATION] Western Mennonite School ACADEMIC INFORMATION Name of current school:
What activities would you be interested in participating in?
Current grade:
Name of Principal:
Phone:
Address:
Athletics Street
City
Do you have any unique learning needs?
☐ Yes
State
Zip
☐ Baseball/Softball
☐ No
☐ Basketball
If yes, please explain:
☐ Cross-Country ☐ Soccer ☐ Volleyball (girls)
In your present school, are you on an Individual Education Plan (IEP) or 504 plan? ☐ Yes ☐ No
Music and Drama ☐ Choir
If yes, when is the re-evaluation date? Please attach documentation paperwork.
☐ Drama/Musical
In your present school do you receive other academic support?
☐ Yes
☐ No
☐ Worship Team
If yes, please explain. Student Leadership ☐ Student government ☐ Yearbook
REFERENCES Please list name, complete address, and phone number of an adult in each category who knows you well. Do not list immediate family members.
☐ Big Brother/Big Sister
Program
Give each reference the attached form, or direct them to the online reference form at www.WesternMennoniteSchool.org/references
☐ Service Opportunities
Pastor or mentor: Name:
Email:
Address:
Phone: Street
City
State
Zip
Teacher from your current school: Name:
Email:
Address:
Phone: Street
City
State
Zip
Adult friend: Name:
Email:
Address:
Phone: Street
City
State
Zip
Please mail or deliver your completed application along with the $50 Application Fee to the Western Mennonite School Admissions Department
[ADMISSIONS APPLICATION] Western Mennonite School CONFIDENTIAL INFORMATION Have you ever been expelled or suspended from school? � Yes If yes, please explain:
� No
FOR THE STUDENT: In two or three sentences, state your reasons for applying for enrollment at WMS:
FOR THE PARENTS: In two or three sentences, state your reasons for encouraging your daughter/son to apply for enrollment at WMS:
Western Mennonite School Covenant for Disciples Western Mennonite School does not require its students to have a personal commitment to God as a condition for admission; however, we do require that students sign the Covenant For Disciples every year to encourage growth and maturity. COVENANT FOR DISCIPLES. To grow in mind: We will apply ourselves to learn from classroom and other school activities, and to fill our time and minds with what is wholesome and worthwhile, avoiding any speech, social conduct, or personal appearance which is degrading or disrespectful. To grow in body: We will apply ourselves to a pattern of proper diet and sufficient rest and exercise, abstaining from the use of tobacco, alcohol, and illegal drugs. To grow in spirit: We will be open to the influence of Jesus Christ and His followers in our lives, and be an encouragement, rather than hindrance to those who want to grow in an obedient relationship to Him. To grow in character: We will be trustworthy in all of our relationships, respecting the rights and property of others, speaking and living the truth in all circumstances.
I declare that to the best of my knowledge and belief that the information provided on this application is true and complete. Student Signature:
Date:
Parent/Guardian Signature:
Date:
Please mail or deliver your completed application along with the $50 Application Fee to the Western Mennonite School Admissions Department
[ADMISSIONS APPLICATION] Western Mennonite School Referral Program The Western Mennonite School Referral Program gives current WMS families the opportunity to received up to a $400 tuition credit for referring a new student to the school. Terms and conditions can be found online at www.WesternMennoniteSchool.org/referral Were you referred by a WMS family? If so please provide their name(s) below so they can be considered for the schools Referral program. (If you indicate multiple families the credit will be evenly distributed once it has been approved).
How did this family or families influence your decision to choose Western Mennonite School?
Please mail or deliver your completed application along with the $50 Application Fee to the Western Mennonite School Admissions Department