Enrollment Application Form

2021-2022 Enrollment Application Form
You can also download and fill out our enrollment application pdf form and submit to lisa@rlasouthbend.com. Please submit any questions to lisa@rlasouthbend.com.

* Indicates required field

Preferred Email *

Student Information

Name: *

First

Last

Preferred Name: *

Sex: *

Male Female

Birth Date: *

2021-2022 Grade: *

Last Grade Completed: *

Baptism Date: *

Church Baptized At: *

Baptizing Church City & State: *

Former School: *

Former School City & State: *

Last Day Attended: *

Food And/Or Medical Allergies: *

Home Contact Information

Home Phone: *

Child primarily resides with: *

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Biological Father

Father's Name: *

First

Last

Email: *

Home Address: *

Line 1

Line 2

City

State

Zip Code

Country

Same as child

Home Phone: *

Cell phone: *

Work Phone: *

Employer: *

Church membership/attends: *

Biological Mother

Mother's Name: *

First

Last

Email: *

Home Address: *

Line 1

Line 2

City

State

Zip Code

Country

Same as child

Home Phone: *

Cell Phone: *

Work Phone: *

Employer: *

Church Membership/Attends: *

Other Guardian (if applicable)

Guardian's Name: *

First

Last

Email: *

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Same as child

Home Phone: *

Cell Phone: *

Work Phone: *

Relationship to Child: *

Employer: *

Church Membership/Attends: *

Other Children in Family

List name/birthdate/grade: *

Academic Considerations

New Applicants for grades 1-8 must score no lower than one grade level below admittance grade on the Wide Range Achievement Test (WRAT). IEPs and special needs will be considered.

Has your child ever been tested for a specific learning disability or psychological evaluation? *

Yes No

Has your child ever been enrolled in any special education classes? *

SLD Speech Gifted Other

Does your child have an IEP or 504 Plan? *

Yes No

If your child does has a an IEP or 504 plan, please attach it. *

Max file size: 20MB

Date of most recent evaluations: *

Enrollment Process

New applicants for grades 1-8 must score no lower than one grade level below admittance grade on the Wide Range Achievement Test (WRAT). IEPs and special needs will be considered.

Please attach the following to your application:

Copy of birth certificate: *

Max file size: 20MB

Immunization Record: *

Max file size: 20MB

Achievement Test Scores: *

Max file size: 20MB

Most Recent Report Card: *

Max file size: 20MB

Prospective students (grades 2-8) must schedule an appointment for the required interview & WRAT test.
Please send your $50 application fee either by mail or in person to 6840 Nimtz Parkway, South Bend, IN 46628 within 5 business days of submitting your application. Registration fees will be held pending the testing, application review, and admittance of the student.

Students enrolling after the completion of 1st quarter will be subject to a 6-9 week probationary period.
You will be informed within 5 business days of the WRAT testing as to the status of the application & admittance.
Your application will be considered complete upon receipt of your $50 application fee, copy of birth certificate, immunization record, achievement test scores, and most recent report card.

Resurrection Lutheran Academy admits students of any race, color, religion, national or ethnic origin to all rights, privileges, programs and activities generally accorded or made available to students. It does not discriminate on the basis of race, color, religion, nationality or ethnic origin in administration of its educational policies, athletic or other school administered programs.

Other: Please specify *

Before submitting please read the mission and vision of Resurrection Lutheran Academy below.

The Mission and Identity of Resurrection Lutheran Academy
“Growing by the Cross”

MISSION STATEMENT: Resurrection Lutheran Academy -- planted, nurtured and growing by the Cross -- provides a Christ-centered environment for academic excellence, while cultivating a lifetime of spiritual growth and service to God.

ACKNOWLEDGING PARENTS AS THE MOST VITAL EDUCATORS OF THEIR CHILDREN, WE BELIEVE THAT A LUTHERAN EDUCATION MUST:

Train and nurture children in the way of Christ for life as Christian people;
Provide high academic excellence in preparation for service to God, church and community; and;
Cultivate each child’s God-given potential by developing his or her mental, social, physical, emotional, and spiritual gifts.

“Train a child in the way he should go, and when he is old he will not turn from it.”
–Proverbs 22:6

Resurrection Lutheran Academy (RLA) and Preschool are owned and operated by the Michiana Lutheran Education Association, Inc. (MLEA). The MLEA operates under the doctrine and practices of the Lutheran Church – Missouri Synod, with its membership open to all Lutheran congregations in the greater South Bend area. By the grace of God, Resurrection Lutheran Academy exists in order to provide a Christ-centered Lutheran education for the families of this community.

Children are a heritage from the Lord. Resurrection Lutheran Academy desires to assist parents in helping their children grow up knowing and believing in their Lord and Savior Jesus Christ, and learning to live as faithful, responsible, Godfearing citizens in the world wherever God has placed them. To this end, it is our goal to provide a high quality education and to share the Gospel of Jesus Christ with children and their families in an atmosphere committed to the Christian faith as revealed in the Bible and confessed by the Lutheran Church.

SIGNIFICANCE OF OUR NAME: “Resurrection Lutheran Academy”

RESURRECTION
The Resurrection of our Lord Jesus on Easter is God’s own proclamation that the Cross and Crucifixion of Christ were not His defeat, but the hour of His Glory and His victory over Satan. As Christians, we believe that our entire life in this world is lived (by grace) under the Cross, in the certain hope of the Resurrection. For we have been buried with Christ by our baptism into His death, and thereby also raised with Him in His Resurrection for new life. We are growing by the Cross, therefore, in the hope of the Resurrection.

LUTHERAN
In identifying ourselves as Lutheran, we proudly confess that we belong to the one, holy, catholic and Apostolic Church of all times and places: and that we are committed to the Christian faith as revealed in the Holy Scriptures and faithfully explained in the Lutheran Book of Concord of 1580 and all other official Lutheran Church Missouri Synod documents as found at www.lcms.org.

ACADEMY
We describe ourselves as an Academy, instead of a school, to communicate our emphasis on high quality and firm, but loving discipline.

SIGNIFICANCE OF OUR MISSION STATEMENT

“Acknowledging parents as the most vital educators of their children”
We understand from God’s Word that the responsibility of rearing children belongs to fathers and mothers. God has given many of His people this special blessing and the responsibility of rearing children, and part of that responsibility includes their education. The Academy cannot take the place of parents, but parents can rely on Resurrection Lutheran Academy to assist them in this God-given responsibility.

“Train and nurture children in the way of Christ for life as Christian people”
There is nothing in life more important than the story of Christ’s death on the Cross and His Resurrection. Christ died for each one of us, and there is no greater gift that any of us can ever receive. Our lives are shaped and guided by this proclamation of the Gospel. It’s not just information to be learned but a way of life to be lived.

“Provide high academic excellence in preparation for service to God, Church and community”
Everything we have is a gift from God. Our proper response is to give our best in return. Therefore, as a Lutheran Academy we strive for excellence in all academic endeavors. We recognize the various academic subjects (reading, writing, and arithmetic, along with the arts and humanities) as part of God’s good gift of creation, a portion of what is meant by daily bread. A thorough grounding in these academic subjects prepares the children of RLA for a lifetime of service in their families, communities and congregations; whereby they will serve the Lord in faith wherever He places them in their world and life.

“Cultivate each child’s God-given potential, by developing his or her mental, social, physical, emotional and spiritual gifts”
RLA strives for the holistic education of children in all aspects of life. The entire academic day, as well as the physical environment of the Academy, fosters the development of the whole child in his or her relationship to the Holy Triune, God and His Church, to parents/guardians and other authorities, to peers and colleagues, and to the world in which we live. We also believe that each child is uniquely created by the Lord, and personally called by His own Name in Holy Baptism, for a particular calling and place in the world.

COMMITMENT OF RESURRECTION LUTHERAN ACADEMY

Resurrection Lutheran Academy is committed to forging a partnership with parents in the education of their children, including instruction in the Christian faith. This education is guided by the following principles:

A world view that is God-centered rather than people-centered.
Honor and respect for those in authority as representatives of God.
The centrality of the Gospel of forgiveness for Christ’s sake in the Christian life and the Church.
A partnership and involvement with parents in their children’s education and spiritual growth.
An education that will introduce children to the beginnings of reading, writing, mathematics, science, geography, history, literature, music and art.
Academic standards, which aim toward excellence and achievement.
The teaching of singing and music, in service to the Church and for the prayer life of God’s people.
Faithfully teaching the Holy Scriptures and passing on the language of our Christian faith, so that the children learn how to receive God’s gifts in the Divine Service, how to pray, how to confess and how to live where God has called them to live with faith in Christ and love toward one another.
The importance of daily prayer and the Divine Service of the Gospel and the Sacraments.

COMMITMENT OF PARENTS

The active support and involvement of parents in the education of their children are vital to the success of Resurrection Lutheran Academy. Thus, it is important that all parents who send their children to the Academy understand our Lutheran approach to education, and be willing to share and work together with us in this task. For this reason, RLA seeks to be very clear and open about whom we are as an Academy, what we believe as Lutherans, and how we train and nurture children providing them with academic excellence and cultivating their God-given potential. We ask parents, in turn, to be honest with us in their commitment of support and involvement in this education of their children.

I attest that this application is complete and accurate to the best of my knowledge. I acknowledge that I have read the provided mission and identity statements for RLA. I am aware of the current tuition and fee rates as published for the 2021-2022 academic year. I understand that the registration fee is due within 5 days of submitting the application and will returned only in the event that my child is NOT accepted. I know that my non-returnable material fee, as listed on the tuition form, must be paid by June 30, 2021 or within 30 days of acceptance, whichever is later. I understand that by writing my name below I am signing this application electronically. I agree my electronic signature is the legal equivalent of my manual signature on this application.

Digital Signature: *

Date: *

Relationship to Child: *

Submit

Registration Fee

$51.50

Your student's enrollment application must include the $50.00 application fee to be considered complete. The 3% convenience fee for credit card use is included in the total price.

Purchase

2021-2022 Enrollment Application FormYou can also download and fill out our enrollment application pdf form and submit to lisa@rlasouthbend.com. Please submit any questions to lisa@rlasouthbend.com.

Student Information

Home Contact Information

Biological Father

Biological Mother

Other Guardian (if applicable)

Other Children in Family

Academic Considerations

Enrollment Process

The Mission and Identity of Resurrection Lutheran Academy“Growing by the Cross”

Registration Fee

2021-2022 Enrollment Application Form
You can also download and fill out our enrollment application pdf form and submit to lisa@rlasouthbend.com. Please submit any questions to lisa@rlasouthbend.com.

The Mission and Identity of Resurrection Lutheran Academy
“Growing by the Cross”