ELS Incoming Student Application Date: Student Information Parent Information Father Mother Additional Information Agree to Statement of Faith? Yes No Any inconsistencies? No Yes Child Evaluation First Steps Services? NoYes IEP / 504? NoYes Special Help/Tutoring? NoYes Repeated Grade? NoYes Honors/Awards? NoYes Suspended/Expelled? NoYes Academic/Psych Testing? NoYes ADD/ADHD Treatment? NoYes Possible Dyslexia? NoYes Previous Schools Signatures Submit Application
