Admissions Application | Lumin Education

Student Information

*Required Information

Student's Full Name*

Please enter name as shown on birth certificate.

Street Address of Primary Residence*

Student's Date of Birth*

Grade for the 2021-2022 School Year*

Gender*

Female
Male

Site preference*

Note: Choosing a preference does not guarantee a space in the requested school. School directors determine the school placement.

Home Visiting
Lumin Lindsley Park Community School
Lumin East Dallas Community School
No Preference

Primary Guardian's Information

Name*

Email*

Phone*

Voluntary Information

Do you have another child currently enrolled at Lumin Education?

Yes
No

Name of sibling*

Grade sibling is currently enrolled*

This is a child of a staff or board member

Yes
No

Name of employee*

Student ID or last 4 digit of SSN

CERTIFICATION / CERTIFICACION*

By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.
Al marcar esta casilla, certifico a mi leal saber y entender que la información en esta solicitud es completa y precisa, soy el tutor legal del niño mencionado anteriormente, y entiendo que cualquier información falsa, omisión, o la tergiversación de los hechos puede resultar en el rechazo de esta solicitud o en el futuro despido del solicitante.This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability.

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