International Student Application

Welcome! We're so glad that you are interested in attending Holland Christian High School through our International Student Program! Please know that this application below does NOT allow you to save and return later to complete, so please complete it all in one sitting.

Besides the completed application below, there are a few other items that we will need from you to complete your application, and in English please:

Student essay
Medical Authority Release and General Release Form, linked on the International Student page
Health appraisal
Immunization records (Students are required to meet Michigan’s immunization requirements, linked on the International Student page.)
iTEP SLATE-plus Score or equivalent
Official school transcript
Photocopy of birth certificate
Photocopy of passport

International Application for Admission

Student Information

Student Name

First Middle Last

Student name as it appears on their passport

Preferred Name

First

Birth Date

Gender

Ethnicity

Student's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address

Skype ID

Student's Birth City

Student's Birth Country

Citizenship

Is the student currently living in the United States?

Yes

Host/Dorm Parent Name

Host/Dorm Parent Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Host Dorm Parent Phone

Please briefly state the reason for leaving:

Student's native language:

Primary language used in your home:

School Information

What school year are you applying for?

What grade are you applying for?

Additional Student Information

If the student receives any special programming, please list:

If the student has any special needs or circumstances of which we should be aware, please list them here:

If transferring from another school, give reason(s) for transfer:

Has this child been suspended from school or placed on disciplinary or academic probation?

Student's Current School

School Name

Current Grade

Current School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current School Phone

Please include country code

Current School Email Address

Dates Enrolled

Parent Information

Please list the parents' marital status:

Father/Guardian Information

Father/Guardian Name

First Last

Father/Guardian Address

if different from applicant's address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father/Guardian Primary Phone

Please include country code

Father/Guardian Cell Phone

Please include country code

Father/Guardian Email

Father/Guardian Employer

Father/Guardian Employer Name

Father/Guardian Position/Title

Father/Guardian Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father/Guardian Work Phone

Please include country code

Mother/Guardian Information

Mother/Guardian Name

First Last

Mother/Guardian Address

if different from applicant's address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother/Guardian Primary Phone

Please include country code

Mother/Guardian Cell Phone

Please include country code

Mother/Guardian Email

Mother/Guardian Employer

Mother/Guardian Employer Name

Mother/Guardian Position/Title

Mother/Guardian Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother/Guardian Work Phone

Please include country code

Additional Family Information

Please indicate whether or not you currently have or have had a child enrolled in Prek-12th grade at Holland Christian Schools:

Yes

Ages of other children in your home:

How did you become acquainted with Holland Christian?

Student Personal Questions

Do you like children?

Yes

Do you like pets?

Yes

Do you have any food allergies?

Yes

If yes, please list:

Do you smoke?

Yes

Do you take any prescription medications?

Yes

If yes, please list:

What chores do you do at home?

Have you ever spent time away from home before?

Yes

What are your homework habits?

What is your usual bedtime?

How many years have you received English instruction/tutoring?

Have you traveled to the United States before?

Yes

Does your family attend a Bible-believing church?

Yes

Please list which activities you are involved in at school or hobbies you enjoy.

Student Essay: In your own words, please answer the following:

Please tell us about yourself and your family.

Why do you want to attend Holland Christian Schools?

What are your plans after you graduate from high school?

What are your career goals?

How much do you know about religion? What is your family's religion? How do you feel about attending a Christian school?

Have you traveled outside of your home country before? What experiences do you have adjusting to different cultures?

Parent Questions: This section should be completed by the applicant's parents.

Please tell us about your child. Why would he/she make an ideal candidate for an international program?

Why do you want to enroll your child in an international program?

What is your family's religion?

How is your family involved in church?

Statements of Commitment

1. We (I) understand and agree to have our child educated using the Mission and Beliefs of Holland Christian Schools.

2. We (I) understand that admission decisions are subject to the governing authorities of Holland Christian Schools, which reserves the right in its sole discretion to accept or reject any student.

3. We (I) pledge to pay the required tuition and to support Holland Christian Schools. We understand tuition is non-refundable.

I agree with the Statements of Commitment.(Required)

Yes

Parent Signature (please type)

Photo Release Form

If your child is admitted to Holland Christian Schools, this release form allows Holland Christian Schools to use photographs of your child in publications and advertising. I hereby grant permission for Holland Christian Schools (HCS) to record the image, voice, or likeness of my minor child(ren) named below. I authorize the use of these materials or any reproduction of the same in any form (whether blurred, distorted, altered, and/or in composite) for the purpose of television, print, publicity, advertising, or scholastic purposes. Examples would include the HCS website, printed brochures, or advertising (including, but not limited to, newspaper ads, billboards, mailers, TV ads, radio ads.) I understand that all photos/audio/video will remain the property of HCS, and that HCS has the right to alter or duplicate as they see fit. I release HCS from any claims and/or liability arising in any way whatsoever from the making, distribution, or use of these materials. I understand that the photos/audio/videos are property of HCS, that the use of these are a donation on my behalf to further the mission of the school, and that I will receive no monetary compensation.

Yes

For the Student to Complete:

Student Rules and Regulations Agreement:

I agree to adhere by the rules and regulations of the Holland Christian Community Code. Failure to adhere by these rules will result in my dismissal from Holland Christian High School.

Home-Stay Agreement:

1. I will follow all family and household rules. I will ask questions of my host family to clarify expectations and responsibilities in their home.

2. I will attend church with my host family and participate in church and family activities.

3. I will keep my room neat and clean.

4. I will make every effort to make my home-stay experience a successful one.

5. I understand that my host family will provide me with a bed, dresser, and place to study as well as meals that are eaten in the house. I understand that any expenses over and above this are my responsibility.

6. I will pay my host family for any damages that I may cause while living in their home.

7. I will not obtain a drivers license and I understand participation in a drivers education class is not guaranteed.

8. I understand no guarantee is made to the student with regard to participation in sports and students who try out for sports teams are not guaranteed a place on the team.

9. I will not take regular employment while in the U.S.

I agree to adhere by the rules and regulations of the Holland Christian Community Code and the Home Stay Agreement. Failure to adhere by these rules will result in my dismissal from Holland Christian High School.(Required)

Yes

Student Signature (please type)

Additional Instructions

To complete your application, please also submit the following information to the Admissions office at admissions@hollandchristian.org.

*Medical Authority Release and General Release

*Health Appraisal

*Immunization Records

*iTEP SLATE-plus Score

*Official School Transcript (in English)

*2 Teacher Recommendations (one must be from an English teacher)

*Photocopy of Birth Certificate

*Photocopy of Passport

Comments

This field is for validation purposes and should be left unchanged.

”I love that my school is a Christian school. I love that we share in worship each week and learn about the world through a Christian perspective; I love my teachers, how they show their faith in their teaching, and are always willing to reach out to me outside of school if I need them.

”The teachers are outstanding and go above and beyond the call to impact my kids.

”The teachers care about their students: they want to help students develop their strengths and understand that they are made in god's image with specific talents and gifts.

”I think holland Christian’s teaching staff is a huge strength. The level of care, concern, and character that most of the teachers possess is what makes the HC experience so impactful for our kids.

”No child is just a number. Teachers really know them, understand their strengths and weaknesses, lift them up in prayer, challenge classmates to care about them and for them.

Have Questions?

We look forward to meeting you and your family and introducing you to the fresh, creative, personalized education at Holland Christian! We are here to help! Get in touch us using our contact form linked below or call us at 616.820.2805.

Get in Touch!

Questions?

We’re so glad that you’re interested in learning more about Holland Christian High School’s international program! For any questions on our International Program, please email our International Program director, Anna Slenk, at aslenk@hollandchristian.org.

Email Anna