LTPS Student Application

Lake Tahoe Preparatory School Student Application

Please type and submit the completed application using the form below. Please submit 1) this completed application 2) student personal statement 3) a transcript of school grades in your native language and translated to English for the past two years, 4) a letter of recommendation from a teacher or school official, 5) International students are required to submit a copy of a bank statement that proves the family has funds to pay for tuition, and 6) an application fee of US $100. No application can be considered official nor acted upon until the student’s file is complete

Student Information

Student's Name*

Last, First Middle (Nickname)

Student's Gender*

Student's Date of Birth*

Student's Present Age*

Student's Current Grade*

Student's SSN*

School Year Applying For*

Summer School*

Have you (or are you now) working with an educational consultant? If so, what is the name of your consultant or consulting group?*

Please list current and previous therapeutic experiences with dates. For example, therapists, psychiatrists, residential treatment, wilderness therapy*

Describe any mental health or substance use concerns.*

Please list any current medications (prescription or over-the-counter) that the student takes regularly.*

Please upload any psychological or educational testing here.

(csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, psd, rtf, txt, xls, xlsx)

Does your student have any learning disorders or learning differences?*

Does the student have current 504 or IEP?*

Please upload transcript documents here

(csv, doc, docx, dwg, gif, jpeg, jpg, pdf, png, ppt, pptx, psd, rtf, txt, xls, xlsx)

Family Information

Father's Name*

Father's Email*

Father's Occupation

Mother's Name*

Mother's Email*

Mother's Occupation

Family or Student Email*

Family Mailing Address*

ZIP / Postal Code*

Is your Mailing Address the same as your Home Address?*

Family Home address*

Home Address ZIP / Postal Code

Family Day telephone (include country code)*

Evening Telephone*

Student Cell Phone Number (include country code)

Family Fax (include country code)

How did you hear about Lake Tahoe Preparatory Academy?

Are parents married?*

Are parents divorced?

Are parents separated?

Does the students have any step-parents? If so, please explain.*

Upload Custody Documents here

(csv, doc, docx, dwg, gif, jpeg, jpg, pdf, png, ppt, pptx, psd, rtf, txt, xls, xlsx)

All Student Applicants

Name, address, and web site of school currently/most recently attended

Name, title, and e-mail address of school contact person

Main academic strengths

Main academic weaknesses

Names and ages of brothers and sisters

Sports and athletic experience

Winter sports interests

Favorite activities and hobbies

Do you plan to attend university?

Where?

Please upload a transcript of school grades in your native language and translated to English for the past two years

(doc, docx, jpeg, jpg, pdf)

International Applicants Only

Country of birth

Country of citizenship

Native language

English language ability or level

Recent TOEFL score (optional)

What are your plans after you leave Lake Tahoe Preparatory School?

Educational Agency Information, if applicable:
Agency Name

Educational Agency Mailing Address (include postal code)

Phone Number (include country code)

Agent’s Name/email

Have you studied in the U.S. before?

Name of US School attended:

Do you now have a visa to enter the U.S.?

Visa type

Expiration Date

Have you ever been issued an I-20?

By what school?

When do you wish to enter Lake Tahoe Preparatory Academy?

Name, address and telephone number of U.S. contact person

Please upload a copy of a bank statement

(jpeg, jpg, pdf)

Personal Statement

On a separate sheet of paper in your own handwriting in English, write a short statement describing yourself and explaining why you wish to attend Lake Tahoe Preparatory School. If you have any discipline records, please provide a written explanation. Please scan your file and upload below.

Upload Statement

(doc, docx, jpeg, jpg, pdf)

Application Completion

I request enrollment for this student at Lake Tahoe Preparatory School (LTPS). If the student is accepted by LTPS, I agree to pay all expenses for the education and support of this student as set forth in statements presented by the School for charges incurred. I understand that the minimum period of enrollment is for one academic year or any portion remaining. This agreement is entered into under the laws of the County of Placer, State of California.

Signature of parent(s) or guardian(s)*

Date*

Signature of Student*

If accepted, I agree to comply with regulations and policies of the school.

Date *

Amount$100.00

Payment Method:*

Payment Notes/Additional Info: