We must receive this form by May 13, 2008 in order to process the student's payment coupons correctly. If you cannot make a determination by this date, please call our office for additional information (248.856.0240).
Name of Lutheran Elementary School:
Address:
City, State, Zip Code:
Prinicpal:
 E-Mail:
School's Phone Number:
 Fax Number:
Please fill out even if student is not planning on attending a Lutheran High School. Note: In order to receive the grant of $350, the valedictorian must have GPA of 3.75 or higher.
Valedictorian's Name:
Parent's / Guardian's Name:
Home Address:
City, State, Zip Code:
Phone Number:
Church Membership:
Please fill out even if student is not planning on attending a Lutheran High School. Note: In order to receive the grant of $250, the salutatorian must have GPA of 3.50 or higher.
Salutatorian's Name:
Parent's / Guardian's Name:
Home Address:
City, State, Zip Code:
Phone Number:
Church Membership:

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