Each year the Department for schools lists many new schools across the United States and the Caribbean. This form has been designed to assist schools to more quickly and accurately report the start of their school or center program to the ELCA Department for Schools. If you are not sure whether you meet the specific criteria of an ELCA school or center please read Criteria for New ELCA Schools. If you need more information or assistance with this form, please contact Ms. Kathryn Baker for assistance.

School Name
Opening Date		(month and year)
Address 1
Address 2
City / State /Zip
Phone
Fax
E-mail
Director
Congregation
Pastor
		Programs Offered
Infant-2 yrs old		Half day   Full day (select all that apply)
Ages 2-5		Half day   Full day (select all that apply)
Kindergarten		Half day   Full day (select all that apply)
Elementary		Grades
Middle School		Grades
High School		Grades
		School Status
		Not separately incorporated from the congregation
		Separate corporation relating to the congregation
		Other (please describe in box below)