The following information needs to be kept on file in the dorm parents’ office if your student is accepted into the Mountainview dorms. Please fill it out and return it with your school application form.

Download the PDF file: Boarding Application Form

 

Student Information
Name of Student : (family)

: (first)

: (middle)

Date of Birth : (dd/mm/yy)
Allergies or other health concerns that we need to know about :
Religion / Church Affiliation :
Parent Information 
Father's Name :
Mother's Name :
Parent's Email Address :
Mailing Address :
Phones : (home phone #)
  : (work phone #)
  : (father's cell phone #)
  : (mother's cell phone #)
What language would you prefer when talking to dorm parents?

English     Indonesian

Emergency Contact Information
Guardian  
Name :
Email :
Home Phone # :
Cell Phone # :
Contact in Salatiga 
Name :
Email :
Home Phone # :
Cell Phone # :
  
 
  
First-time dorm students must be accompanied by parents upon arrival at the dorm unless other arrangements have been made with the dorm parents.

Download the PDF file: Boarding Application Form