logo
CONTACT

Application for Admission

Application Fee – $30 for one child, $50 for two or more

Application for Admission

Application Fee – $30 for one child, $50 for two or more

Child's full name

Goes By

MaleFemale

Address

Phone

Date of Birth (yyyy-mm-dd)

Grade For Which You Are Applying
School Year

Place of Birth (City/State)

Citizen of U.S.

YesNo

Other

Ethnic Origin (Check all that apply.)

CaucasianAfrican AmericanAsianNative AmericanHispanicPrefer Not to Answer

Other Ethnic Origin

Is a language other than English spoken in your home?

YesNo

What is your child's first language?

Religion

If Catholic:
Parish at which family is registered

Public school district for which you are zoned

Sibling(s) currently attending Catholic school - name(s), school(s) and grade(s)

Sacramental Information - For Catholic Applicants

Baptism Information (Date, Name of Church, City/State)

Reconciliation Information (Date, Name of Church, City/State)

First Communion Information (Date, Name of Church, City/State)

School History

Please list any school the student has previously attended, along with dates attended and grade levels.

Has the student repeated a grade?

NoYes

Parent/Guardian Information

Mother
Title
Name

Relation to Student
Address (If Different)

Home Phone

Employer

Occupation

Work Phone

Other Phone

Email

Religion

If Catholic:
Martial Status
Father
Title
Name

Relation to Student
Address (If Different)

Home Phone

Employer

Occupation

Work Phone

Other Phone

Email

Religion

If Catholic:
Martial Status
Is your marriage recognized by the Catholic Church?

YesNo

In the case of divorce or separation:

What is the legal custody arrangement for this student?
What is the primary residence of this student?
School correspondence should be mailed to:
Financial responsibility will be assumed by: