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Application
Form
Applying for grade:
Applicant Information
First Name:
Middle Name:
Last Name:
Date of Birth:
(mm/dd/yyyy)
Sex:
Male
Female
Place Of Birth:
City:
State:
Country:
Home Address:
Street:
City:
State:
Zip/Postal:
Email:
Sibling(s) Enrolled:
Full Name:
Grade:
Full Name:
Grade:
Religion:
Baptized:
Yes
No
Local Public School System:
Local Public School Child Would Attend:
Ethnicity of Student:
Optional
Native American
Asian
Black
Hispanic
Native Hawaiian/Pacific Islander
White
Multiracial
Unknown
Other
Family Information
Mother
Father
Full Name:
Maiden Name:
Country of Birth:
Home Address:
Home Phone:
Cell Phone:
Preferred Email:
Occupation:
Employer:
Work Phone:
Religion:
Parish/Church:
Parents' Marital Status:
(Please check all that apply)
Single
Married
Separated
Divorced
Mother Deceased
Mother Remarried
Father Deceased
Father Remarried
Student Live's With:
Please Select
Mother and Father
Mother Only
Father Only
Legal Guardian
Full Name:
Country of Birth:
Home Address:
Home Phone:
Cell Phone:
Preferred Email:
Occupation:
Employer:
Work Phone:
Religion:
Parish/Church:
Person responsible for Tuition/Fee Payments:
Emergency Contact Information
Contact #1
First Name:
Middle Name:
Last Name:
Relation to Student:
Email Address:
Street:
City:
State:
Zip/Postal:
Home Phone:
Other Phone:
Contact #2
First Name:
Middle Name:
Last Name:
Relation to Student:
Email Address:
Street:
City:
State:
Zip/Postal:
Home Phone:
Other Phone:
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