Online Application for Admission

Please complete the form below. Required fields marked *

Contact Information

Applicant Last Name:*

Answer Required

Applicant First Name:*

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Applicant Middle Name:*

Answer Required

Student's Date of Birth*

Answer Required

Applying for admission to grade*

Answer Required

Name of school the student is currently attending:*

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Other school attended:*

Answer Required

Dates of Attendance:*

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Other school attended, if applicable:

Answer Required

Dates of Attendance:

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How did you hear about St. Mary's High School (Referral, Advertisement, Social Media, Other)

Answer Required

Person(s)' name with whom applicant resides:*

Answer Required

Relationship*

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Mother/Father

Mother

Father

Grandparent

Aunt/Uncle

Other:

Street Address*

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City*

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Zip/Postal*

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Home Phone:*

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Cell Phone #1*

Number Required

Cell Phone #2

Number Required

Email Address*

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Religion of Applicant:

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Name of Parish (if Catholic):

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Public School District in which Applicant resides:*

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Applicant has an IEP?*

Answer Required

Yes* If yes, please attach a copy.

Attach a copy of the IEP

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Choose a file or drag it here.

Are there any circumstances which may affect/have affected applicant's academic performance (Move, Divorce, Change in School, Loss of Family Member, Illness, etc.)?*

Answer Required

Yes * If yes, please briefly explain below.

Examples include Residential Move, Divorce, Change in School, Loss of Family Member, Illness, etc.)

Answer Required

Do you have any brothers or extended family members attending St. Mary's? If yes, please list their names.

Answer Required

Please list the names of any relatives who graduated from St. Mary's below.

Answer Required

Why does the applicant want to attend St. Mary's?*

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Signature of Applicant (to be completed in person):

Answer Required

Date:

Answer Required

Signature of Parent (to be completed in person):

Answer Required

Date:

Answer Required

This application cannot be processed without official academic, discipline, and attendance records from the applicant's current school (Parent Authorization for Release of School Records form must be completed).

Please fix the highlighted areas below before submitting.

Online Application for Admission