St. Peter Catholic School 2017-2018 Application for Admission
Thank you for your Application for Admission for the 2017-2018 school year! This form must be completed during a single session. You cannot save your responses and return to complete the application.

Please print a copy of the completed application to submit with the required documents to the school. In order to print, please RIGHT CLICK and PRINT BEFORE YOU SUBMIT the application. YOU WILL NOT BE ABLE TO PRINT THE APPLICATION AFTER IT IS SUBMITTED.

A list of required documents is shown below. The application will not be reviewed until all required documents are received. Please contact the Admissions Office at 985-892-1831 x4 or tmontour@stpetercov.org with any questions.

Copies of the following required documents must be submitted to the St. Peter Catholic School Office with the printed application:
1. Catholic Baptismal Certificate
2. First Communion Certificate (Grades 3-7)
3. Birth Certificate
4. Immunization Records
5. Social Security Card
6. Last Year's Report Card (if applicable)
7. Current Year's Report Card (if applicable)
8. Standardized Test Scores
9. Any Current Evaluation
10.Completed Parish Support & Activity Form found on our website under the "Admissions" tab.

Application Deadline: Friday, February 10, 2017

***RIGHT CLICK TO PRINT the completed application BEFORE you electronically submit it. Return the PRINTED application with the above documents to the St. Peter School Office.***

Applicant Information
Application for Academic Year:
Date of Application
MM
/
DD
/
YYYY
Applying for Grade:
If applying to Key Cottage - 3 Year Old Program, how many days would you like for your child to attend?
Please choose one: 5 days (M-F), 3 days (MWF) or 2 days (TTH)
Age of Student on or before September 30th, 2017
Your answer
Does this child have a sibling(s) who currently attends St. Peter Catholic School?
Your answer
If you answered "YES" to the question above, what is the name and grade of the child currently attending St. Peter Catholic School?
Your answer
Does the child have a sibling that has graduated from St. Peter Catholic School?
If yes, what is the name of the sibling and year of graduation?
Your answer
Last Name
This should be the name as it appears on your child's birth certificate.
Your answer
First Name
This should be the name as it appears on your child's birth certificate.
Your answer
Middle Name
This should be the name as it appears on your child's birth certificate.
Your answer
Nickname:
Is there a nickname that you would like your child to go by at school?
Your answer
Primary Mailing Address - Street
In general, the address where the student resides.
Your answer
Primary Mailing Address- City
Your answer
Primary Mailing Address- State
Your answer
Primary Mailing Address- Zip
Your answer
Home Telephone Number
Format xxx-xxx-xxxx
Your answer
Primary Email Address
St. Peter Catholic School communicates via electronic mail, including grade reports and important notices. This is the email that should be used for communications.
Your answer
Student Gender
Date of Birth
MM
/
DD
/
YYYY
Applicant's Social Security Number
Please enter in XXX-XX-XXXX format.
Your answer
Ethnicity
This information is needed for mandatory school reporting.
Applicant's City of Birth
Your answer
Has the prospective student been baptized by the Catholic Church?
For students applying for 3rd through 7th grades ONLY: Has the prospective student received the sacraments of First Reconciliation and First Holy Communion?
What Catholic Parish is the student's family registered in?
Your answer
Student Lives With:
Parent/Family Information
Formal Parent/Guardian Names
Formal Names to be used for Mailing Labels. Example: Mr. and Mrs. John Smith
Your answer
Mother's Name
First Name and Last Name
Your answer
Mother's Occupation
Occupation & Company
Your answer
Mother's Cell Phone
XXX-XXX-XXXX
Your answer
Mother's Work Phone
XXX-XXX-XXXX
Your answer
Mother's Email
Your answer
Mother's Information
Yes
No
Is Mother Catholic?
Is Mother a St. Peter School Alumnae?
Father's Name
First Name and Last Name
Your answer
Father's Occupation
Occupation and Company
Your answer
Father's Cell Phone
XXX-XXX-XXXX
Your answer
Father's Work Phone
XXX-XXX-XXXX
Your answer
Father's Email
Your answer
Father's Information
Yes
No
Is Father Catholic?
Is Father a St. Peter School Alumni?
Marital Status of Student's Parents
Other Prospective Student/Parent Information
What Public School would your child attend?
This information is necessary for mandatory reports.
Your answer
What was the name of the previous school your child attended?
Please indicate school name or home-schooled
Your answer
Why do you want your child to attend St. Peter Catholic School?
Your answer
Please indicate in what capacity you would be interested in volunteering at St. Peter Catholic School to further our mission.
Your answer
Please list the full name, address, and phone number of the party responsible for tuition and billing.
Once a student has been accepted, this information will be used to set up the FACTS Tuition Account.
Your answer
For Separated/Divorced Families
Are there any legal restrictions regarding access by the non-custodial parent?
Parent 2 Name
For Separated or Divorced Families - Please input name of the second parent as you want it to appear on a formal mailing label. Example: Mr. and Mrs. John Smith
Your answer
Parent 2 Address - Street
Your answer
Parent 2 Address - City
Your answer
Parent 2 Address - State
Your answer
Parent 2 Address - Zip
Your answer
Confidential Health and Academic Information
The following information is strictly confidential. It will be used by our application committee and guidance department to assist in educational placement if the applicant is admitted.
Has the applicant been educationally evaluated by a psychologist, professional therapist or other agency? Is the applicant in the process of being evaluated?
Please indicate yes or no. If yes, when and by whom? A copy of the evaluation must be attached to the printed application.
Your answer
Does the applicant qualify to receive speech services?
Has the applicant ever been classified as "504" or had an INC Plan?
Please attach documentation to this application.
Has the applicant had any type of physical or psychological diagnosis? If yes, please explain.
Your answer
Has the applicant received accommodations/minor adjustments in class? If so, what?
Please attach documentation to printed application.
Your answer
Is medication taken?
Please indicate yes or no. If yes, please list the name(s) of medications.
Your answer
List any medical or health considerations (vision, hearing, AFF, etc.)
Your answer
List educational exceptionalities (learning issues, gifted or talented designation, etc.)
Your answer
Has the applicant ever repeated a grade?
Please answer yes or no. If yes, please indicate what grade was repeated.
Your answer
Has the applicant ever been on probation, expelled or asked to leave another school?
Please answer yes or no. If yes, please provide details.
Your answer
Evaluation Agreement:
I agree to release to St. Peter Catholic School any educational/psychological testing or screening information administered to my child prior to being accepted for admission.
Acceptance Policy:
If your child is accepted to St. Peter Catholic School and there is a current evaluation, a copy of this evaluation must be forwarded along with other required documents. A sheet requesting former school records is included in the Application packet.

REMINDER, your application is not complete and will not be reviewed until a HARD COPY is submitted to our school office along with the required documents. PLEASE RIGHT CLICK AND PRINT BEFORE YOU SUBMIT THIS APPLICATION.

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