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St. Bernard Student Application
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* Indicates required question
Student Name:
*
Your answer
Student applying for grade
*
Your answer
Language spoken at home
*
Your answer
Religion
*
Your answer
Date of birth
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MM
/
DD
/
YYYY
Primary email
*
Your answer
Primary number
*
Your answer
Gender
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Last school attended
Your answer
How did you hear about us?
*
Current family referral
Google/internet search
Church bulletin/announcement
Social media
Former family/alumni referral
Flyer or other print advertisement
Other:
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Phone
*
Your answer
Parent/Guardian #1 Email
*
Your answer
Parent/Guardian #2 Name
*
Your answer
Parent/Guardian #2Phone
Your answer
Parent/Guardian #2Email
Your answer
Child lives with
*
Your answer
Why are you interested in joining the St. Bernard Catholic School community?
*
Your answer
Please tell us about your child's interests
*
Your answer
How will you contribute to the St. Bernard School community?
*
Your answer
Is there anything else you can add that will help us evaluate your child's application?
Your answer
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