International Student Interest Survey
Please complete the following questions to be considered for enrollment at Central Catholic High School.
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Email *
Student full name: (First Name   Last Name) *
Date of birth: *
City and country of birth: *
Country of current residence: *
What type of Visa does the student hold? *
Parent(s) names  (First Name   Last Name): *
Parent(s) email address: *
Reason you are interested in attending Central Catholic? *
Who would you be living with while attending Central Catholic? *
Name of school you are currently enrolled in? What grade are you currently in? *
How many years of high school have you attended? *
How many years of high school have you attended in the US? *
What grade are you wanting to enter at Central Catholic? *
How many years of English classes have you taken? *
What languages do you speak? *
Do you plan to enroll for one semester, one year or plan to graduate from Central Catholic? *
Have you ever missed or repeated an academic year? If yes, why? *
Have you ever been dismissed or expelled from a school? *
Are there specific courses you need to take at Central Catholic? If yes, please list the courses. *
Do you have any special education or medical concerns that affect your learning? If yes, please explain. *
Do you intend to continue your education after completing high school? If yes, where?
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