Frassati Catholic Academy New Student Application 2021-2022
Please complete one form for each NEW student applying for admission to Frassati Catholic Academy.

There is a $100 non-refundable registration fee per family. Registration is not considered complete until all documents and the registration fee are submitted. In addition to the New Student Application and registration fee, new and returning families will be required to submit the FCA Tuition Contract 2021-2022 Google form. Additionally, returning families who are registering a new student are also required to complete the sibling registration section in Powerschool.
Email address *
LAST NAME of person completing this form *
FIRST NAME of person completing this form *
STUDENT INFORMATION
Student's Last Name *
Student's First Name *
Student's Nickname or Preferred Name (if applicable)
Student's Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
A copy of the Student's Birth Certificate will be submitted to the school office. *
Will the student be the oldest or only child enrolled at Frassati Catholic Academy for the 2021-2022 academic year? *
Will the student be the youngest or only child enrolled at Frassati Catholic Academy for the 2021-2022 academic year? *
Student's Gender *
Is the student Hispanic/Latino? 1=Yes 0=No (Hispanic/Latino = A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race) *
Student's Race - Please Select One *
If not born in the US, state the country of birth. (Leave blank and proceed to the next question if born in the US)
Is a language other then English spoken in the home? If yes, what language? *
Grade Level Applying for: (-2 = 3 Yr Old Preschool, -1 = 4 Yr Old Preschool, and 0 = Kindergarten) *
PRESCHOOL ONLY - Schedule Option
Clear selection
PRESCHOOL ONLY - Do you plan to apply for the Preschool for All Program? (Visit https://www.frassaticatholicacademy.org/pfa for additional information)
Clear selection
Religion *
Primary Mailing Street Address *
Primary Mailing City *
Primary Mailing State *
Primary Mailing Zip Code *
OPTIONAL - Second Mailing Address Name
OPTIONAL - Second Mailing Street Address
OPTIONAL - Second Mailing City
OPTIONAL - Second Mailing State
OPTIONAL - Second Mailing Zip Code
PREVIOUS EDUCATION
Student's Most Recent School Name *
Student's Most Recent School Address *
Student's Current Grade *
Years Attended at Most Recent School *
Public School Your Student Would Attend *
Public School District Your Student Would Attend *
Has the Student skipped a grade? If so, which grade? *
Has the Student repeated a grade? If so, which grade? *
Has the Student ever received a disciplinary action/report? *
Has the Student ever received a school suspension? *
Has the Student ever received probation? *
Has the Student ever received school expulsion? *
Please explain any disciplinary action/report.
Does the Student require any special accommodations? Please select all that apply. *
Required
If your student requires special accommodations, please explain.
SACRAMENTAL RECORDS
Baptized *
Baptism Date (mm/dd/yyyy)
MM
/
DD
/
YYYY
Baptism Church
Baptism City and State
Reconciliation *
Reconciliation Date (mm/dd/yyyy)
MM
/
DD
/
YYYY
Reconciliation Church
Reconciliation City and State
First Communion *
First Communion Date (mm/dd/yyyy)
MM
/
DD
/
YYYY
First Communion Church
First Communion City and State
Confirmed *
Confirmation Date (mm/dd/yyyy)
MM
/
DD
/
YYYY
Confirmation Church
Confirmation City and State
Student's Baptismal Certificate will be submitted to the school office. *
FAMILY INFORMATION
Student Lives With: *
If Student lives with a guardian, what is their relationship to the student?
Parents Marital Status *
Custody *
Are you a current parishioner at Transfiguration, St. Mary of the Annunciation, or Santa Maria del Popolo? *
MOTHER INFORMATION
Mother Title *
Mother Name (Last Name, First Name) *
Mother Home Phone (optional)
Mother Cell Phone or Primary Phone *
Mother Email *
Mother Work Phone
Mother Place of Employment
Mother Occupation
Mother Work Address
Is the Mother an alumna of Frassati Catholic Academy, Transfiguration School, St. Mary of the Annunciation School, or Santa Maria del Popolo? *
If Mother is an alumna, which school did she attend?
Clear selection
FATHER INFORMATION
Father Title *
Father Name (Last Name, First Name) *
Father Home Phone (optional)
Father Cell Phone or Primary Phone *
Father Email *
Father Work Phone
Father Place of Employment
Father Occupation
Father Work Address
Is the Father an alumna of Frassati Catholic Academy, Transfiguration School, St. Mary of the Annunciation School, or Santa Maria del Popolo School? *
If Father is an alumna, which school did he attend?
Clear selection
GUARDIAN INFORMATION
Skip to next section if not applicable.
Guardian Name (Last Name, First Name)
Guardian Email
Guardian Contact Phone
Guardian Work Phone
Guardian Occupation
Guardian Place of Employment
Guardian Work Address
STEP PARENT INFORMATION
Skip to next section if not applicable.
Step-Mother Name (Last Name, First Name)
Step-Father Name (Last Name, First Name)
SIBLING INFORMATION
Skip to next section if not applicable.
Sibling #1 Name (Last Name, First Name)
Sibling #1 Age
Sibling #1 Grade
Sibling #1 Current School
Sibling #2 Name (Last Name, First Name)
Sibling #2 Age
Sibling #2 Grade
Sibling #2 Current School
Sibling #3 Name (Last Name, First Name)
Sibling #3 Age
Sibling #3 Grade
Sibling #3 Current School
EMERGENCY CONTACT AND MEDICAL INFORMATION
Doctor Name *
Doctor Phone Number *
Emergency Contact 1 (Last Name, First Name) NOTE: This should be someone other than the mother or father who can be contacted in the event the parents cannot be reached. *
Emergency Contact 1 Relationship to Student *
Emergency Contact #1 - Phone 1 *
Emergency Contact #1 - Phone 1 Type *
Emergency Contact #1 - Phone 2 (if applicable)
Emergency Contact #1 - Phone 2 Type (if applicable)
Clear selection
Emergency Contact #2 Name (Last Name, First Name) *
Emergency Contact #2 Relationship to Student *
Emergency Contact #2 - Phone 1 *
Emergency Contact #2 - Phone 1 Type *
Emergency Contact #2 - Phone 2 (if applicable)
Emergency Contact #2 - Phone 2 Type (if applicable)
Clear selection
Does the Student have any allergies? If so, please list. *
Does the Student have any medical conditions? If so, please list. *
Referral Information
How did you hear about Frassati Catholic Academy? *
If you heard about us from a current Frassati Catholic Academy family, to whom should we thank for sharing the good news?
Do you have any other members of your family that are alumna of Frassati Catholic Academy, Transfiguration School, St. Mary of the Annunciation School, or Santa Maria del Popolo? If so, what is their relationship to the student?
ADMISSION RULES
A non-refundable $100 registration fee per family is required for all applications and the application process is not complete until the $100 registration fee is paid. *
I agree to support the school through active involvement and meeting my financial obligations. *
I agree to support and participate in the school fundraising events. *
ELECTRONIC SIGNATURE
I, the parent/guardian, of the child named above, certify that all the information provided is true, complete, and accurate to the best of my knowledge. *
Your Full Name (Last Name, First Name) *
Your Relationship to Child *
A copy of your responses will be emailed to the address you provided.
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