Crusader To Saint Program Application

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The purpose of this form is to collect data necessary for students to apply to our Crusader to a Saint Program. Students typically apply to this program in March of their Junior Year. This application should be completed by the student.

If you have any questions regarding this program or the application process, please contact Principal Christopher Signor at csignor@cchstroy.org

What is your first name? *

What is your middle name?

What is your last name? *

What is your gender? *

Female

Male

What is your social security number (optional)?

What is your date of birth? *

YYYY

What country were you born in? *

What is your email address? *

What is your home phone number? *

What is your cell phone number? *

Do you give permission for Siena College to send you important updates via text messaging? (Standard Message & Data Rates May Apply) *

Yes

What is your Street Address? *

What city do you live in? *

What state do you live in? *

What is your zip code? *

Citizenship Type *

I am a U.S. Citizen

I am a permanent resident.

I am not a U.S. Citizen or Permanent Resident.

To whom should we send information about Siena? *

One Parent/Guardian

Two Parents/Guardians

Do you have any siblings who are currently attending or who have attended college? *

Yes

Have any of your family members graduated from Siena, or are any of your family members currently enrolled at Siena? *

Yes

Was Siena recommended to you by one of our alumni? *

Yes

To your knowledge, have you achieved an average of 85 or higher in your core Math, Science, English, Social Studies and Foreign Language Courses? *

Yes

What types of community service and extracurricular activities do you participate in? *

Please describe your work experience *

Please Include the type of job, start and end dates, number of hours per week and the name of your employer

Application Essay: Please write a short essay describing your career goals, college preparation efforts and why you hope to be accepted into this program. *

Do you plan to take the SAT, or have you taken it? *

Yes

Do you plan to take the ACT, or have you taken it? *

Yes

By typing my name in the box below, I hereby certify that all of the information provided thus far is factual and true. I understand that providing incorrect information on this application could result in me not being accepted into the program. *

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