PART 1: APPLICATION FOR ADMISSION Our Lady of Mercy Catholic High School
TO BE COMPLETED BY PARENT/LEGAL GUARDIAN. If a questions doesn't pertain to you, please note N/A in the appropriate field.
Last name of Student Applicant *
Your answer
First name of Student Applicant *
Your answer
Middle name and/or Nickname of Student Applicant
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
Does the applicant have any other last name which might appear on school records? *
Address (Street, City, State, Zip) *
Your answer
County *
Email Address *
Your answer
Home Phone # *
Your answer
Religion *
Your answer
Church Attending *
Your answer
Birthplace *
Your answer
U.S. Citizenship *
Applying for admission to grade: *
School currently attending: *
Your answer
Reason for leaving present school *
Your answer
List all other high schools to which you are applying: *
Your answer
List all schools applicant attended beginning with 6th grade through present school: (Grade, Name of School) *
Your answer
Cultural heritage of applicant - Optional
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