Sacred Heart School Application for 2017-2018
Admissions Policy: Sacred Heart School admits students of any race or ethnic origin to all rights, privileges, programs, and activities generally available to students at the school.
Date
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Student's First Name
Your answer
Student's Last Name
Your answer
Student's Middle Name
Your answer
Grade Applying?
Gender
Student's Home Phone
Your answer
Student's Cell Phone
Your answer
Student Full Address
Your answer
How long has student lived at this address?
Your answer
Date of Birth
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Place of Birth
Your answer
Baptism Date
MM
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DD
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YYYY
Baptism Church & Location
Your answer
Communion Date
MM
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DD
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YYYY
Communion Church & Location
Your answer
Parent's Marital Status
Student Lives With
Father/Guardian Name
Your answer
Father/Guardian Full Address
Your answer
Father/Guardian: How long at this address?
Your answer
Father/Guardian Home Phone
Your answer
Father/Guardian Cell Phone
Your answer
Father/Guardian Email Address
Your answer
Father/Guardian Occupation
Your answer
Father/Guardian Business Address
Your answer
Father/Guardian Business Phone
Your answer
Father/Guardian College University
Your answer
Father/Guardian Degrees
Your answer
Father/Guardian Religion
Your answer
Father/Guardian Birthplace
Your answer
Mother/Guardian Name
Your answer
Mother/Guardian Full Address
Your answer
Mother/Guardian: How Long at Present Address
Your answer
Mother/Guardian Home Phone
Your answer
Mother/Guardian Cell Phone
Your answer
Mother/Guardian Email Address
Your answer
Mother/Guardian Occupation
Your answer
Mother/Guardian Business Address
Your answer
Mother/Guardian Business Phone
Your answer
Mother/Guardian College/University
Your answer
Mother/Guardian Degrees
Your answer
Mother/Guardian Religion
Your answer
Mother/Guardian Birthplace
Your answer
Mother/Guardian Maiden Name
Your answer
Primary language spoken at home:
Your answer
Do you have internet access at home?
Please list siblings and ages:
Your answer
What school has your child previously attended. Please include school name and grade.
Your answer
Has your child had a CORE evaluation by a public school?
Does your child have an IEP (Individualized Education Plan)?
Has your child been tested for learning problems (private evaluation)?
Has your child had speech therapy?
Has your child had occupational therapy?
Was either parent/guardian a Sacred Heart graduate?
If yes, please state who and what year he or she graduated.
Your answer
What church do you attend?
Your answer
Are you registered in your parish?
Why do you want your child to attend Sacred Heart School?
Your answer
At Sacred Heart School our parents take an active role in the life of the school. How do you plan to be involved at Sacred Heart School?
Your answer
For Preschool Applicants Only: Which schedule are you interested in?
For Carolyn A. Lynch Early Education Center Applicants Only:
If your child has had outside services please describe them below.
Your answer
Preschool Applicants Only: Has your child had early intervention?
Preschool Applicants Only: Is your child toilet trained?
Preschool Applicants Only: Do you have any concerns with your child's speech?
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