EDUCATIONAL ASSESSMENT EXAM REGISTRATION for the 2019-2020 School Year - Saturday, January 12, 2019
JDCHS Educational Assessment Exam is scheduled for Saturday, January 12, 2019. ALL NEW STUDENTS interested in attending Juan Diego for the 2019-2020 school year (incoming 9th Grade, and new 10th through 12th grade students) will need to take our Educational Assessment Exam.

What time?
* Check-in is from 7:45am to 7:55am.
* Park in our West Parking Lots
* Enter Juan Diego Catholic High School through "B" Door. Check-in tables will be set-up outside of the JDCHS Library.

How long is testing?
* Testing will begin at 8am. Testing will take approximately 4.5 hours to complete (with a snack break).

* JDCHS will provide a light snack. If your student has special dietary needs, they are welcome to bring their own snack.

Test Fee?
* $25 test fee can be paid online in advance or in cash or check on the day of the exam. NOTE: We will not be set up to take credit cards on the day of the exam.

How did you learn about Juan Diego *
Please check all that are applicable
Student Information
Student First Name *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Student Preferred Name
Your answer
Home Phone Number *
Your answer
Gender *
Date of Birth *
Student Race *
Current Grade *
School Currently Attending *
What is your T-Shirt Size? *
Sizes are adult T-Shirt Sizes - please select ONE
Does your student need special accommodations for testing? (Has an IEP or 504 in public schools) *
If yes, please list accommodations in the "Other" field
Father Relationship *
Father, Step-Father, Guardian, Host, Not Applicable, Other
Father/Guardian (First and Last)
Your answer
Father Email
Your answer
Father Cell Phone
Your answer
Mother Relationship *
Mother, Step-Mother, Guardian, Host, Not Applicable, Other
Mother Name (First and Last)
Your answer
Mother Email
Your answer
Mother Cell Phone
Your answer
Address Information
Student Lives With *
Please select one of the options below
Home Street Address *
Your answer
City, State *
Your answer
Zip *
Your answer
Second Mailing Information (if applicable)
Parent/guardian not living at the student's home address above
Second Guardian Name (First and Last)
Your answer
Second Mailing Street Address
Your answer
Second Mailing City, State, Zip
Your answer
Please list student's interests. JDCHS will partner your student with a JD host student that has similar interests:
Your answer
Comments / Questions
Please list comment or questions below
Your answer
Exam Fee
The $25 fee can be paid online in advance at this link or in cash or check on the day of the exam.
NOTE: We will not be set up to take credit cards on the day of the exam.
Never submit passwords through Google Forms.
This form was created inside of Skaggs Catholic Center. Report Abuse - Terms of Service