St. Vincent's Prospect Information Form and High School Placement Test Registration
Academic Year 2019-2020
Legal Last Name *
Your answer
Legal First Name *
Your answer
Legal Middle Name *
Your answer
Address: (Street Name) *
Your answer
Apt.# (If applicable)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student Primary Phone *
Your answer
What type of phone number is the primary phone number? *
Student's Email Address *
Your answer
Date of Birth *
Your answer
School student is presently attending? *
Father's Full Name *
Your answer
Father's Primary Phone *
Your answer
Father's Email *
Your answer
Mother's Full Name *
Your answer
Mother's Primary Phone *
Your answer
Mother's Email *
Your answer
Student lives with *
Select all that interests your daughter *
Required
Please check the phrase which best describes their foreign language experience *
If eligible for a foreign language as a freshman, your daughter prefers to take *
Do you have relatives who attended St. Vincent's? *
If yes, please give full name (including maiden name) and relationship
Your answer
Did you attend Open House on November 4, 2018? *
Did you attend Open House on January 13, 2019? *
Does your daughter plan to attend St. Vincent's? *
Please select which Placement Test Session you will be attending: (Placement Test is Necessary for Admission) *
Do you need extended time accommodations? IN order to receive extended time for testing on Wednesday, January 31, 2018, the form and supporting documentation must be on file with SVA by 1/23/18. *
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