APPLICATION FOR ADMISSION
Pope John Paul II High School
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Applicant Information
First Name
*
Your answer
Middle Name
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Last Name
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Preferred Name
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Gender
*
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M
F
Street Address
*
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City
*
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State
*
Your answer
Zip Code
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County
*
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Home Telephone Number
*
In the form: 610-123-1234
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Social Security Number
In the form: 123-45-6789
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Religion
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Catholic
Non-Catholic
Parish
*
If Non-Catholic, put N/A
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Current School
*
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Academy of Notre Dame de Namur
Arcola Intermediate
Boyertown School District
Corpus Christi
Coventry Christian
Daniel Boone Middle School
Devon Prep
East Norriton Middle School
Gwynedd Mercy Academy Elementary
Holy Cross Regional Catholic
Holy Family
Holy Rosary
Immaculate Conception Academy
Indian Valley Middle School
Malvern Prep
Mater Dei
Methacton High School
Montgomery School
Mother Teresa Regional Catholic School
Owen J Roberts Middle School
Pennfield Middle School
Perkiomen Valley School District
Phoenixville Area School District
Pottsgrove School District
Pottstown School District
Saint Aloysius
Saint Francis Academy
St. Francis of Assisi
Saint Helena
Saint Mary, Schwenksville
Saint Teresa of Calcutta
Spring Ford Area School District
Upper Merion School District
Upper Perkiomen School District
Villa Maria Academy
Visitation B.V.M.
Woodland School
Wyndcroft School
Other
If you selected 'other' please list your school below:
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School District in which child resides
*
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If your child is not currently attending a Catholic school please answer the following question... did your child attend a parish PREP program? If so, what parish?
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Present Grade
*
Choose
8
9
10
11
Grade Applying for
*
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9
10
11
12
Ethnic Background
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Caucasian
African-American
Hispanic
Asian
Native American
Other
Parent Information
Mother's Full Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
County
Your answer
Email Address
Your answer
Home Telephone Number
In the form: 610-123-1234
Your answer
Cell Phone Number
In the form: 610-123-1234
Your answer
Mother's Employer
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Job Title
Your answer
Work Telephone Number
In the form: 610-123-1234
Your answer
Mother's Status
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Living
Deceased
Mother's Religion
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Catholic
Non-Catholic
High School/College Attended
Your answer
Year of Graduation
high school/college
Your answer
Father's Full Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
County
Your answer
Email Address
Your answer
Home Telephone Number
In the form: 610-123-1234
Your answer
Cell Phone Number
In the form: 610-123-1234
Your answer
Father's Employer
Your answer
Job Title
Your answer
Work Telephone Number
In the form: 610-123-1234
Your answer
Father's Status
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Living
Deceased
Father's Religion
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Catholic
Non-Catholic
High School/College Attended
Your answer
Year of Graduation
high school/college
Your answer
Parent's Marital Status
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Married
Divorced
Widowed
Separated
Remarried
Unmarried
Student Lives With
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Both Parents
Mother
Father
Guardian
Stepparent/ Legal Guardian Information
Parent/ Guardian Full Name:
Your answer
Relationship to student
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
County
Your answer
Email Address
Your answer
Home Telephone Number
In the form: 610-123-1234
Your answer
Cell Phone Number
In the form: 610-123-1234
Your answer
Parent/ Guardian Employer
Your answer
Job Title
Your answer
Work Telephone Number
In the form: 610-123-1234
Your answer
Family Information
Please list any other children in the family
provide name, birth date, grade, and school
Your answer
Other Information
Does the applicant have an IEP/504 or had any private psychological or educational evaluations?
Choose
Yes
No
Do you wish to share the IEP/504 with our staff?
Yes
No
Maybe
Do you plan to apply for financial aid?
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Yes
No
Please list any athletic programs or co-curricular activities in which the applicant is interested in:
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