APPLICATION FOR ADMISSION
Pope John Paul II High School
Applicant Information
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Preferred Name
Your answer
Gender *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
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
Your answer
Religion
Parish *
If Non-Catholic, put N/A
Your answer
Current School *
If you selected 'other' please list your school below:
Your answer
School District in which child resides *
Your answer
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?
Your answer
Present Grade *
Grade Applying for *
Ethnic Background
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
Your answer
Job Title
Your answer
Work Telephone Number
In the form: 610-123-1234
Your answer
Mother's Status
Mother's Religion
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
Father's Religion
High School/College Attended
Your answer
Year of Graduation
high school/college
Your answer
Parent's Marital Status
Student Lives With
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?
Do you wish to share the IEP/504 with our staff?
Do you plan to apply for financial aid?
Please list any athletic programs or co-curricular activities in which the applicant is interested in:
Your answer
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