St. Bernard's High School Application
Please fill out the following form to submit your application to St. Bernard's High School.

Thank you for your interest in St. Bernard's!
Email address *
First Name (Student) *
Your answer
Middle Name (Student)
Your answer
Last Name (Student) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Gender *
Date of Birth (Student) *
MM
/
DD
/
YYYY
Applying for grade: *
For the academic year: *
Present School *
Your answer
Number of Years Attended *
Your answer
Name of Parent/Guardian #1 *
Your answer
Phone Number of Parent/Guardian #1 *
Your answer
Address of Parent/Guardian #1 (if different from student)
Your answer
E-mail of Parent/Guardian #1 *
Your answer
Occupation of Parent/Guardian #1 *
Your answer
Place of Employment of Parent/Guardian #1
Your answer
Name of Parent/Guardian #2
Your answer
Phone Number of Parent/Guardian #2
Your answer
Address of Parent/Guardian #2 (if different from student)
Your answer
E-mail of Parent/Guardian #2
Your answer
Occupation of Parent/Guardian #2
Your answer
Place of Employment of Parent/Guardian #2
Your answer
Names of Siblings Currently Enrolled at St. Bernard's High School (if applicable):
Your answer
Names and Graduation Years of St. Bernard's High School Alumni in Family (if applicable):
Your answer
Student's Top Choices for High School (please include three): *
Your answer
Student's Current Average in Mathematics: *
Student's Current Average in English Language Arts (ELA): *
Does the student have a current IEP or 504 plan? *
If yes, please briefly explain the student's IEP/504 plan and current accommodations:
Your answer
Student's Academic Interests (include all applicable): *
Required
Student's Extra-Curricular Interests (include all applicable): *
Required
Please describe student's college and/or career goals, if known:
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy