Admissions Application

Applying for School Year

Student Information:

Grade

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Gender M F

Ethnicity (for Census) Hispanic Non-Hispanic

Race

Language primarily spoken at home:

Religion

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Mailing Address (if different from above) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Place of Birth (City/State) Please enter valid data.

Why are you choosing Catholic education for your child?

Family Information:

Mother's Name Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Occupation Please enter valid data.

Company Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Religion

Parish

Status Formally Registered? Practicing?

Father's Name Please enter valid data.

Phone Number Please enter a phone number.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Occupation Please enter valid data.

Company Please enter valid data.

Email Please enter an email address.

Religion

Parish

Status Formally Registered? Practicing?

How did you hear about the school?

Do you have any relatives who have attended or currently attend St. Stanislaus School? Yes No

Sacramental Information:

Date of Child's Baptism Please enter a date.

Church Please enter valid data.

City Please enter valid data.

Date of First Eucharist Please enter a date.

Church Please enter valid data.

City Please enter valid data.

If child is a transfer:

School presently attending Please enter valid data.

Grade

Is your child in a Special Needs program at present school? Yes No

NOTE: Transcripts, IEP's, and 504 plans (if applicable) must be forwarded to us in order to complete the application process.