APPLICATION FOR ADMISSION FOR THE SCHOOL YEAR

Transcription

1 APPLICATION FOR ADMISSION FOR THE SCHOOL YEAR Thank you for your interest in Archbishop Chapelle High School! The following criteria for prospective students must be completed and returned to be considered for admission: Admission Application Final Report Card from past two years Standardized test scores from past two years Copy of birth certificate (For non-catholic school applicants only) Two Recommendation forms from: - Current School Administrator - Current Teacher All application documents can be sent via to eradcliffe@archbishopchapelle.org, faxed to , or dropped off in-person on campus to Emily Radcliffe '11, Director of Admissions. APPLICANT FIRST & LAST NAME:

2 Student Information Street Address: City, State, Zip: Home Phone: Cell Phone: Date of Birth: SSN: US Citizen: Yes No (If no, attach explanation of status) Race/Ethnicity: American Indian Asian Black/African American Caucasian/White Pacific Islander Hispanic/Latino Other: Religion: Catholic Christian: Denomination: Other: Church: Current School Information Current Grade Level: Current School: Public High School District: Previous school (if less than 2 years at current school): Has the applicant been suspended/expelled/asked to withdraw from a school? No Yes (If yes, attach explanation) Family Information With whom does the applicant live? Father & Mother (same home) Father & Stepmother Father only Father & Mother (different homes) Mother & Stepfather Mother only Legal Guardian(s) Check any that apply Father deceased Mother deceased Parents separated Parents divorced

3 Mother s Information Street Address: City, State, Zip: Custodial Parent: Yes No Home Phone: Cell Phone: Employer: Occupation: Work Phone: Name of step-parent in same household as Mother (if applicable): Custodial Parent: Yes No Cell Phone: Work Phone: Employer: Occupation: Father s Information Street Address: City, State, Zip: Custodial Parent: Yes No Home Phone: Cell Phone: Employer: Occupation: Work Phone: Name of step-parent in same household as Father (if applicable): Custodial Parent: Yes No Cell Phone: Work Phone: Employer: Occupation:

4 Siblings Name: Grade: School: Chapelle Grad. (year ) Name: Grade: School: Chapelle Grad. (year ) Name: Grade: School: Chapelle Grad. (year ) Chapelle Legacy (Please list other relatives who graduated from Archbishop Chapelle HS) Relationship: Grad Year: Relationship: Grad Year: Relationship: Grad Year:

5 Academic & Co-Curricular Information Please check the letter grade that most accurately describes your overall academic performance. A B C D or lower Please list co-curricular activities at school or in the community in which you have been involved. Please note any leadership positions/honors received. Activity Positions Held/Honors Received Years of Participation Please list community service and/or religious activities in which you have been involved. Please note any leadership positions/honors received. Activity Positions Held/Honors Received Years of Participation Essay Questions The prospective student is to answer all essay questions in their entirety. Why do you want to attend Archbishop Chapelle High School?

6 Describe your faith. How can you contribute to the faith life of Archbishop Chapelle High School? How would your current teachers describe your motivation and academic performance in the classroom? Describe how your extracurricular activities have shaped your leadership skills.

7 Applicant/Parent Acknowledgement & Signatures We hereby certify that the information on the application for admission to Archbishop Chapelle High School is accurate to the best of our knowledge. We further understand that Archbishop Chapelle High School has the right to deny admissions and/or rescind an offer of admission if any information has been falsified. Applicant Signature: Printed Name: Date: Parent/Guardian Signature: Printed Name: Date: Parent/Guardian Signature: Printed Name: Date: Applicant/Parent Acknowledgement of Release of Records I/we, parents of [legal name of student], hereby authorize any school denominated as a Catholic School by and/or under the vigilance of the Archbishop of the Archdiocese of New Orleans pursuant to Canon Law of the Roman Catholic Church and which my/our child has attended in the past to send a copy of any and all school records, including but not limited to any and all transcripts, standardized test scores, attendance records, special-education records, disciplinary records and/or any and all other educational and/or social or informational records, of [legal name of student] to Archbishop Chapelle High School. Further, in consideration of the sending and receipt of such records any related consideration, I hereby agree to release, defend, indemnify and hold harmless the owners of and/or any such schools that send and/or receive the aforementioned records, The Roman Catholic Church of the Archdiocese of New Orleans, their members, directors, officers, administrators, principals, teachers, employees, agents and/or representatives and the Archbishop, bishops and all clergy of the Archdiocese of New Orleans, from any and all claims, demands and/or causes of action arising from the sending and/or receipt of the aforementioned records and/or from the content of such records. Signature of Parent or Guardian Date Signature of Parent or Guardian Date