Bishop O Connell High School Application. Where Tradition Transforms

Transcription

1 Bishop O Connell High School Application Where Tradition Transforms

2 Bishop O Connell High School Where Tradition Transforms Application for Admissions Please complete with full legal name. First Name Last Name Middle Name Grade Applying for: Student Mailing Address City State Zip Code Home Telephone Gender M F Race/Ethnicity (for statistical purposes only) Birthdate Religion If Catholic, Parish If language other than, or in addition to, English is spoken at home, please indicate Applicant lives with: Both Parents Mother Father Mother/Stepfather Father/Stepmother Guardian Mother/Guardian Information Father/Guardian Information Title(Ms., Mrs., Dr. etc) Title(Ms., Mrs., Dr. etc) First Name First Name Last Name Last Name Cell Phone Cell Phone Employer Employer Occupation Occupation Work Phone Work Phone Address Address Graduate of O Connell: Y N Graduate of O Connell: Y N Year Year If different than student address please complete the following If different than student address please complete the following Address Address City State Zip Code City State Zip Code

3 Please list any siblings or other family members currently enrolled at or who have graduated from Bishop O Connell. Has the Applicant ever? Y N Applied for Admission to Bishop O Connell High School Y N Repeated a grade Y N Advanced a grade Y N Been tested for a learning disability Y N Had an IEP, Student Assistance Plan, 504 or comparable accommodations Y N Undergone an individual psycho-educational test battery Y N Been suspended Y N Been expelled If the answer to any questions above is Yes, provide an explanation below: Please provide any information regarding student s physical, behavioral or social conditions which enable us to better serve the student:

4 Please list schools attended over the last three years: Current School Date Attended to Previous School Date Attended to Previous School Date Attended to To be completed by the student: What are your hobbies and interests? List any activities, honors, and/or awards: Consideration for Financial Assistance is separate from the review of the application for admission. In order to eligible for an award, an application must be filed by the deadline through There is a $25 processing fee from FACTS to seek consideration for financial assistance. Applicants to grade 9 should file by the January 28 deadline. Transfer applicants must file by May 15. Please note that aid is distributed early and students applying after the deadline may not be eligible for aid. Applicant Signature Date Student Address Parent/Guardian Signature Date To complete your application please submit the attached Teacher Recommendation and Records Release to your child s current school and mail the following to the address below: 3-page Application $50.00 check made payable Bishop O Connell High School Bishop O Connell High School Admissions Office 6600 Little Falls Road Arlington, VA 22213

5 Muller Academic Services Program The Muller Academic Services Program was created to: Assist students with documented learning disabilities to thrive in a college preparatory curriculum Assist students in developing good study skills and habits Provide small group assistance on assignments and tests Provide an educational environment that allows students to explore their learning styles Foster the students ability to become strong self-advocates for their learning choices Only students with documented learning disabilities are eligible for the program. Students attend a daily 50-minute study skills class in the Muller center as a part of their curriculum. They work in small groups of no more than seven with a resource teacher as the primary instructor. There are 30 spaces available for freshmen in the program; places for upperclassmen are based on availability. There is an additional $2,700 in tuition for students enrolled in the program. Questions may be directed to Mrs. Mary Newbold in the Muller Center at or mnewbold@bishopoconnell.org Consideration for the Muller Program requires submission of this Supplemental Application with the Application for Admission. If your child does not have a documented learning disability, do not complete this form. Student Last Name Student First Name Current School Student currently has (circle): Date plan was last updated: Individualized Education Plan (IEP) Student Assistance Plan 504 Plan Other: Has the Student been privately tested: If yes then date Name of Diagnostician Title Is there any professional we should contact to help better understand your child s academic needs? If so, please provide the following: Name Title Phone Number

6 Teacher Recommendation Form Student Last Name First Name Student Applying for Grade Student Current School The student listed above is seeking admission to Bishop O Connell High School. Please evaluate the student in the following areas and add comments as appropriate. This information will be kept confidential. Characteristic 1 (Outstanding) Ability to Work Independently Class Attendance Class Participation Cooperation Homework Completion Organizational Skills Relationship with Peers Respect for Authority Unable to Evaluate Recommendation: Academic Promise Not Recommended Without Enthusiasm Fairly Strongly Strongly With Enthusiasm Character and Personal Promise Overall Recommendation How long have you know the student? In what capacity have you known this student? Please add any comments that would be helpful to the Admissions Committee in evaluating this applicant: Recommender s Name Recommender s Title Recommender s Phone Number Recommender s Signature Please submit directly to Bishop O Connell High School Office of Admissions 6600 Little Falls Road Arlington, VA Fax Number:

7 Records Release Form Bishop O Connell High School 6600 Little Falls Road, Arlington VA Phone: Fax: Date: To be completed by Applicant: Student Last Name Student First Name Student Address City State Zip Code School Name School City I hereby authorize Bishop O Connell High School to contact schools and other resources to obtain information in support of the above-named student s application for admission. The undersigned releases every person and institution from any and all liability resulting from and pertaining to the furnishing of these records, documents and other information provided to Bishop O Connell for this purpose. Signature of Parent/Guardian For the records office at the school listed above: The student above is seeking admission at Bishop O Connell High School. Please provide the following as soon as possible: Academic Transcripts Current Grades to Date Standardized Test Scores Attendance Information Discipline Record Please mail or fax to: Bishop O Connell High School Office of Admissions 6600 Little Falls Road Arlington, VA 2213 Fax: