Registration Form School Year

Transcription

1 Registration Form School Year Registration prior to April 15, 2018 will be charged a $50.00 per student non-refundable registration fee. Registrations after April 15, 2018 will be charged a $100 per student non-refundable registration fee. This fee will NOT be credited toward your next year s tuition. If all tuition for the school year is not paid in full by August 1, 2018 your child will not be admitted for the school year. Family Information Marital Status: Single Married Separated Divorced Widowed Father Home Phone Address City State Zip Employer Work Phone ( ) Cell Phone ( ) Responsible Billing Party: Yes No Mother Home Phone Address City State Zip Employer Work Phone ( ) Cell Phone ( ) Responsible Billing Party: Yes No May we list your name, address, and phone number in the Family Directory? Yes No Will your child(ren) be riding the bus? Yes No (Please circle one) Marinette Peshtigo The weekly Family Envelope should be sent home with in grade Please list your Parish: Non Denomination Baptist Lutheran Other Statement of Non-Discrimination Saint Thomas Aquinas Academy does not discriminate on the basis of sex, race, or national origin in the enrollment of a participation of students or the employment of personnel. Student Information Please complete the student form on reverse for each student in your family who will be attending Saint Thomas Aquinas Academy in the fall of Saint Thomas Aquinas Academy Catholic Central/Holy Family Campus St. Mary Elementary Campus 1200 Main Street 141 S. Wood Avenue Marinette, WI Peshtigo, WI (715) (715)

2 Name Sex: M F Address Grade entering City State Zip Birth Birth Place Social Security # Students s Race: - White, - Black/African American, - Asian, - American Indian/Alaskan Native, - Native Hawaiian/Other Pac Religious Affiliation Parish Student lives with: Father Mother Both Other Last School Attended Location Does this child have any special educational or health needs? Y N If Yes, please explain Will this child be riding the bus? Yes No (please circle one) Marinette Peshtigo Name Sex: Address Grade entering City State Zip Birth Birth Place Social Security # Students s Race: - White, - Black/African American, - Asian, - American Indian/Alaskan Native, - Native Hawaiian/Other Pac Religious Affiliation Parish Student lives with: Father Mother Both Other Last School Attended Location Does this child have any special educational or health needs? Y N If Yes, please explain Will this child be riding the bus? Yes No (please circle one) Marinette Peshtigo M F Name Sex: Address Grade entering City State Zip Birth Birth Place Social Security # Students s Race: - White, - Black/African American, - Asian, - American Indian/Alaskan Native, - Native Hawaiian/Other Pac Religious Affiliation Parish Student lives with: Father Mother Both Other Last School Attended Location Does this child have any special educational or health needs? Y N If Yes, please explain Will this child be riding the bus? Yes No (please circle one) Marinette Peshtigo M F Name Sex: M F Address Grade entering City State Zip Birth Birth Place Social Security # Students s Race: - White, - Black/African American, - Asian, - American Indian/Alaskan Native, - Native Hawaiian/Other Pac Religious Affiliation Parish Student lives with: Father Mother Both Other Last School Attended Location Does this child have any special educational or health needs? Y N If Yes, please explain Will this child be riding the bus? Yes No (please circle one) Marinette Peshtigo

3 Tuition Fees Use the chart below to calculate tuition. Please start with the oldest child as child 1 and end with the youngest child. Grade Child 1 Child 2 = 10% Child 3 = 25% Child 4+ = 100% 9 th - 12 th $4, $ 4, $ 3, Free 5 th - 8 th $2, $ 2, $ 1, Free 1 st - 4 th $2, $ 2, $ 1, Free K $1, $ 1, $ 1, Free Pre-School Rates Pre-K 4 Full Day Only**** $1, $1, $1, Free Pre-K 3 AM only**** Two Day - $ Tues & Thurs Three Day - $ Mon-Wed-Fri Four Day - $1, Mon- Thurs Note: Tuition does not include college credit course fees. * A $1,000 Grant is being offered for all incoming Freshmen Essay required. Five Day - $1, ** A New Student Grant of $500 is available for students entering the Academy in Grades 1-8 and Grades will receive a $1000 New Student Grant in 2018/2019. New Student is defined as any student who has not attended STAA in the last 2 years. *** A discount is available for students of full or part-time STAA staff. A 50% discount shall be provided for students of full-time staff and this discount shall be prorated for part-time staff based upon the parent s equivalency as a full-time employee. **** A 2% discount will be granted to any family that pre-pays full tuition by August 15, ***** Pre-K registration is based on first come first serve until the program is full. Registration for Pre-K requires a $ deposit to hold your child s place and is credited to your tuition account. Child 1 Child 2 Child 3 Child 4 Student Name Grade Tuition Owed Total Tuition Plan 1 Payment in full (Due August 15, 2018 and a 2% discount will be provided) Plan 2 Semi-Annual payments (Due August 15, 2018 and January 15, 2019) Plan 3 Monthly payments (10 months August 2018 through May 2019 due the15th of Month) Automatic Payment Withdrawal Payment Coupon (please check your preference) Late Fee of $25.00 will be added to balance due for each month tuition payments are delinquent. Refund Policy shall apply to prepaid tuition only. Any refund shall be calculated based upon a 9 calendar month (September - May) school year. Any portion of a month the child is registered will constitute a complete month of tuition owed.

4 Financial Responsibility I agree as a condition of enrollment in Saint Thomas Aquinas Academy to pay the tuition which may be applicable to my child. I understand that tuition is due and payable under the payment option elected above by me. If tuition is not received by the agreed to conditions of payment I understand that a late fee will be added to tuition owed each month I fail to make payments in a timely fashion. I understand that if tuition is delinquent in excess of 60 days and an acceptable arrangement has not been approved by Saint Thomas Aquinas Academy, my child will face possible suspension from attendance at Saint Thomas Aquinas Academy and/or will not be permitted to register for the subsequent year. Saint Thomas Aquinas Academy shall have the right to take legal action for failure to pay tuition and fees and I shall be responsible for all costs associated with collection including court costs and reasonable attorney fees. Responsible Party Signature As a parent/ guardian I understand that the acceptance of my child is contingent upon receipt of: 1) Signed Registration Form 2) Signed Financial Responsibility Form 3) Payment of Registration Fee(s) and Pre-K deposit if applicable 4) Approval of registration I believe, to the best of my knowledge, that all data and information submitted in this registration form is truthful and accurate and that no material fact has been omitted. Signature Saint Thomas Aquinas Academy Marinette Campus Peshtigo Campus Catholic Central High School & Holy Family Middle School St. Mary Elementary School 1200 Main Street, Marinette, WI S. Wood Avenue, Peshtigo, WI (715) (715)

5 Automatic Payment Plan Agreement Name Bank or Financial Institution Routing Number of Bank or Financial Institution Checking Account Number Savings Account Number Payment Amount $ to withdraw (Circle one) 5 th or 20 th Monthly payments begin in August and end the following May. I desire to budget tuition payments to Saint Thomas Aquinas Academy. I authorize Saint Thomas Aquinas Academy through the Stephenson National Bank and Trust (Bank) to automatically debit the above checking or savings account at the above stated institution on the day specified above. If a checking account is selected, a voided check must be attached. If a savings account is selected, it can not be a passbook type account. If my account balance is insufficient to cover the payment and the payment is missed, I agree to pay the missed payment and a $20 service charge directly to Saint Thomas Aquinas Academy. Saint Thomas Aquinas Academy agrees to have the bank directly charge my account for the above stated service fee. I have the right to stop payment on an individual debit or to have debits changed by providing written notification to Saint Thomas Aquinas Academy within five (5) business days prior to the transfer date. Saint Thomas Aquinas Academy, the Bank, or I can terminate this agreement at any time. However, termination must be in the form of written notification and in such a manner as to afford affected parties a reasonable time to act on it. I have read the document and agree to the terms listed. Signature of Parent or Guardian Signature of School Representative Bank Acknowledgement Please cancel my automatic transfer. Customer Signature Bank Authorization

6 The mission of Saint Thomas Aquinas Academy is to provide affordable education in the Catholic teaching tradition that inspires in students a life long thirst for knowledge, wisdom, and truth; a desire to reach the full potential which God intended for them; and recognition of the discipline of mind and heart required for effective service to others in the love of God. Tuition Assistance Information Tuition Assistance: Tuition assistance is available for all students. Please fill out the Catholic School Tuition Assistance Form to start the process of consideration for all tuition assistance. The form requests applicable financial information and is to be mailed directly to the CSTAS office. This process helps ensure the confidentiality of your financial information. All tuition aid applications must arrive at the Catholic School Tuition Assistance Service by June 30, Forms received after June 30th will still be considered for financial assistance based on available tuition assistance funds. Tuition assistance allocations will be made by July 31st and will be based on the recommendation of the CSTAS office and available tuition assistance funds. Please inform the Saint Thomas Aquinas Academy Business Office by signing below that you submitted a tuition assistance form and the date that you mailed the information. Signature Saint Thomas Aquinas Academy Business Office 1200 Main Street Marinette, WI accounting.staa@gmail.com

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9 SAINT THOMAS AQUINAS ACADEMY NEW STUDENT / FRESHMAN GRANT APPLlCATION We welcome you and thank you for your interest in being a part of the Saint Thomas Aquinas Academy family. Our faith filled academic institution has played an important part of this community since We are a Christian school with an emphasis on faith, academics, and service. The mission of Saint Thomas Aquinas Academy is to provide an affordable education in the Catholic teaching tradition that inspires in students a life long thirst for knowledge, wisdom, and truth; a desire to reach the full potential which God intended for them; and a recognition of the discipline of mind and heart required for effective service to others in the love of God. We ask that both the parent/guardian and the student commit themselves to their faith, academics, and service throughout their time at Saint Thomas Aquinas Academy. The Saint Thomas Aquinas Board of Trustees, as a demonstration of our commitment to the parents and student, will provide any new student to the Academy or a freshman entering high school a grant to offset the tuition. We pray that each student will continue to share his or her God given talents throughout his or her life. Below is a short application that must be completed in order to receive a grant which shall be used to offset the student's tuition in the upcoming school year. Application for (please check one): New Student Grant (1st to 8th Grade-$500 & 10 th -12 th Grade-$1000) Freshman Grant ($1000) Student: Please write a brief essay that explains why you believe you should receive this scholarship. Student Name Grade Parent Name Address Phone Number Parent/Guardian and Student please read each and initial: We will open our minds and hearts to the teachings of God. We will show respect for faculty, staff, coaches, and volunteers. We will strive to do our best to achieve academic excellence. We acknowledge the importance of service within our Community and/or Parish. We understand the importance of participating as a volunteer or an attendee whenever possible in school related activities. Student Signature Parent/Guardian Signature Please submit this grant application to: Saint Thomas Aquinas Academy, Attn: Business Manager, 1200 Main St., Marinette, WI 54143

10 FAMILY SURVEY FORM The purpose of this survey is to collect data that will be used to obtain grants and government rebates for Saint Thomas Aquinas Academy and to determine the amount of funds available for the public school to provide Title I instructional services to eligible students in our school. Determining the number of our students, by public school district of residence, you would qualify for free and reduced-priced meals, accomplishes this. The information requested below is confidential. It is not necessary to provide your family name. Thank you for your cooperation and return of this form. 1. Find your family size and look at the annual gross income level listed beside it on the chart printed below. NUMBER OF FAMILY MEMBERS ANNUAL GROSS INCOME FOR $ 21,978 2 $29,637 3 $37,296 4 $ 44,955 5 $52,614 6 $60,273 7 $67,951 8 $75,647 (For each additional family member, add $7,696) 2. Answer the following questions: Is your family income less than the amount on the chart on the line beside your family size? Yes No Is your family qualified for food stamps? Yes No Are you receiving Temporary Assistance to Needy Families (TANF) Assistance? Yes No 3. Please provide the following information: Address: Public school district in which you reside (Wisconsin residents only): Grade levels of your children: Please return this form to: St. Thomas Aquinas Academy Attention: Mike Cattani 1200 Main Street Marinette, WI 54143