Application for Admission

Transcription

1 Application for Admission Please complete the forms attached and also submit: -7th & 8th Grade Test Scores and Grades Taxes or (SSI, FoodShare, etc.) -After the application is complete interviews are scheduled -Freshmen priority deadline: November 20, 2017 Faxes will NOT be accepted 1215 S 45 th Street West Milwaukee, WI Phone admissions@cristoreymilwaukee.org

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3 1215 S 45 th St / West Milwaukee, WI TEL / WEB www. Cristoreymilwaukee.org Demographic Form For Office Use Only Date Received / / STUDENT INFORMATION First Name Middle Name Last Name Current School Date of Birth Place of Birth (city, state) / / Social Security Number Gender Student Cell Phone - - Female Male ( ) - - Ethnicity Hispanic Caucasian African American Native American Asian American Multi-Racial How did you hear about Cristo Rey Jesuit? Church Friend Advertisement Teacher/Counselor High School Fair Student School Walk-in Contact Information Home Address City Zip Code State PRIMARY CONTACT: PARENT/GUARDIAN First Name Middle Name Last Name Cell Phone Number Alternate Phone Number Relationship to Student ( ) - - ( ) - - Mother Legal Guardian Address Father Other Current Marital Status Language (s) Spoken Married Single Divorced Separated Widowed English Spanish Other

4 SECONDARY CONTACT: PARENT/GUARDIAN First Name Middle Name Last Name Cell Phone Number Alternate Phone Number Relationship to Student ( ) - - ( ) - - Mother Legal Guardian Address Father Other Current Marital Status Language (s) Spoken Married Single Divorced Separated Widowed English Spanish Other INCOME INFORMATION Size of Household: Number of Adults: Number of Children (listed as dependents): Do you file a federal income tax return? Yes, I file taxes No, I do not file taxes Do both custodial parents file taxes jointly? Yes, we file taxes together No, we file separately One of the custodial parents does not file taxes What is the Adjusted Gross Income of the household s most recent federal tax return? $ NONTAXABLE INCOME Child Support Received Weekly Monthly $ Social Security Benefits (SSI) Weekly Monthly $ Food Stamps Weekly Monthly Other Weekly Monthly Please provide a copy of your most recent taxes or any income documentation you may receive or listed above * Cristo Rey Jesuit Milwaukee High School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

5 English Teacher Recommendation Form This recommendation form will be kept confidential and be viewed only by appropriate officials at the school. At no time will applicants or their parents have access to it. Student Name: Current School: Student Phone Number: Current Grade: Listens to and follows teacher s directions Is attentive to group discussions/activities Contributes appropriately to group discussions/activities Perseveres in spite of difficulty Is cooperative Enjoys new challenges Demonstrates appropriate energy level Demonstrates ability to stay on task Exhibits appropriate work ethic Work Skills Responds positively to constructive criticism Establishes friendships easily Is comfortable in a group Is respectful of teachers and staff Is respected by peers Demonstrates self-control Demonstrates appropriate behavior Takes pride in appearance Social Skills Ability to express ideas verbally Clarity of writing Grammar/Mechanics skills Reading rate and fluency Reading comprehension Knowledge and usage of vocabulary Imagination and creativity Communication Skills ~ OVER ~

6 . 1 Name of Applicant: Please print clearly Do not leave questions unanswered Check all that apply: I am this applicants current English Teacher. I taught the applicant English last year. Other 1. Describe the applicant s greatest strength and greatest area for growth. 2. How often is the applicant tardy? How often is the applicant absent? Never (0-2 times/year) Rarely (3-5 times/year) Sometimes (5-10 times/year) Frequently (10+ times/year) Never (0-2 times/year) Rarely (3-5 times/year) Sometimes (5-10 times/year) Frequently (10+ times/year) 3. Please describe any special teaching or testing accommodations/modifications/support that have been provided for the applicant. 4. Based on your knowledge of the applicant how successful would they be in the workplace, in terms of the following characteristics. 1=Very Weak 2= 3= 4= Strong 5= Very Strong Oral Communication Compliance with Expectations Meeting Deadlines This applicant is: Highly Recommended Recommended Recommended with Reservation Not Recommended Please briefly explain your selection. Please Mail/ FRONT and BACK pages to Admissions Office Cristo Rey Jesuit High School 1215 S 45 th Street Milwaukee, WI admissions@cristoreymilwaukee.org Teacher Name: Teacher Position : Name of School: Telephone: Date: / / ~ OVER ~

7 Math Teacher Recommendation Form This recommendation form will be kept confidential and be viewed only by appropriate officials at the school. At no time will applicants or their parents have access to it. Student Name: Current School: Student Phone Number: Current Grade: Listens to and follows teacher s directions Is attentive to group discussions/activities Contributes appropriately to group discussions/activities Perseveres in spite of difficulty Is cooperative Enjoys new challenges Demonstrates appropriate energy level Demonstrates ability to stay on task Exhibits appropriate work ethic Work Skills Responds positively to constructive criticism Establishes friendships easily Is comfortable in a group Is respectful of teachers and staff Is respected by peers Demonstrates self-control Demonstrates appropriate behavior Takes pride in appearance Social Skills Problem solving skills Ability to problem solve independently Attention to detail Lifelong Learning Skills ~ OVER ~

8 . 1 Name of Applicant: Please print clearly Do not leave questions unanswered Check all that apply: I am this applicants current Math Teacher. I taught the applicant Math last year. Other 1. Describe the applicant s greatest strength and greatest area for growth. 2. How often is the applicant tardy? How often is the applicant absent? Never (0-2 times/year) Rarely (3-5 times/year) Sometimes (5-10 times/year) Frequently (10+ times/year) Never (0-2 times/year) Rarely (3-5 times/year) Sometimes (5-10 times/year) Frequently (10+ times/year) 3. Please describe any special teaching or testing accommodations/modifications/support that have been provided for the applicant. 4. Based on your knowledge of the applicant how successful would they be in the workplace, in terms of the following characteristics. 1=Very Weak 2= 3= 4= Strong 5= Very Strong Oral Communication Compliance with Expectations Meeting Deadlines This applicant is: Highly Recommended Recommended Recommended with Reservation Not Recommended Please briefly explain your selection. Please Mail/ FRONT and BACK pages to Admissions Office Cristo Rey Jesuit High School 1215 S 45 th Street Milwaukee, WI admissions@cristoreymilwaukee.org Teacher Name: Teacher Position : Name of School: Telephone: Date: / / ~ OVER ~