Thank you for your interest in The Cathedral School of St. Jude. We are so pleased that you are considering us for your child s education future.

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Dear Parent/Guardian: Thank you for your interest in The Cathedral School of St. Jude. We are so pleased that you are considering us for your child s education future. I am enclosing our admission application and references forms. Please complete the application and return it to the school to begin the application process. The reference forms are to be given to the appropriate individuals at your child s current school and returned directly to our office. If your child was tested and diagnosed with special learning needs, a copy of the evaluation must accompany the application. Please have your child s current school send a copy of your child s academic/attendance record, including all standardized test results to our admissions director(tvickers@cathedralschoolofstjude.org). Once the application, the references, and all supporting documentation are received, the admissions committee will review the completed application and render a decision. You will be notified of our decision in writing. If you have any questions, please call the admissions director at 727-347-8622 X 212 or at the email address listed above. Thank you again for your interest in St. Jude s! Sincerely yours, Jesse Gaudette Principal 600 58 Street North Office 727-347-8622 FAX 727-343-0305 http://www.cathedralschoolofstjude.org/ 1

600 58 Street North Office 727-347-8622 FAX 727-343-0305 www.cathedralschoolofstjude.org APPLICATION FOR ADMISSION PLEASE PRINT ALL INFORMATION Student s Full Legal Name Student Nickname Address City/State/Zip Gender Current Grade in School of Birth Social Security Number Student Lives with Student Information School Information: Name of School Grade in School Principal s Name School Address City/State/Zip Telephone Number Are you current with all financial obligations to the school? Name of your child s Guidance Counselor Name of your child s Reading Teacher Name of your child s 2

Language Arts Teacher Name of your child s Mathematics Teacher Question Has your child been tested for special learning needs? If yes, submit a copy of the evaluation and the date of that evaluation. Has your child been diagnosed with special learning needs? Has your child received services from a resource teacher, Title I teacher, learning specialist? Has your child received accommodations in the learning process? Has your child received modifications to the curriculum? Is your child currently on a 504 and or Individual Education Plan (IEP)? Explanation Attendance and Discipline Record How many days has your child been absent from school in the last year? Has your child ever been suspended from school? Has your child ever been expelled from school? Have you ever been required to withdraw your child from school? 3

Sacramental Information: Please provide the following information regarding the reception of the sacraments Sacrament Church/Address Certificate Baptism Reconciliation First Eucharist Confirmation Co-Curricular Activities: List all activities in which your child has participated Parent Information Father Full Legal Name Address City/State/Zip Living or Deceased Home Telephone Number Work Telephone Number Mobile Telephone Number Marital Status* Religious Affiliation Occupation Employer Employer s Address E-mail Address: Mother: Full Legal Name Address City/State/Zip Living or Deceased Home Telephone Number 4

Work Telephone Number Mobile Telephone Number Marital Status* Religious Affiliation Occupation Employer Employer s Address E-mail Address: *Other than married or single, provide an original of the disposition of the Court. Parish Information Name of Parish Pastor s Name Address City/State/Zip Telephone Number I certify that all the information contained in this application is correct. I acknowledge that the falsification of information or any misrepresentation of the facts can be sufficient reason for denying application and/or dismissal from school. Mother s Signature Father s Signature 5

PLEASE RETURN ALL RECOMMENDATION FORMS DIRECTLY TO THE SCHOOL MAIL: 600 58 th Street North FAX: (727) 343-0305 or SCAN AND EMAIL: tvickers@cathedralschoolofstjude.org PRINCIPAL/VICE-PRINCIPAL RECOMMENDATION Student Name has applied for admission to The Cathedral School of St. Jude. Please take a few minutes and complete this recommendation and return it to the address at the end of the form. Thank you. Please check the grade(s) in which the student was enrolled in your school. Grade K 1 2 3 4 5 6 7 8 Please indicate the number of days absent and times tardy Grade K 1 2 3 4 5 6 7 8 Absent Tardy Please rate the following areas: Area Excellent Good Fair Poor Relationship with peers Relationship with adults Complies with school rules and regulations Involvement in and support of school activities Quality of academic work Oral Communication Written Communication Parent support of school s mission Parent support of school s rules and regulations Parent involvement in the school activities Parent involvement in student learning process 6

Please respond to the following Area Yes No Has the student been tested for special learning needs?? Has the student received services from the Resource Teacher/learning specialist, Title I Teacher? Has the student had modifications to the curriculum? Has the student received accommodations to facilitate learning? Has the student been suspended from school? If yes, explain below Is the student allowed to return to your school? Is the family current with their financial obligations to your school? Explain the reason(s) the student was suspended from school If you have other information that would assist us in the evaluation of this application, please use the space below: Overall Recommendation: I recommend this student without reservation. I recommend this student with reservations. I do not recommend this student. Principal s Signature All recommendation forms will be kept strictly confidential. 7

PLEASE RETURN ALL RECOMMENDATION FORMS DIRECTLY TO THE SCHOOL MAIL: 600 58 th Street North FAX: (727) 343-0305 or SCAN AND EMAIL: tvickers@cathedralschoolofstjude.org READING/LANGUAGE ARTS TEACHER RECOMMENDATION Student Name has applied for admission to The Cathedral School of St. Jude. Please take a few minutes and complete this recommendation and return it to the address at the end of the form. Thank you. Teacher s Signature Please rate this student in the following areas: Area Ability to communicate orally Ability to communicate in writing Ability to comprehend what is read Ability to interpret what is read Relationship with peers Relationship with adults Completes assignments on time Overall quality of work Student Behavior Overall cooperation Parent involvement in student s learning process Parent support of rules and regulations Excellent Good Fair Poor Please respond to the following Area Yes No The student is self-motivated. The student requires monitoring in the completion of the work. The standardized test scores reflect the student s true ability. If you have additional information that would assist us in reviewing this application, please use this space. All recommendation forms will be kept strictly confidential. 8

PLEASE RETURN ALL RECOMMENDATION FORMS DIRECTLY TO THE SCHOOL MAIL: 600 58 th Street North FAX: (727) 343-0305 or SCAN AND EMAIL: tvickers@cathedralschoolofstjude.org MATHEMATICS TEACHER RECOMMENDATION Student Name has applied for admission to The Cathedral School of St. Jude.. Please take a few minutes and complete this recommendation and return it to the address at the end of the form. Thank you. Teacher s Signature Please rate this student in the following areas: Area Ability to communicate orally Ability to communicate in writing Ability to comprehend what is read Ability to interpret what is read Relationship with peers Relationship with adults Completes assignments on time Overall quality of work Student Behavior Overall cooperation Parent involvement in student s learning process Parent support of rules and regulations Excellent Good Fair Poor Please respond to the following Area Yes No The student is self-motivated. The student requires monitoring in the completion of the work. The standardized test scores reflect the student s true ability. If you have additional information that would assist us in reviewing this application, please use this space. All recommendation forms will be kept strictly confidential. 9

PLEASE RETURN ALL RECOMMENDATION FORMS DIRECTLY TO THE SCHOOL MAIL: 600 58 th Street North FAX: (727) 343-0305 or SCAN AND EMAIL: tvickers@cathedralschoolofstjude.org RESOURCE TEACHER/LEARNING SPECIALIST RECOMMENDATION Student Name has applied for admission to The Cathedral School of St. Jude. Please take a few minutes and complete this recommendation and return it to the address at the end of the form. Thank you. Teacher s Signature Please rate this student in the following areas: Area Ability to communicate orally Ability to communicate in writing Ability to comprehend what is read Ability to interpret what is read Relationship with peers Relationship with adults Completes assignments on time Overall quality of work Student Behavior Overall cooperation Parent involvement in student s learning process Parent support of rules and regulations Excellent Good Fair Poor Please describe this student s special learning needs and how you ve addressed these needs? All recommendation forms will be kept strictly confidential.. 10

600 58 th Street North (727) 347-8622 Fax (727) 343-0305 STUDENT ESSAY - Applicants to the 6 th, 7 th, or 8 th Grade Essay All students applying for admission to grades 6, 7, or 8 are required to handwrite, an essay on the topic: The importance of a Catholic education is on the sheet provided. Applicant Name In the space provided, please complete the following topic sentence in a well developed essay. The importance of a Catholic education for me is If more space is needed, use the back of this sheet and return it to the school office. 11