Application for Admission 2012-2013 School Year Please complete the application and return to: If you have any questions about the application or the process, please contact Katrina Powell, Director of Admissions and Guidance Counseling at (520) 751-8300 ext 1005 or kpowell@staugustinehigh.com. St. Augustine shall admit 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 St. Augustine. St. Augustine shall not discriminate on the basis of race, color, national and ethnic origin in the administration of its educational policies, admissions policies, financial aid programs, athletic programs, fine arts programs and other school-administered programs.
APPLICANT INFORMATION Legal Name LAST FIRST MIDDLE GOES BY Address STREET CITY STATE ZIP+4 Gender Religion Parish/Church If Catholic, please complete the following Sacraments the student has received: Baptism Reconciliation Year Age Year Age Eucharist Confirmation Year Age Year Age Ethnicity: Black/African American American Indian/Alaska Native Native Hawaiian/Pacific Islander Hispanic/Latino Asian White Hispanic Other: Birthdate Birthplace Primary language spoken at home Applying for admission to grade: Beginning: School currently attending Nearest public high school to applicant s home High School Placement Test (HSPT) date selected: Dec. 3 Jan. 7 Feb. 4 Other (explain): (The High School Placement Test is for rising 9th grade students only. The test should only be taken once.) CUSTODIAL PARENT/GUARDIAN INFORMATION Father/stepfather/guardian (circle one) Mother/stepmother/guardian (circle one) Name Address (if different from applicant) Name Address (if different from applicant) CITY STATE ZIP+4 CITY STATE ZIP+4 Religion Employer Occupation Phone (H) (C) Phone (W) Email address Religion Employer Occupation Phone (H) (C) Phone (W) Email address Parents are: residing together divorced separated deceased: mother father Applicant resides with: (check all that apply) mother father step-father step-mother guardian Who has legal custody of applicant? both parents mother father other If this applicant is accepted, financial obligations will be assumed by: parents father mother guardian Other: (specify) Will you be applying for financial aid? yes no
APPLICANT QUESTIONNAIRE Name of Applicant FIRST MIDDLE LAST GOES BY Applying to Grade In order to help the St. Augustine Admissions Committee learn more about your interests and abilities, we ask that you answer all of the following questions. If the spaces are not large enough for your answer, you may use a separate sheet of paper. 1. Why are you interested in attending? 2. What extracurricular activities, in and out of school, are most important to you? Why? 3. If you have received any special recognition or awards for performance or service in any area (academics, art, camp, church, music, scouting, sports, etc.), please describe. Include any offices or positions of responsibility you have held. 4. Have you thought about your plans after high school? If so, what are some thoughts about what you would like to do? If not, when do you think is the right time to start thinking about it?
TRANSCRIPT REQUEST FORM DIRECTIONS FOR PARENTS: Please complete the entire form before submitting to the applicant s current school. TO SCHOOL NAME OF CURRENT PRINCIPAL OR REGISTRAR Please send, at your earliest convenience, the information requested below: NAME OF STUDENT: OF BIRTH: LAST GRADE ATTENDED: Records to be released: (check one) NINTH-GRADE APPLICANT: transcripts and standardized test scores for grades 6, 7 and through semester 1 of grade 8 UPPER-GRADE APPLICANT: official transcripts and standardized test scores I hereby authorize you to release the requested records of my child to Saint Augustine Catholic High School. I waive any right of access to all information from any source in conjunction with my child s application to Saint Augustine Catholic High School. PARENT OR GUARDIAN SIGNATURE Please submit records to: Fax: 751-8304 Phone: 751-8300
ADMINISTRATOR RECOMMENDATION DIRECTIONS FOR PARENTS: Please complete the following section before submitting to the applicant s current teacher. I/we understand that this recommendation all recommendations remain completely confidential, are not transferable, and do not become part of the student s permanent record. Parent/Guardian Signature Date STUDENT S NAME CURRENT GRADE LEVEL TEACHER S NAME CURRENT SCHOOL ADMINISTRATOR EVALUATION Please rate this student by placing a check in the appropriate column. EXTRAORDINARY (TOP 1%) EXCELLENT (TOP 10%) ABOVE BELOW ACADEMICS CHARACTER LEADERSHIP In your professional opinion, would you recommend this applicant for a college preparatory curriculum? (Please check one) Yes, with enthusiasm Yes Yes, with reservations No Please call me so we may discuss further. Comments: PRINTED NAME OF PERSON COMPLETING FORM TITLE SIGNATURE PLEASE SUBMIT COMPLETED FORM TO: Fax: 751-8304 Phone: 751-8300
MATH TEACHER RECOMMENDATION DIRECTIONS FOR PARENTS: Please complete the following section before submitting to the applicant s current teacher. I/we understand that this recommendation all recommendations remain completely confidential, are not transferable, and do not become part of the student s permanent record. Parent/Guardian Signature Date STUDENT S NAME CURRENT GRADE LEVEL TEACHER S NAME CURRENT SCHOOL What math is student currently taking: 8th Grade Math Pre-Algebra Algebra 1/2 Algebra 1 Other: Please evaluate the candidate in the following areas by placing a check in the appropriate column. EXCELLENT ABOVE BELOW POOR COMPUTATIONAL SKILLS PROBLEM SOLVING GRASP OF NEW CONCEPTS COMPLETION/QUALITY OF HOMEWORK EFFORT/DETERMINATION CLASSROOM CONDUCT CHARACTER LEADERSHIP Do you provide special accommodations for this student? If yes, please specify: Comments: In your professional opinion, would you recommend this applicant for a college preparatory curriculum? (check one) Yes, with enthusiasm Yes Yes, with reservations No Teacher evaluation forms are confidential and do not become part of a student s permanent record; they are used only for admission and placement decisions. Thank you for the time and effort you have taken in completing this evaluation. PRINTED NAME OF PERSON COMPLETING FORM TITLE SIGNATURE PLEASE MAIL COMPLETED FORM TO:
LANGUAGE ARTS TEACHER RECOMMENDATION DIRECTIONS FOR PARENTS: Please complete the following section before submitting to the applicant s current teacher. I/we understand that this recommendation all recommendations remain completely confidential, are not transferable, and do not become part of the student s permanent record. Parent/Guardian Signature Date STUDENT S NAME CURRENT GRADE LEVEL TEACHER S NAME CURRENT SCHOOL Please evaluate the candidate in the following areas by placing a check in the appropriate column. EXCELLENT ABOVE BELOW POOR READING ABILITY WRITTEN EXPRESSION ORAL EXPRESSION CREATIVITY COMPLETION/QUALITY OF HOMEWORK EFFORT/DETERMINATION CLASSROOM CONDUCT CHARACTER LEADERSHIP Do you provide special accommodations for this student? If yes, please specify: Comments: In your professional opinion, would you recommend this applicant for a college preparatory curriculum? (check one) Yes, with enthusiasm Yes Yes, with reservations No Teacher evaluation forms are confidential and do not become part of a student s permanent record; they are used only for admission and placement decisions. Thank you for the time and effort you have taken in completing this evaluation. PRINTED NAME OF PERSON COMPLETING FORM TITLE SIGNATURE PLEASE MAIL COMPLETED FORM TO: