St. Joseph School. ADMISSIONS APPLICATION PACKAGE IMPORTANT DATES Friday, March 6, 2015 Placement testing for Kinder - 8

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St. Joseph School Educating for Life with the Heart and Mind of Christ ADMISSIONS APPLICATION PACKAGE IMPORTANT DATES Friday, March 6, 2015 Placement testing for Kinder - 8 Thursday, March 26, 2015 Transitional Kinder Testing Monday, March 30-Thursday, April 2, 2015 Shadow Day(s) for Grades 1-8 Thursday, April 16, 2015 Annual Fees deadline Tuesday, May 19, 2015 New Parent Meeting 7 p.m. in Staunton Hall (Tentative) 2015-16 Start Dates Kinder -8: Tuesday, August 18, 2015 Transitional Kinder: Tuesday, August 25, 2015 FORMS Complete the Admissions Application and return with $85 (includes testing & application fee). Please include originals of the following with your application: (Originals will be returned) Admissions Application (includes image release) Copy of Annual Financial Contribution to the parish Volunteer Service Virtus Teaching Touching Safety Children s Program Permission Slip Title I Income Eligibility Survey SMART Tuition Application Birth Certificate Baptismal Certificate First Communion Certificate Current report card/progress report Immunization Records* Physical Examination* Students entering Transitional Kindergarten must be 4 years old on or before September 1. Kindergarten must be 5 years old on or before September 1. *Immunization Requirements: According to the Department of Health Services, Transitional Kindergarten / Kindergarten: must have a TB test within 1 year of school entry First grade: must have four doses of polio vaccine, five doses of DTP or DTaP, two doses of MMR and three doses of hepatitis B; they must also have a physical examination. Seventh graders: must have 1 dose of Tdap. Students will not be allowed to begin school if they do not have all of the above completed by the beginning of the school year. 15650 East Temple Avenue, La Puente, CA 91744 www.st-josephschool-lp.org (626) 336-2821 stjoseph1@gmail.com

St. Joseph School Admissions Application GENERAL INFORMATION Please complete entire application. Please enclose $70 application fee & $15 testing fee with this application. Student s Legal Name: Sex: M F T-shirt: Child size: Adults Size: Last First Middle Address: Number & Street City State Zip Home Telephone: ( ) _Date of Birth: Birth Place: (City & State) Date of Baptism: Church: City & State: First Communion: Church: City & State: Ethnic Origin: American Indian Filipino Asian Black Hispanic White Pacific Islander Other School Presently Attending: Address: _ (School will be contacted for reference.) Number & Street City State Zip Grade Child is in now: Grade placement in Aug.: Parish where your are registered: Are you a supporting member of St. Joseph Parish? Yes No Envelope # (Verification of financial contribution to the parish is required.) Mother/Guardian: Relationship if other than mother: Name: (Maiden Name: ) Employer/Company: _ Business Address: Title/Position: Work Ph: ( ) Cell/Page ( ) Email: Marital Status: Birth Place: Religion: _ Father/Guardian: Relationship if other than father: Name: Employer/Company: _ Business Address: Title/Position: Work Ph: ( ) Cell/Page ( ) Email: Marital Status: Birth Place: Religion: Brothers/Sisters Attending St. Joseph School: Name: Grade in Aug.: Name: Grade in Aug.: Name: Grade in Aug.: Name: Grade in Aug.: I have read the Parental Release for Child for both the Archdiocese of Los Angeles and the Carmelite Sisters of the Most Sacred Heart of Los Angeles. Please initial the applicable boxes: St. Joseph School Website Carmelite Sisters Archdiocese Name: yes no yes no yes no Image/visual likeness: yes no yes no yes no Voice: yes no yes no yes no Work: yes no yes no yes no How did you learn about our school? Important Information: Tuition payments will be made from July to May to SMART TUITION. No tuition payments are made directly to the school. You may choose to pay on the 10 th, 20 th or 30 th of the month. Any tuition payment made after the date you have chosen must include a $15.00 late fee. All checks returned from the bank for any reason will incur a $20.00 fee. Bills will be paid by: Phone: ( ) Last name First Middle Address: Number & Street City State Zip Signature Required: DATE: OFFICE USE ONLY: Bap Birth 1 ST COM SS Imm Phy Rept. Card Smart App. Parish Support FEE PAID: CASH CK # AMT.$ DATE Revised 1/2/15

St. Joseph School Fees and Tuition 2015-2016 PLACEMENT TEST: NEW STUDENTS (Due with application) $ 15.00 FEES PER FAMILY: NON-REFUNDABLE REGISTRATION FEE (Due with application) $ 70.00 AUCTION FUNDRAISER- 2 DINNER TICKETS $ 120.00 SPRING RAFFLE $ 100.00 FEES PER CHILD: ANNUAL FEES ($135 Book Rental, $15 Test, $10 Disaster Supply Items, $10 Christmas Party, $5 Spirit Shirt and $10 Insurance): $ 185.00 CANDY FUNDRAISER (3 Boxes of Chocolates=90 items @ $2.00 per candy): $ 180.00 TOTAL : For One Child $ 655.00 For Two Children $ 1,020.00 For Three Children $ 1,385.00 For Four Children $ 1,750.00 For Five or more Children $ 2,115.00 ADDITIONAL FEES: Transitional Kindergarten & Kindergarten Supplies Fee: (includes Backpack) $ 100.00 8 th Grade-Graduation Fee: $ 60.00 Service Hours (Mandatory) 45 SERVICE HOURS ($10.00 PER HOUR) REQUIRED FROM EACH FAMILY $ 450.00 5 HOURS LUNCH DUTY SUPERVISION($10.00 PER HOUR) $ 50.00 TUITION CHURCH SUPPORTING:(VERIFICATION REQUIRED) NON-CHURCH SUPPORTING: ANNUALLY MONTHLY ANNUALLY MONTHLY 1 CHILD $ 3,520.00 $ 320.00 $ 3,894.00 $ 354.00 2 CHILDREN $ 5,819.00 $ 529.00 $ 6,281.00 $ 571.00 ($2299) ($2387) 3+CHILDREN $ 6,457.00 $ 587.00 $ 7,094.00 $ 645.00 ($638) ($813) TK4 $ 3,289.00 $ 299.00 $ 3,674.00 $ 334.00 TK4 (if siblings attend St. Joseph School) $ 2,750.00 $ 250.00 $ 3,179.00 $ 289.00 TUITION PLAN: Monthly tuition payments will be paid directly to SMART TUITION from July to May, please do not send payments to the school. New families may choose to pay on the 10 th, 20 th or 30 th of the month. Families re-enrolling will automatically be re-enrolled with SMART Tuition (Please make us aware of any changes to your bank account information or payment due date). Any tuition payment made after the due date must include a $15 late fee. Revised 1/2/15

ST. JOSEPH SCHOOL Explanation of Volunteer Service Hours The tuition and fees cover only a part of the total cost of the education of your children. Therefore, your support of St. Joseph School by sharing in the work is required. For the coming school year, each family will be required to work a total of 50 volunteer service hours (5 OF THOSE HOURS MUST BE COMPLETED THROUGH YARD DUTY SUPERVISION) between June 01, 2015 and May 15, 2016. Families may choose to pay a $500.00 Home Assistance Fee instead of working the service hours. Families who work part, but not all, of the Volunteer Service hours will be billed $10.00 for each hour not worked. VOLUNTEER SERVICE - Please refer to the list below for types of volunteer service from which families may choose to complete their hours. Check your preference and turn in with the completed registration forms. All volunteer service hours are credited for actual hours worked. Documentation of hours must be turned into the office for credit to be given. TYPES OF VOLUNTEER SERVICE (check your preference): C.C.D. 7:30AM MORNING DROP OFF ASSISTANCE BOOK FAIR ROOM MOTHER/GRADE CLASSROOM HELP / TUTORING YEAR END PLAY DAY GRANDPARENT S DAY PROJECTS AT HOME HEALTH SCREENING DINNER-AUCTION PUBLICITY/MARKETING SCHOOL LUNCH PROGRAM FESTIVAL OF PRAISE OPEN HOUSE PARISH FIESTA COACHING OTHER SERVICES (SPECIFY: ) YARD DUTY (MANDATORY) To ensure proper supervision and safety for our children all families must complete 5 yard duty service hours during the school year. The school will pre-assign the schedule one month in advance. You are welcome to pay $50 at registration and your name will not be included on the pre-assigned schedule. I prefer to pay $50 in lieu of yard duty Please include me on the pre-assigned schedule (12 noon - 1 p.m.) or please schedule the following week or days of the week: IF BOTH PARENTS ARE UNABLE TO COMPLETE SERVICE HOURS, THEY MAY ARRANGE TO HAVE A FAMILY MEMBER (18 YEARS OR OLDER) COMPLETE THE HOURS FOR THEM. PRINT FAMILY NAME OLDEST CHILD S NAME/GRADE DATE REVISED 1/2/15

ST. JOSEPH CHURCH 550 N. GLENDORA AVE. LA PUENTE, CA 91744 December 5, 201_ Dear Mr. & Mrs., It is time to send our financial statements so that you will have a record of your contributions for your income tax report. Your generosity over the past year has made it possible to finance a number of improvements. Were it not for your continuous help this would be impossible. So on behalf of Saint Joseph Church I wish to thank you. Our records indicate that you have contributed the following amounts: Church Contributions $ Fiesta Donation $ Total tax deductible amount: $ Thank you for your past support. Your continued contributions are greatly appreciated. Sincerely, Rev. Matthew Cumberland Pastor