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St. Michael's Preparatory School: Application Form

This document is an application form for St. Michael's Preparatory School. It requests information about the student such as name, address, date of birth, citizenship, current school, and religion. It also asks for contact information for parents/guardians and who will be financially responsible. The form requires signatures and a $100 non-refundable fee to process the application. St. Michael's admits students of any race, color, religion or ethnic origin.

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Jay309
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86 views2 pages

St. Michael's Preparatory School: Application Form

This document is an application form for St. Michael's Preparatory School. It requests information about the student such as name, address, date of birth, citizenship, current school, and religion. It also asks for contact information for parents/guardians and who will be financially responsible. The form requires signatures and a $100 non-refundable fee to process the application. St. Michael's admits students of any race, color, religion or ethnic origin.

Uploaded by

Jay309
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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St.

Mic ha el’s P re par ato ry Sc ho o l


Application Form
Student's Name
(Last) (First) (Middle)
Address: _____________________________________________________________ City, St., Zip: _____________________________
Home Phone: (________) __________-_________________ Parent Work Phone (______) ______ - ______________
Parent Email Address: _____________________________________________ Parent Cell Phone: (______) ______ - ______________
Student Email Address: ___________________________________________Student Cell Phone: (______) ______ - _______________

Date of birth: ________ ________ ___________


Month Day Year
Place of birth: _______________________________

Please attach a recent Language spoken at home: _______


photograph
Citizenship: (US)_____ Other: __________________________

Social Security Number: _______ - _______ - __________

Seeking acceptance into grade:_________

Applicant currently lives with:


□ Both parents Father’s First Name: __________________ Mother’s First Name:________________
□Father □Mother
□ Stepfather □Stepmother
□ Grandfather □ Grandmother
□ Guardian Other _____________

Who is to receive the student's report cards and school’s regular mailings? (Check that which best applies.)
□ Both Parents
□ Father □Mother
□ Stepfather □ Stepmother
□ Grandfather □Grandmother
□ Guardian Other _______

Who is responsible for the financial obligation of attending St. Michael's? (Check that which best applies.)
□ Both Parents
□ Father □ Mother
□ Stepfather □ Stepmother
□ Grandfather □ Grandmother
□ Guardian Other __________
□ I will be submitting an application for financial assistance through PSAS
□ I will be submitting the required information for consideration of a a Merit Scholarship

Please continue
Application Form Continued

Current School: Religion:

School Current
Address: Parish:
Parish
City / State / Zip: Address :

School City / State / Zip:


Telephone: (____)

Principal’s Name: Parish


Telephone: (____)

Recommending
Teacher’s Name: Pastor’s Name:

 Has the applicant ever been suspended, asked to  Has the applicant received baptism?
withdraw, dismissed, or expelled from a previous school yes no
for any reason? yes no If so, please attach a copy of baptism certificate.
If so, please explain the circumstances on a separate sheet
of paper.  Has the applicant received First Communion?
yes  no
 Does the applicant have educational and/or professional
goals? yes no
If so, briefly describe them on a separate sheet of paper. Name of
recommending
adult friend:
 Is there any physical, medical, social, or psychological
reason that would restrict the applicant from participating
fully in our school life?
yes no
If so, briefly describe them on a separate sheet of paper.

Statement of Intent
By our signatures below we confirm that the information provided in this application is accurate and complete. We authorize St.
Michael’s to contact schools and other sources to obtain information to support this application. We will not seek to access
confidential recommendation and/or evaluation materials before or after our son’s admission. Likewise, we release every person
and institution from any and all liability resulting from or pertaining to the furnishing of records, documents and other information
provided to St. Michael’s for the purpose of admissions. Moreover, we support, in spirit and in fact, the philosophy and expectations
of St. Michael's Preparatory School as set forth or implied in the Parent Student Handbook and/or other materials.

Signature of Student Date

Signature of Parent Date

Signature of Other Parent Date

All signatures, attachments and a non-refundable fee of $100 are required to process this application.
.

St. Michael’s Prep admits students of any race, color, religion or ethnic origin
to all the rights, privileges, programs and activities of the school

St. Michael’s Preparatory School • 19292 El Toro Road • Silverado, California 92676-9710 • (949) 858-0222 x237 • www.stmichaelsprep.org

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