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Admissions Application

Admission Application

ST. WILLIAM THE ABBOT CATHOLIC SCHOOL

Nurturing Saints and Scholars Within

ADMISSIONS APPLICATION


STUDENT INFORMATION

First Name:       Middle:      Last:              

Grade: 14  8

AM Nursery AM 3 Day AM 5 Day  Full Day Nursery3 Day 5 Day   PreK 3 Day PreK 5 Day

Gender: Male Female                     School District:

Date of Birth:                Place of Birth:  

Ethnicity: (Please check one)

American Indian or Alaskan Native Black, not of Hispanic Origin          Hispanic

Asian or Pacific Islander            White, not of Hispanic Origin

Home Phone Number:  

HOME ADDRESS

Street:

City:         State:    Zip:  

PARENT INFORMATION

Father’s Name:      Father’s Birthplace:

Father’s Home #:      Father’s Work #:   

Father’s Cell #:      Father’s E-mail:                               

Father’s Employer:     Father’s Occupation: 

Mother’s Name:     Mother’s Birthplace:

Maiden Name:

Mother’s Home #:      Mother’s Work #:   

Mother’s Cell #:    Mother’s E-mail:  

Mother’s Employer:   Mother’s Occupation:

Single Parent Household: (Please check one) True False

Living with (Please check one) 

Both Parents Father Only  Mother Only Guardian Other:

FAMILY INFORMATION

First Names of Siblings                                    Dates of Birth                School

Mother's Religion:   Father's Religion:

Student’s Religion:   Parish:

 Parish Address:

 Parish Affiliation: (check one)

St. William Parishioner + Envelope #:       Non-Parishioner    Non-Catholic

RELIGIOUS INFORMATION

      Sacrament            Date              Name of Church, Town, State

Baptism
Reconciliation
First Communion
Confirmation

 

 

 


 

 

 

 

Student's Previous School: 

 Has child received services for special learning needs?   Yes   No         

Has child ever been evaluated in the following areas:

Speech    Resource Room   Physical Therapy   A.D.D   Occupational Therapy     

Special Education/Inclusion    504 Plan

If yes, please indicate where and when this was done: 

ALL NEW REGISTRATIONS MUST BE ACCOMPANIED BY $50.00 CASH OR CHECK PAYABLE TO ST. WILLIAM THE ABBOT SCHOOL. THE $50 PAYMENT IS NON-REFUNDABLE. YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT THIS FEE.



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