St. Francis Xavier School Online Application 2024-2025

Please complete all required fields in the application.

Please Note: The student (parent/guardian if minor) grants permission to the school to access personal federal information for the sole purpose of complying with federal requirements for international students.

Page 1 of 5 - Applicant Information

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Today's Date Today's Date / MM / DD YYYY
Primary Phone Primary Phone - ### - ### ####
Primary Email
Applicant Information
Student's First Name
Student's Middle Name
Student's Last Name
Preferred Name
Primary Language used at home
Language most often spoken by the applicant
Language the applicant first acquired
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Applying for School Year
Applying for Grade

Please note, all of our preschool programs will be five days/week.
Please indicate when enrollment would begin:

Please indicate when enrollment would begin: Beginning of school year Start of semester Now
Student's Gender
Student's Birthdate Student's Birthdate / MM / DD YYYY
Student's Religion
Student Lives With
Parents Are
Current School Information
Current School
Current Grade
Dates Attended
Address of Current School Address of Current School
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Head of School/Principal
School Telephone School Telephone - ### - ### ####
School Fax School Fax - ### - ### ####
Previous School Attended (prior to current school)
City/State
Dates attended
Please indicate whether your child has been placed on any of the following:

Please indicate whether your child has been placed on any of the following: I.E.P. 504 Service Plan Student Service Plan Has undergone an evaluation either through a public school district or private provider. Does not apply
Please Upload a 504 Service Plan or IEP (if your child has one)

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St. Francis Xavier School Online Application 2024-2025

St. Francis Xavier School Online Application 2024-2025

Page 1 of 5 - Applicant Information

Applicant Information

Current School Information

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Total

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