St. Francis Xavier School Online Application for the 2021- 2022 school year.

2021 - 2022 School Application - Preschool - 8th Grade

Special 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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Date Date * / MM / DD YYYY
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 student *
Language the student first acquired *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Primary Email *
Applying for School Year *
Applying for Grade *
If applying for Preschool A, please select from dropdown menu. Special Note: For Preschool A (3's) child must be 3 by June 1st.
Student Gender *
Student Birthdate *
Student 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 - ### - ### ####
Please indicate when enrollment would begin: *

Please indicate when enrollment would begin: Beginning of school year Start of semester Now
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 attach all appropriate documentation if applicable for testing.

Attach Files
Previous School Attended (prior to current school)
City/State
Dates attended
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St. Francis Xavier School Online Application for the 2021- 2022 school year.

St. Francis Xavier School Online Application for the 2021- 2022 school year.

Page 1 of 5 - Applicant Information

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Current School Information

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St. Francis Xavier School Online Application for the 2021- 2022 school year.

St. Francis Xavier School Online Application for the 2021- 2022 school year.

Page 1 of 5 - Applicant Information

$0

Total

Current School Information

$0

Total

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