ADMISSION APPLICATION

Please fill out completely.

Student Name Student Name First Middle Last
Date of Birth Date of Birth / MM / DD YYYY
Checkboxes

Checkboxes Male Female
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Phone Number Primary Phone Number - ### - ### ####
Student's Phone Number Student's Phone Number - ### - ### ####
Student's Email Address
Grade Entering
Current School Attending
School District Where Student Lives
Does the student have a 504 or IEP?

Does the student have a 504 or IEP? Yes No
Religious Affiliation
Parish/City
Ethnic Group
Please list all siblings, including current school name and grade, if applicable.
Student is living with
Father's Name Father's Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Father's Primary Phone Father's Primary Phone - ### - ### ####
Father's Email Address
Father's Employer
Father's Occupation
Father's Work Phone Father's Work Phone - ### - ### ####
Father's Religion/Parish
Father's Level of Education
Mother's Name Mother's Name First Last
Mother's Address Mother's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mother's Primary Phone Mother's Primary Phone - ### - ### ####
Mother's Email
Mother's Employer
Mother's Occupation
Mother's Work Phone Mother's Work Phone - ### - ### ####
Mother's Religion/Parish
Mother's Level of Education
Please list the names and relationship to student of any relatives attending or are alumni of Notre Dame High School. Please include graduation year if known.
Please provide two references (school official and/or teacher).
Reference #1 Name and Phone Number
Reference #2 Name and Phone Number
Student Signature. Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent/Guardian Signature. Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Today's Date Today's Date / MM / DD YYYY