Application for admission

Holy Cross School Application
PLEASE PROVIDE:
- $75 Application Fee (REQUIRED)
- Current Photograph
- Report Cards (previous two years & current year)
- Standardized Testing (grades 1-8 only; previous two years)
Applying for Grade*
Applying for School Year*
Student Information
Student's Name*

First NameLast Name
Student's Preferred Name
Age*
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Religion*
Telephone
Birth Date*

MonthDayYear
Date
Birth Place*

CityState / Province
PLEASE CHECK ALL THAT APPLY (THIS INFORMATION IS CONFIDENTIAL):
Ethnic Background*
Race (choose one)*
Language Spoken at Home*
If Other, please explain*
Student's Spoken Language(s)*
If Other, please explain*
Parental Information - Father*
Parental Information - Mother*
Student Lives with:*
If Other, please explain*
Student’s Citizenship:

U.S. CitizenNon-US Citizen(Specify country of citizenship)
Student Visa

YesNo
Family Information
Father / Guardian 1 Information
Father / Guardian Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home/Cell Phone Number*
Work Phone Number
Business Phone Number
Name of Business
Name of Business
Type of work
Mother / Guardian 2 Information
Mother / Guardian Name*

First NameMiddle NameLast Name
Email*
example@example.com
Home/Cell Phone Number*
Work Phone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Business
Name of Business
Type of Work
HOW DID YOU LEARN ABOUT HOLY CROSS SCHOOL
If other, please explain*
Alumni referral*

YesNo
Name of Alumni*
Current family referral*

YesNo
Name of referring family*
What are the primary reasons for choosing Holy Cross School
If other, please explain*
Who will be responsible for tuition payments/ fees? *
Who should receive your child’s records? (provide name)*
Mailing address(es) if different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other family members who attend Holy Cross School:
Name 1

First NameLast Name
Grade
Name 2

First NameLast Name
Grade
Other family members who attended Holy Cross School in the past:
Name

First NameLast Name
Year
Name

First NameLast Name
Year
Record of Sacraments (if applicable)
Baptism
Date

MonthDayYear
Date
Church
City
State
First Reconciliation
Date

MonthDayYear
Date
Church
City
State
First Eucharist
Date

MonthDayYear
Date
Church
City
State
Name of parish, church, or temple currently attending
City
Registered?

YesNo
Previous School(s) Attended:
School name

First NameLast Name
Grade
Phone
Please enter a valid phone number.
Address (street, city, zip)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Public School and District student would attend*
Does your child have major allergies (i.e. food or latex)? If any, explain below:*
Does your child have any medical conditions that require learning assistance? (e.g. visual, auditory) If any, please explain: *
Specialized Tests: The information provided below will not be used to determine acceptance. This information will be used to better educate the school regarding the needs of your child.
Has your child ever been diagnosed with: (check all that apply)*

learning disabilitiesADD/ADHDemotional difficultiesN/Aother
If so, please explain*
Does your child have an existing IEP (Individual Educational Plan)?*

YesNo
If so, please explain *
Has your child had any behavioral issues at his/her previous school?*

YesNo
If so, please explain*
Has your child been retained?*

YesNo
If Yes, what grade(s)?*
All of the above information is correct to the best of my knowledge.
APPLICATION FEE of $75 must be paid before your application can be processed. Please click on the link and provide the Payment Confirmation Number below.

CLICK HERE TO SUBMIT YOUR APPLICATION FEE
Payment Confirmation Number from Application Fee*
Parent / Guardian signature*

Clear
Date*

MonthDayYear
Date
The following section is not required for your application to be processed. Please attach any documents that are available.
Report Cards (previous 2 years & current)

Cancelof
Standardized Testing (Grades 1-8 only, previous 2 years)

Cancelof
Current Photograph of Student

Cancelof
Holy Cross School Non-Discrimination Policy For Catholic Schools*

I confirm that I have read and understand the Holy Cross School Non Discrimination Policy for Catholic Schools
Holy Cross School Non-Discrimination Policy For Catholic Schools
Should be Empty:

Holy Cross School Application

Student Information

Family Information

Other family members who attend Holy Cross School:

Other family members who attended Holy Cross School in the past:

Record of Sacraments (if applicable)

Baptism

First Reconciliation

First Eucharist

Previous School(s) Attended:

The following section is not required for your application to be processed. Please attach any documents that are available.