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
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone
Format: (000) 000-0000.
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:

Non-US Citizen(Specify country of citizenship)
Student Visa
Family Information
Parent / Guardian 1 Information
Parent / 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
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
Business Phone Number
Format: (000) 000-0000.
Name of Business
Name of Business
Type of work
Parent / Guardian 2 Information
Parent / Guardian Name

First NameMiddle NameLast Name
Email
example@example.com
Home/Cell Phone Number
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
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
Name of Alumni
Current family referral
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?
Previous School(s)/Preschool Attended:
School name

First NameLast Name
Grade
Phone
Please enter a valid phone number.Format: (000) 000-0000.
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)
If so, please explain
Does your child have an existing IEP (Individual Educational Plan)?
If so, please explain
Has your child had any behavioral issues at his/her previous school?
If so, please explain
Has your child been retained?
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
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
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)/Preschool Attended:

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