Admissions Form
Please fill out our Admissions Form. A representative from our admissions staff will be in contact with you after its initial review. Thank you for your interest in Valle Catholic Schools!
Name
*
First Name
Middle Initial
Last Name
Birth Date
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
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Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
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2004
2003
2002
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1989
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Decline to Answer
Are you Hispanic or Latino?
*
Yes
No
Decline to Answer
Race:
*
American Indian/Alaskan Native
Asian
Black
Native Hawaiian/Other Pacific Islander
White
Decline to Answer
Of which country are you a citizen?
*
Select Country
United States
Afghanistan
Albania
Algeria
American Samoa
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaidjan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia, Kingdom of
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
France (European Territory)
French Guyana
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion (French)
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
USA Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Applicant Phone
*
-
Area Code
Phone Number
Applicant Personal E-mail
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
SSN (High School applicants)
Grade applying for
*
K
1
2
3
4
5
6
7
8
9
10
11
12
School year applying for
*
Indicate the school year your student will begin (2020-2021, 2021-2022, etc.)
Current School
*
Current Grade
*
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Public school student would attend based on residency
*
Applicant T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Is applicant Catholic?
*
Yes
No
If yes, what parish is the family registered in? If no, write none.
*
Applicant resides with
*
Both parents
Mother
Father
Legal Guardian
Other
Check all that apply
*
Parents Married
Parents Unmarried
Parents Divorced
Parents Remarried
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Family Information
Parent/Guardian #1 (primary contact)
First Name
Middle Initial
Last Name
Relationship to applicant
*
Mother
Father
Legal Guardian
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone
*
-
Area Code
Phone Number
Parent/Guardian Email
*
example@example.com
Is parent/guardian a graduate of Valle Catholic Schools?
Yes
No
How many siblings, if any?
Employment Status
*
Employed
Not Employed
Self-Employed
Other
Title/Occupation
Business Name
Business Phone
*
-
Area Code
Phone Number
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Parent/Guardian #2 (if applicable)
First Name
Middle Initial
Last Name
Relationship to applicant
Mother
Father
Legal Guardian
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone
-
Area Code
Phone Number
Parent/Guardian Email
example@example.com
Is parent/guardian a graduate of Valle Catholic Schools?
Yes
No
Employment Status
Employed
Not Employed
Self-Employed
Other
Title/Occupation
Business Name
Business Phone
-
Area Code
Phone Number
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Parent/Guardian #3 (if applicable)
First Name
Middle Initial
Last Name
Relationship to applicant
Mother
Father
Legal Guardian
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone
-
Area Code
Phone Number
Parent/Guardian Email
example@example.com
Is parent/guardian a graduate of Valle Catholic Schools?
Yes
No
Employment Status
Employed
Not Employed
Self-Employed
Other
Title/Occupation
Business Name
Business Phone
-
Area Code
Phone Number
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Primary Billing Contact
*
Parent/Guardian #1
Parent/Guardian #2
Tuition Information
Parent or Legal Guardian information for tuition payment
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Payment choice
*
Pay upfront and defer $50 Smart Fee
Pay through Smart Tuition (monthly/10 months)
Smart Tuition Due Date
*
1st
15th
22nd
Payment Method
*
Auto debit my bank account
Mail invoice for each payment due
Automatically charge Visa
Automatically charge Mastercard
Automatically charge American Express
Automatically charge Discover
Emergency Contact Information
This information will be used for emergency purposes. Parents/Legal Guardians will always be contacted first.
Emergency Contact #1
*
Relationship to applicant
*
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Emergency Contact #2
*
Relationship to applicant
*
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
Application Fee
Please mail the $25 application fee to Patty Shuh, 40 N. Fourth Street, Ste. Genevieve, MO 63670. Please make check payable to Valle Catholic Schools. Thank you.
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