Admissions Application

Admissions Application

Please note: This application may be saved and completed in more than one session if necessary.
How did you hear about SJA? *

Friend or Family Member (See below) Online Ad Facebook Ad Internet Search Radio Newspaper Billboard Email Direct Mail Other
Please provide the name of the friend or family member that referred you.
Name of Person Completing Application *

First Name Middle Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship to Applicant
Applicant Information:
Applicant Name

First Name Middle Name Last Name
Applicant Preferred Name
Applicant Social Security Number
Applicant Applicant Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant Phone Number
Please enter a valid phone number.
Applicant Email
example@example.com
County
School District
Date of Birth

Month Day Year
Date
Applicant Gender
Religion
Place of Worship
Applicant School Information:
Current School
Principal
Guidance Counselor (If Applicable)
School Phone Number
Please enter a valid phone number.
School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current Grade

8 9 10 11
Grade Applying For

9 10 11 12
Ethnicity (please check all that apply)

African American Asian or Pacific Islander Caucasian Native American Hispanic or Latino Other
Please specify country/culture of origin:
Has a child study team ever evaluated the applicant? If yes, please provide all supporting materials for us to process the application. Providing this information will help us place your child in the appropriate courses.

Yes* No
Has the applicant had any private psychological or educational evaluation? If yes, you must provide all supporting materials for us to process the application.

Yes* No
* Support Documents: Please upload any support documents here if the answer to either of the questions above is "yes".

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Upload Applicant Essay (You can save this application and complete later if needed. Please see the "Student Essay" link on our StJosephAcademy.com/admissions webpage for more information if you haven't already prepared the essay.)

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Family Information:
Who has legal guardianship / child custody?

Both Father Mother Other
Is child custody currently in discussion/question? If "yes", please include all court order documents.

Yes* No
* If "yes" was chosen above, please upload relevant documents here. This application may be saved and completed in more than one session if necessary.

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Father's Information:
Father's Name

First Name Middle Name Last Name
Father's Preferred Name
Father's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Father's Cell Phone
Please enter a valid phone number.
Father's Home Phone
Please enter a valid phone number.
Father's Email
example@example.com
Father's Employer
Father's Work Phone
Please enter a valid phone number.
Father's Employer Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
High School / College Father Attended
Degree Earned
Year Graduated
Mother's Information:
Mother's Name

First Name Middle Name Last Name
Mother's Preferred Name
Mother's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mother's Cell Phone
Please enter a valid phone number.
Mother's Home Phone
Please enter a valid phone number.
Mother's Email
example@example.com
Mother's Employer
Mother's Work Phone
Please enter a valid phone number.
Mother's Employer Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
High School / College Mother Attended
Degree Earned
Year Graduated
Other Children in the Family:
Name / Age / School, High School or College Name
Step Parent's Information:
Step Parent's Name

First Name Middle Name Last Name
Step Parent's Preferred Name
Step Parent's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Step Parent's Cell Phone
Please enter a valid phone number.
Step Parent's Home Phone
Please enter a valid phone number.
Step Parent's Email
example@example.com
Step Parent's Employer
Step Parent's Work Phone
Please enter a valid phone number.
Step Parent's Employer Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
High School / College Step Parent Attended
Degree Earned
Year Graduated
* Please attach information for a second step-parent (if applicable). This application may be saved and completed in more than one session if necessary.

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Grandparent's Name (1)

First Name Middle Name Last Name
Grandparent's Preferred Name (1)
Grandparent's Cell Phone (1)
Please enter a valid phone number.
Grandparent's Home Phone (1)
Please enter a valid phone number.
Grandparent's Email (1)
example@example.com
Grandparent's Name (2)

First Name Middle Name Last Name
Grandparent's Preferred Name (2)
Grandparent's Cell Phone (2)
Please enter a valid phone number.
Grandparent's Home Phone (2)
Please enter a valid phone number.
Grandparent's Email (2)
example@example.com
Please list the names of relatives who have attended or who are presently attending St. Joseph Academy.
Name / Class Year / Relationship
Signature of Student

Clear
Date of Student Signature

Month Day Year
Date
Signature of Parent

Clear
Date of Parent Signature

Month Day Year
Date
Please verify that you are human *
Should be Empty: