Saint Paschal Baylon School

SAINT PASCHAL BAYLON SCHOOL

NEW STUDENT APPLICATION FOR ENROLLMENT CHECKLIST
Principal: Ryan Bushore
Office Manager/Admissions Coordinator: Paula Breeher
154 East Janss Road, Thousand Oaks, CA 91360
Phone: 805-495-9340
Fax: 805-778-1509
Website: stpaschalbaylonschool.org
Email: admissions@stpaschal.org
Please complete all forms below, upload required documents and submit your application to St. Paschal Baylon School on or before February 28, 2025 at 3pm.

You may save and continue your form as you proceed through the application. Once completed, submit your application along with the $60 application fee.
THE FORMS BELOW ARE TO BE COMPLETED ONLINE AND SUBMITTED:

All Grades:

✅ Application for Enrollment

✅ Paid Application Fee of $60

✅ Parent / Guardian Questionnaire

✅ Signed Release of School Records Authorization Form

Kindergarten:

✅ Preschool Teacher Evaluation Form

✅ Kindergarten Parent Questionnaire

Grades First through Eighth:

✅ Academic / Character Reference from current Classroom Teacher

✅ Current School Principal Recommendation Form

BE PREPARED TO UPLOAD COPIES OF DOCUMENTS BELOW:
(All copies must be included with application)

✅ Birth Certificate

✅ Recent Report Cards – Grades 1-8 Applications (please submit previous year and current year)

✅ Copies of Standardized Test Scores - if applicable (please submit previous year and current year)

SPBS PARENT/GUARDIAN QUESTIONNAIRE
Family Last Name*
How did you hear about SPBS?

Current SPBS FamilyMy Child's PreschoolSocial MediaWebsiteOther
Referral Family's Last Name
What are the primary reasons you want your child to attend SPBS?
In your opinion, what was your child's greatest strength(s) at his/her previous school?
In your opinion, what was your child's area(s) of needed improvement, if any, at his/her previous school?
What extra-curricular activities, if any, is your child involved in? Where?
How do you as a parent/guardian plan to become integrated into the Saint Paschal Baylon School community?
Is your child currently receiving any special services or educational support at their school? If so, what and why?*
Does your child have ANY special needs of which we should be aware? (i.e. health-related, academic, developmental or behavioral?)*
How do faith and religion influence your family dynamics and values?
In what ways does your family contribute to serving your community or parish?

SAINT PASCHAL BAYLON SCHOOL

RELEASE OF SCHOOL RECORDS - PARENT AUTHORIZATION FORM
Parents: Please complete, sign and submit along with your completed application. We will request the records upon acceptance of the student.
Current School Name*
Current School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In accordance with the Family Educational Rights and Privacy Act of 1974 and California State Law, I hereby authorize the release to the below named school all school records - inclucing grades, health records and any other developmental information, regarding the below-named student:
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade*
Signature of Parent/Legal Guardian*

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For school office use:
Student's Cumulative file, health and academic records can be sent to:

Saint Paschal Baylon School
Attn: Mrs. Paula Breeher - Admissions
154 East Janss Road
Thousand Oaks, CA 91360

SPBS Principal/Teacher Reference Form Contact Information
As a part of the admission process at St. Paschal Baylon School, we request an academic assessment of the applicant by their current teacher and administrator. Please complete the following information so we can send the required forms to your current school. Provide a signature at the bottom of the page. Thank you.
Name of Applicant

First NameLast Name
Teacher Name

First NameLast Name
Teacher Email
example@example.com
Principal/Administrator Name

First NameLast Name
Principal/Administrator Email
example@example.com
Signature

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Application Fee Payment and Final Submission
A non-refundable application fee of $60 is required to process your application. You may pay online via credit card below or submit payment in person with a check or cash. Please note that your application will not be reviewed until the payment has been received. Thank you.

CashCheckCredit Card (pay below)

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Application Fee

$60.00

Pay Check or CashApplication Fee of $60 via check or cash due to the office upon submission of your application.

$ Free Quantity

Total

$0.00

	Always	Most Times	Sometimes	Never
Does your child tolerate reasonable amounts of frustration appropriately?
Does your child experience extreme separation anxiety when you leave him or her?
Does your child express a desire to go to Kindergarten?
Can your child usually control his or her anger?
Can your child dress himself or herself?
Can your child tie his or her shoes?
Can your child express himself or herself verbally to others?
Is your child generally able to cope with new situations?
Is your child able to follow verbal directions?
Is your child able to listen quietly to a story for at least ten minutes?
Does your child complete simple requested tasks?
Does your child generally seem willing to share?
Does your child generally interact well with other children of a simliar age?
Does your child wait for a reasonable amount of time without interrupting, while another person speaks?
Does your child have "bathroom" accidents often?
Is your child able to read by themselves?
Does your child attend Mass regulary with you?
Does your child pray with you at home?
Does your child take daily naps?

SAINT PASCHAL BAYLON SCHOOL