Applicant Form

Frassati Program

@ Cardinal Newman Academy
APPLICATION FOR ADMISSION 2025-26
Applications will be considered based on academic performance, test results, character, and extracurricular focus. Please either submit this form electronically, or mail/email application to the address below:

Admissions, Cardinal Newman Academy

P.O. Box 72903

North Chesterfield, VA 23235

admissions@cardinalnewmanacademy.org
APPLICANT INFORMATION
First Name*
Middle Name
Last Name*
Preferred Nickname
Grade Applying for*

7th8th
Birthdate*

MonthDayYear
Date
Name of parent/guardian*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Current School & Grade*

Previous Schools attended:

Rows	Name of School	City, State	Grades / Dates attended
1
2
3

Has applicant ever been dismissed from a school?*

YesNo
If yes, please explain circumstances below:
Please describe the applicants interests, hobbies, sports, and extracurricular activites, and list any awards and honors received.*
Is the applicant Catholic?*

YesNo
If yes, which parish?
Will you be applying for financial aid?*

YesNo
FAMILY INFORMATION
Father's Name*

First NameLast Name

Education:

Rows	Name of School	Dates Attended	Degree
High School
College
Other

Occupation
Employer
Email*
example@example.com
Phone
Format: (000) 000-0000.
Is Father's primary address same as applicant's listed above?

YesNo
If no, please give address below:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*

First NameLast Name

Education:

Rows	Name of School	Dates Attended	Degree
High School
College
Other

Occupation
Employer
Email*
example@example.com
Phone
Format: (000) 000-0000.
Is Mother's primary address same as applicant's listed above?

YesNo
If no, please give address below:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list all other children in the family - include their name, age, and current school.

Rows	Name	Age	Current School
1
2
3
4
5
6
7
8

Applicant Lives With:*

MotherFatherStep-parentGrandparentOther
Check all that apply:

Mother deceasedFather deceasedParents separatedParents divorced

Full names, if applicable, of:

Rows	Full Name
Stepmother
Stepfather
Guardian

Should be Empty: