Washington Jesuit Academy Application 2026-2027

WJA 2026-27 Application
All sections need to be fully completed.

Incomplete applications will not be considered.
- Language spoken at home:*
  
  EnglishSpanishOther
- Student's Name*
  
  First NameLast Name
- Current Grade*
  
  34567
- Grade Applying For:*
  
  4567
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Postal / Zip Code
- Student's Date of Birth*
  
  MonthDayYear
  Date
- Student's Age*
- Current School*
- How did you find out about WJA?*
- Check all that apply*
  
  Parents TogetherSingle Parent(s)Parents DivorcedFather RemarriedMother RemarriedFather DeceasedMother DeceasedOther
- Who is the legal guardian?*
  
  MotherFatherBothOther
- Who does the student live with?*
- How does the student split their home time?*
  
  Full TimePart Time (Please Elaborate)
- Guardian 1 Information
- Name*
  
  First NameLast Name
- Relation*
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Employer*
- Position*
- Cell Phone*
  Format: (000) 000-0000.
- Home Phone
  Format: (000) 000-0000.
- Work Phone
  Format: (000) 000-0000.
- Email Address*
  example@example.com
- Guardian 2 Information
- Name
  
  First NameLast Name
- Relation
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Employer
- Position
- Cell Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Home Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Work Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Additional Family Information
- Please list any brothers, sisters, and dependents - other than parents - living in the house. Please include any step-brothers/sisters. *
- The following information is used for statistical purposes only:
- Religion of Applicant*
- Parish/Church/Religious Community
- Race*
  
  HispanicNon-Hispanic
- Ethnicity*
  
  BlackWhiteAsianDecline to AnswerOther
- Please list all schools attended by the applicant since Kindergarten.*
- This student has:*
  
  An IEPReceived or is currently receiving assistance for special learning needs or circumstancesA 504 planNone of the AboveOther
- If you selected any of the choices above, please provide more information here.
- Please attach the student's IEP or 504 plan. If you do not have a digital copy, please note that at the end of this application in the "Other Information" section.
  
  Cancelof
- Has this student ever participated in any special programs in school or outside of school due to specific difficulties?*
  
  YesNo
- If you answered yes to the above question, please describe:
- Does this student have any health problems that could affect participation in school activities sports, clubs, etc?*
  
  YesNo
- If you answered yes to the above question, please describe:
- Does this student take any medication(s)?*
  
  YesNo
- If you answered yes to the above question, please describe:
- ASSETS DISCLOSURE AND FINANCIAL STATEMENT:
  
  The Washington Jesuit Academy requires each applicant's parents and/or guardians to complete the Assets Disclosure and Financial Statement. Any falsified information will result in termination from the admissions process and/or enrollment. Students admitted to WJA will receive a full scholarship to attend the school. Parents and/or guardians are responsible for paying a $300 activity fee per year. WJA follows the Federal Free and Reduced Lunch standards (adjusted to DC's cost of living) and the Assets Disclosure Statement is used as a guideline for the financial requirements.
  
  Please answer all of the following questions:
- Student's Name*
  
  First NameLast Name
- Parent(s)/Guardian(s) Completing this Form*
- Current Employer (Guardian 1)*
- Current Annual Salary (Guardian 1)*
  Please use numbers only
- Current Employer (Guardian 2)
- Current Annual Salary (Guardian 2)
  Please use numbers only
- Annual Child Support Source (if applicable)
- Annual Child Support Amount (if applicable)
  Please use numbers only
- Number Living in Household*
- Total savings and investments (excluding retirement accounts):*
  Please use numbers only
- If you own your own home, please include the following information:*
- If you own other real estate, please include the following information:
- Is the student a DC Opportunity Scholar?*
  
  YesNo
- Have you applied for the DC Opportunity Scholarship Program?*
  
  YesNo
- What vehicles are owned by members of your household?*
- Please attach the financial documents (the W-2 and 1040 form and/or SNAP, TANF, etc. if applicable) of the primary guardian(s) to verify family financial information. If you do not have a digital copy, please note that at the end of this application in the "Other Information" section. Forms will be required for acceptance to WJA and may delay the application process if not included. *
  
  Cancelof
- SPECIAL CIRCUMSTANCES:
- Below, please provide a brief description of any significant changes in income, expenses, or financial condition expected during this coming school year, or other information (such as funds in restricted trust) you would like considered when acceptance is being determined. Also, if there are any special circumstances which affect your financial situation in a significant way, please provide that information.
- Please provide the contact information for two of your student's current or recent academic teachers. Washington Jesuit Academy's Admissions Office will reach out to your student's teachers in regard to completing a teacher recommendation form.
- Name (Teacher 1)*
  
  First NameLast Name
- Email (Teacher 1)*
  example@example.com
- Phone Number (Teacher 1)*
  Format: (000) 000-0000.
- Name (Teacher 2)*
  
  First NameLast Name
- Email (Teacher 2)*
  example@example.com
- Phone Number (Teacher 2)*
  Format: (000) 000-0000.
- Please upload a headshot photo of your son*
  
  Cancelof
- Other Information (if applicable)
- How did you hear about WJA?
- My signature below verifies the information I am submitting is valid and accurate.
- Parent/Guardian Signature*
- Date*
  
  MonthDayYear
  Date
- Please sign this form, take it to your son’s current school, and have them forward his academic records to us at the address below.
- Should be Empty:

WJA 2026-27 Application

Guardian 1 Information

Guardian 2 Information

Additional Family Information

SPECIAL CIRCUMSTANCES: