St. Jude Catholic School Application for Enrollment

APPLICATION FOR ADMISSION

Please submit one form per student
Parent/Guardian #1 Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Marital Status
Religious Affiliation

Other
Catholic parish where registered, if applicable
Employer
Parent/Guardian #2 Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address (if different from Parent 1)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Religious Affiliation
If Catholic and registered with a parish, list parish here:
Employer
Student 1 Name

First NameLast Name
Requesting enrollment for
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade Applying For
Students applying for our 3YO or 4YO preschool programs must turn 3 or 4 by September 1 to enroll, and must be potty trained. Kindergarten students must be 5 by 9/1 to enroll.
Gender
If registering a preschooler, do you plan to continue on at St. Jude for grade school?
If requesting mid-year enrollment, desired month of enrollment:
Grade school last attended/currently enrolled in, if applicable
Primary language spoken in the home
Secondary language(s) spoken in the home, if any
Birthplace if outside of U.S.
Public school district where student resides
If your student is currently attending another school, please share your reasons for applying to St. Jude:
If student is baptized, list name of church and religious denomination. List "not baptized" if applicable.
Student race/ethnicity (select all that apply)

Other
If referred by a current St. Jude family, please list name here.
Has your student been diagnosed with a disability or ever received special education, Title 1 or 504 services?
If yes, please describe the diagnosis/services rendered, and service provider:
Is there anything additional you wish to share regarding your student or your application for enrollment?
By signing here I certify that the information provided here is true and accurate. I understand that my student will not be enrolled until I receive notification of acceptance and fulfill the conditions outlined for admission in St. Jude's Admissions & Transfer Policy. No fees are due until a space is offered and accepted. A link to the Admissions and Transfer Policy will be shared once application is submitted.
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APPLICATION FOR ADMISSION