2016-2017 Archbishop Borders Application for Admission

Today's Date*

MonthDayYear
A Catholic, Dual Language, Community School located in SE Baltimore, MD.
Application for Admission
How Did You Hear About Our School?*
Applying for School Year:*

2016-20172017-2018
Applying for Grade*
Applicant Information
Student Name*

First NameMiddle InitialLast Name
Sex:*

MaleFemale
Birth Date*

MonthDayYear
Place of Birth*

CityStateCountry
Ethnic Background:*

Native AmericanAsianBlack or African AmericanHispanicPacific IslanderWhiteOther
Religion*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Home Language Survey

Please answer the following questions to help us better understand your child:
What is the primary language spoken in the student's household?*

EnglishSpanishOther
Does the student's PRIMARY GUARDIAN speak English?*

YesNo
Is the student fully bilingual?*

YesNo
If yes, in which languages?*
Transfer Students Only

Please answer the following questions if the student is transferring from another school:
What is the name of their current school?
What is the student's current grade
When did they begin attending the above school?

MonthDayYear
What is the reason for leaving their current school?
- Parents' Marital Status (Please check all that apply):*
  
  Single (Never married)MarriedSeperatedDivorcedMother DeceasedMother RemarriedFather DeceasedFather Remarried
- Student Lives With:*
  
  Both Parents - Same HomeMother OnlyFather OnlyBoth Parents - Separate HomesGrandparent/Relative/Other Legal Guardian
- Person 1 (Please select from the drop down menu):*
- Full Name*
  
  First NameMiddle NameLast Name
- E-mail
- Home Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Primary Phone Number*
  
  Area CodePhone Number
- Second Phone Number
  
  Area CodePhone Number
- Occupation
- Name of Employer
- Employer Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Work Phone Number
  
  Area CodePhone Number
- Religion
- Name of Parish/Church
- Person 2 (Please select from the drop down menu):
- Full Name
  
  First NameMiddle NameLast Name
- E-mail
- Home Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Primary Phone Number
  
  Area CodePhone Number
- Secondary Phone Number
  
  Area CodePhone Number
- Occupation
- Name of Employer
- Work Phone Number
  
  Area CodePhone Number
- Employer Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Religion
- Name of Parish/Church
- Sibling #1 Full Name
  
  First NameMiddle InitialLast Name
- Date of Birth
  
  MonthDayYear
- Name of School Attending (If applicable)
- Grade
- Sibling #2 Full Name
  
  First NameMiddle InitialLast Name
- Date of Birth
  
  MonthDayYear
- Name of School Attending (If applicable)
- Grade
- Sibling #3 Full Name
  
  First NameMiddle InitialLast Name
- Date of Birth
  
  MonthDayYear
- Name of School Attending (If applicable)
- Grade
- Sibling #4 Full Name
  
  First NameMiddle InitialLast Name
- Date of Birth
  
  MonthDayYear
- Name of School Attending (If applicable)
- Grade
- Tuition and Fees Contact Person
- Who is the primary person responsible for tuition/fee payments?*
- If you selcted "Other" OR if the person selected is not one of the adults listed above in the "Parent/Guardian Contact Information" section, please fill out their contact information below.
- Full Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Primary Phone Number*
  
  Area CodePhone Number
- Secondary Phone Number
  
  Area CodePhone Number
- E-mail*
- Emergency Contact Information
- Full Name*
  
  First NameLast Name
- Relationship to Student*
- E-mail
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Primary Phone Number*
  
  Area CodePhone Number
- Secondary Phone Number*
  
  Area CodePhone Number
- Parent Questionnaire (Please answer the questions below)
- Please describe the student. What are his/her interests? What is his/her personality like?*
- Why are you interested in Archbishop Borders? How is it a good fit for your family?*
- Does the student currently need any extra academic support? If so, in which subjects?*
- If the student currently has an IEP (Individual Education Plan), please describe it below.*
- How do you feel the student responds to new situations and challenges?*
- Catholic Applicants Only
- Baptism Date
  
  MonthDayYear
- Name of Parish/Church
- Reconciliation Date
  
  MonthDayYear
- Name of Parish/Church
- First Communion Date
  
  MonthDayYear
- Name of Parish/Church
- Confirmation Date
  
  MonthDayYear
- Name of Parish/Church
- Please note that beginning January 4, 2016, we will require a $30, non-refundable, application fee (check or money order). We must receive this fee before we can review your application.
- Should be Empty:

Application for Admission

Applicant Information

Home Language Survey

Transfer Students Only

Tuition and Fees Contact Person

Emergency Contact Information

Parent Questionnaire (Please answer the questions below)

Catholic Applicants Only