For Office Use Only AWS
Application Due February 10, 2017
For Office Use Only
Received By: ________Date: ______________ Amt. Pd. $______Check # _______
Application for Admission: St. Francis of Assisi Elementary School
Application Year:
Cash Receipt#_______
2017-2018
Date Accepted by Principal: ______________ Registration Date:
_________________________________
Grade Applying for: _____
Transitional Kindergarten/Kindergarten*Preference _____AM _____PM _____Either *Preference does not guarantee placement
In order to submit an application, please check the following requirements below or write NA if appropriate: I have attached/enclosed copies of _____Child’s Birth Certificate _____ Immunization Record _____Recent Report Card (Grades 1-8) _____Baptismal Certificate Other Sacraments Received: First Communion_____ Confirmation_____ Reconciliation_____ _____ $35 Non-refundable Application Fee _____ I have requested a Teacher/Preschool Recommendation (if applicable) from my child’s current school to be mailed or faxed directly to St. Francis of Assisi Elementary, 2500 K Street, Sacramento, CA 95816 FAX 916-442-1390
Student’s Name: ___________________________________________________________________________Age: _______ First Middle Last (Must match Birth Certificate) Goes By: ______________________ M ___ F ___ Birth date: ____/ ____/ ____ (
) ________________________ Best Daytime Contact No.
_______________________________________________________________ Primary Email Address:
Student lives with (Check all that are applicable) _____Both Parents ____ Step-Father
____ Mother
_____Father
____ Step-Mother
____Grandparent ____Other___________________________________ Please explain
Mother’s Name: ________________________________________________
____Living ____Deceased
Step Father’s Name: _____________________________________________ Address: ________________________________________________________________________________________________ Street City Zip ( ) ________________________ ( ) __________________________ Home Phone Cell Phone Email Address: _____________________________________ Best Daytime Contact No. (
Father’s Name: _________________________________________________
) __________________________
____Living ____Deceased
Step Mother’s Name: _____________________________________________ Address: ________________________________________________________________________________________________ (If Different) Street City Zip (
) ________________________ ( Home Phone
) __________________________ Cell Phone
Email Address: _____________________________________ Best Daytime Contact No. (
) __________________________
Religious Affiliation of Student/Family (Check one) _____Catholic
Name of Parish___________________________________________________
Are you a registered parishioner? ______Yes ______No _____Protestant _____Jewish _____Buddhist _____Muslim _____Sikhism _____Other (Please list) Name of Church You Attend: _________________________________________________________________________
How did you hear about our school? (Check all that apply) _____Family _____Friend/Co-worker with child attending: Name___________________________________________________ _____Church _____Catholic Herald _____Preschool _____Sign in front of School _____St. Francis School Website _____Catholic Schools Dept. Website _____Other (Please indicate)_________________________________________________
Previous or Current School Student Attended: _________________________________________ School District (if public) ________________________ Name of School _________________________________________________________________________( Address
) _________________________ Phone
Please list sibling(s) or family members that are now attending or have attended St. Francis Elementary School: Name ________________________________ Relationship ______________________________________ _____________________________________________
______________________________________________
_____________________________________________
______________________________________________
The following information is required by the Diocesan Census for all students. Answers have no bearing on admission decisions. Ethnicity _____Hispanic _____ Non-Hispanic
Race
_____Native/Indian Native/Alaskan _____Asian _____Black _____Native Hawaiian/Pacific Islander _____White/Middle Eastern _____2 or More Races
Finance Please list name(s) of person(s) responsible for payment of tuition and fees if other than parents: (
Name:
) Phone
Address: Street
City
Zip
Financial Aid Applications and information regarding financial aid will be addressed during the Principal/Perspective Parent interview. *********************************************************************************************************
Extended Day Care Will your child be attending Extended Day Care? _____Yes _____No
Please answer the following questions to the best of your ability. (Answers may be submitted on a separate sheet) Why are you choosing St. Francis Elementary School? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
At St. Francis of Assisi we recognize that every child learns differently. Has your child received any special educational services or are you aware of any special accommodations your child may need? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
If you are transferring from another elementary school, why are you making the change? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
Parental involvement is recognized as an important educational element at St. Francis. If your child is admitted to our school, please list what talents/skills you, as a parent, can contribute? _______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills Fundraisers support the educational needs of our students, provide classroom enhancements and strengthen community spirit. Based on your above responses, if needed, you may be contacted for your expertise.
For Office Use Only
Received By: ________Date: ______________ Amt. Pd. $______Check # _______
Application for Admission: St. Francis of Assisi Elementary School
Application Year:
Cash Receipt#_______
2017-2018
Date Accepted by Principal: ______________ Registration Date:
_________________________________
Grade Applying for: _____
Transitional Kindergarten/Kindergarten*Preference _____AM _____PM _____Either *Preference does not guarantee placement
In order to submit an application, please check the following requirements below or write NA if appropriate: I have attached/enclosed copies of _____Child’s Birth Certificate _____ Immunization Record _____Recent Report Card (Grades 1-8) _____Baptismal Certificate Other Sacraments Received: First Communion_____ Confirmation_____ Reconciliation_____ _____ $35 Non-refundable Application Fee _____ I have requested a Teacher/Preschool Recommendation (if applicable) from my child’s current school to be mailed or faxed directly to St. Francis of Assisi Elementary, 2500 K Street, Sacramento, CA 95816 FAX 916-442-1390
Student’s Name: ___________________________________________________________________________Age: _______ First Middle Last (Must match Birth Certificate) Goes By: ______________________ M ___ F ___ Birth date: ____/ ____/ ____ (
) ________________________ Best Daytime Contact No.
_______________________________________________________________ Primary Email Address:
Student lives with (Check all that are applicable) _____Both Parents ____ Step-Father
____ Mother
_____Father
____ Step-Mother
____Grandparent ____Other___________________________________ Please explain
Mother’s Name: ________________________________________________
____Living ____Deceased
Step Father’s Name: _____________________________________________ Address: ________________________________________________________________________________________________ Street City Zip ( ) ________________________ ( ) __________________________ Home Phone Cell Phone Email Address: _____________________________________ Best Daytime Contact No. (
Father’s Name: _________________________________________________
) __________________________
____Living ____Deceased
Step Mother’s Name: _____________________________________________ Address: ________________________________________________________________________________________________ (If Different) Street City Zip (
) ________________________ ( Home Phone
) __________________________ Cell Phone
Email Address: _____________________________________ Best Daytime Contact No. (
) __________________________
Religious Affiliation of Student/Family (Check one) _____Catholic
Name of Parish___________________________________________________
Are you a registered parishioner? ______Yes ______No _____Protestant _____Jewish _____Buddhist _____Muslim _____Sikhism _____Other (Please list) Name of Church You Attend: _________________________________________________________________________
How did you hear about our school? (Check all that apply) _____Family _____Friend/Co-worker with child attending: Name___________________________________________________ _____Church _____Catholic Herald _____Preschool _____Sign in front of School _____St. Francis School Website _____Catholic Schools Dept. Website _____Other (Please indicate)_________________________________________________
Previous or Current School Student Attended: _________________________________________ School District (if public) ________________________ Name of School _________________________________________________________________________( Address
) _________________________ Phone
Please list sibling(s) or family members that are now attending or have attended St. Francis Elementary School: Name ________________________________ Relationship ______________________________________ _____________________________________________
______________________________________________
_____________________________________________
______________________________________________
The following information is required by the Diocesan Census for all students. Answers have no bearing on admission decisions. Ethnicity _____Hispanic _____ Non-Hispanic
Race
_____Native/Indian Native/Alaskan _____Asian _____Black _____Native Hawaiian/Pacific Islander _____White/Middle Eastern _____2 or More Races
Finance Please list name(s) of person(s) responsible for payment of tuition and fees if other than parents: (
Name:
) Phone
Address: Street
City
Zip
Financial Aid Applications and information regarding financial aid will be addressed during the Principal/Perspective Parent interview. *********************************************************************************************************
Extended Day Care Will your child be attending Extended Day Care? _____Yes _____No
Please answer the following questions to the best of your ability. (Answers may be submitted on a separate sheet) Why are you choosing St. Francis Elementary School? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
At St. Francis of Assisi we recognize that every child learns differently. Has your child received any special educational services or are you aware of any special accommodations your child may need? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
If you are transferring from another elementary school, why are you making the change? _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________
Parental involvement is recognized as an important educational element at St. Francis. If your child is admitted to our school, please list what talents/skills you, as a parent, can contribute? _______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills
_______________________ ___________________________________________ ____________________________ Parent Employer Work Ph. _________________________ _______________________________________________________________________________ Position Talents/Skills Fundraisers support the educational needs of our students, provide classroom enhancements and strengthen community spirit. Based on your above responses, if needed, you may be contacted for your expertise.
