St. Joseph Catholic School
St. Joseph Catholic School
S T UD E NT A P P L I C A T I O N 2 0 1 6- 2 0 1 7
STUDENT APPLICATION INFORMATION (Please Print All Information) #1 Student Applicant
Student’s Last Name: _________________________________ Student’s First Name: _______________________
Student’s Middle Name: __________________________ Student’s Preferred Name: __________________________ Grade Entering: Male: _____
K
1
Female: _____
2
3
Current Age: _____
4
5
6
Date of Birth: ________
7
8
Current Grade: _______
Catholic: _______ Non-Catholic: ______ Please Indicate Religion: ______________________
School Currently Attending: _________________________________ School Phone#: ___________________________ All Schools Previously Attended: _______________________________________________________________ #2 Student Applicant
Student’s Last Name: _________________________________ Student’s First Name: _______________________ Student’s Middle Name: _____________________ Student’s Preferred Name: __________________________ Grade Entering: Male:_____
K
1
Female:_____
2
3
Current Age:_____
4
5
6
Date of Birth: ________
7
8
Current Grade: _______
Catholic: _______ Non-Catholic: ______ Please Indicate Religion: ______________________
School Currently Attending:_________________________________ School Phone#:___________________________ All Schools Previously Attended:_____________________________________________________________________
FAMILY APPLICATION INFORMATION
Primary Home Address: ______________________________________________________________________________ Primary Home Phone #: ____________________________Primary Email Address: ______________________________
Father’s Name: _____________________________________________________________________________________
Address (if different from Student): _______________________________________________________________________ Occupation/Employer: ______________________________________________ Religion: ________________________
Father’s Email Address: _____________________________________ Father’s Cell #: ___________________________ Mother’s Full Name (Maiden): ________________________________________________________________________
Address (if different from Student): _______________________________________________________________________
Occupation/Employer: __________________________________ Religion: ______________________________________
Mother’s Email Address: ________________________________ Mother’s Cell #: __________________________________ Guardian’s Name: ______________________________________________ Relationship to Student(s): ________________
Address (if different from Student): __________________________________________________________________________ Occupation/Employer: ___________________________________ Religion: ______________________________________ Email Address: _______________________________________ Cell #: __________________________________
St. Joseph Catholic School
Student Application 2015-2016 | 1
11610 Atwood Road ● Auburn, CA 95603 ● ph (530) 885-4490 ● fax (530) 885-0182 [email protected] ● www.saintjosephauburn.org
St. Joseph Catholic School
S T UD E NT A P P L I C A T I O N 2 0 1 6- 2 0 1 7
ADDITIONAL STUDENT APPLICANT AND FAMILY INFORMATION Primary Language Spoken at Home: __________ Parent Status (circle):
Married
Student lives with (circle):
Divorced
Mother
Father
Separated
Father Remarried
Stepmother
Mother Remarried
Stepfather
Guardian
Faith Participation: ____ Active St. Teresa Parishioner ____ Active St. Joseph Parishioner ____ Active Catholic in another Parish ____ Non‐Active Catholic/Non Catholic
Parish of Registration: _______________
Please share with the Admissions Committee at St. Joseph Catholic School anything that would assist us in making an informed decision concerning your child. (Please use separate pieces of paper, if needed) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
What is your reason for selecting St. Joseph Catholic School? _______________________________________________
_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ How did you learn about St. Joseph Catholic School?_______________________________________________________ Were you refereed by someone? If so by who?:____________________________________________________________ Names of relatives now or formerly associated with St. Joseph Catholic School
Name: ____________________________________Relationship to Child/Family:______________________________________
REQUIRED DOCUMENTATION
The following documents must accompany your application: _____ Birth Certificate (Copy)
_____ Kindergarten Physical Exam
_____ Baptismal Certificate (Copy)
_____ Immunization Record
_____ Recent Report Card (for Students 1st through 7th Grade Applications)
----------------------------------------------------------------------------------------------------------------------------------------------------------OFFICE USE ONLY
_____ Kindergarten Physical Exam _____ Immunization Record _____ Baptismal Certificate _____ Birth Certificate _____ Recent Report Card _____ Accepted
_____ Waiting List
St. Joseph Catholic School
Student Application 2015-2016 | 2
11610 Atwood Road ● Auburn, CA 95603 ● ph (530) 885-4490 ● fax (530) 885-0182 [email protected] ● www.saintjosephauburn.org
S T UD E NT A P P L I C A T I O N 2 0 1 6- 2 0 1 7
STUDENT APPLICATION INFORMATION (Please Print All Information) #1 Student Applicant
Student’s Last Name: _________________________________ Student’s First Name: _______________________
Student’s Middle Name: __________________________ Student’s Preferred Name: __________________________ Grade Entering: Male: _____
K
1
Female: _____
2
3
Current Age: _____
4
5
6
Date of Birth: ________
7
8
Current Grade: _______
Catholic: _______ Non-Catholic: ______ Please Indicate Religion: ______________________
School Currently Attending: _________________________________ School Phone#: ___________________________ All Schools Previously Attended: _______________________________________________________________ #2 Student Applicant
Student’s Last Name: _________________________________ Student’s First Name: _______________________ Student’s Middle Name: _____________________ Student’s Preferred Name: __________________________ Grade Entering: Male:_____
K
1
Female:_____
2
3
Current Age:_____
4
5
6
Date of Birth: ________
7
8
Current Grade: _______
Catholic: _______ Non-Catholic: ______ Please Indicate Religion: ______________________
School Currently Attending:_________________________________ School Phone#:___________________________ All Schools Previously Attended:_____________________________________________________________________
FAMILY APPLICATION INFORMATION
Primary Home Address: ______________________________________________________________________________ Primary Home Phone #: ____________________________Primary Email Address: ______________________________
Father’s Name: _____________________________________________________________________________________
Address (if different from Student): _______________________________________________________________________ Occupation/Employer: ______________________________________________ Religion: ________________________
Father’s Email Address: _____________________________________ Father’s Cell #: ___________________________ Mother’s Full Name (Maiden): ________________________________________________________________________
Address (if different from Student): _______________________________________________________________________
Occupation/Employer: __________________________________ Religion: ______________________________________
Mother’s Email Address: ________________________________ Mother’s Cell #: __________________________________ Guardian’s Name: ______________________________________________ Relationship to Student(s): ________________
Address (if different from Student): __________________________________________________________________________ Occupation/Employer: ___________________________________ Religion: ______________________________________ Email Address: _______________________________________ Cell #: __________________________________
St. Joseph Catholic School
Student Application 2015-2016 | 1
11610 Atwood Road ● Auburn, CA 95603 ● ph (530) 885-4490 ● fax (530) 885-0182 [email protected] ● www.saintjosephauburn.org
St. Joseph Catholic School
S T UD E NT A P P L I C A T I O N 2 0 1 6- 2 0 1 7
ADDITIONAL STUDENT APPLICANT AND FAMILY INFORMATION Primary Language Spoken at Home: __________ Parent Status (circle):
Married
Student lives with (circle):
Divorced
Mother
Father
Separated
Father Remarried
Stepmother
Mother Remarried
Stepfather
Guardian
Faith Participation: ____ Active St. Teresa Parishioner ____ Active St. Joseph Parishioner ____ Active Catholic in another Parish ____ Non‐Active Catholic/Non Catholic
Parish of Registration: _______________
Please share with the Admissions Committee at St. Joseph Catholic School anything that would assist us in making an informed decision concerning your child. (Please use separate pieces of paper, if needed) ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
What is your reason for selecting St. Joseph Catholic School? _______________________________________________
_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ How did you learn about St. Joseph Catholic School?_______________________________________________________ Were you refereed by someone? If so by who?:____________________________________________________________ Names of relatives now or formerly associated with St. Joseph Catholic School
Name: ____________________________________Relationship to Child/Family:______________________________________
REQUIRED DOCUMENTATION
The following documents must accompany your application: _____ Birth Certificate (Copy)
_____ Kindergarten Physical Exam
_____ Baptismal Certificate (Copy)
_____ Immunization Record
_____ Recent Report Card (for Students 1st through 7th Grade Applications)
----------------------------------------------------------------------------------------------------------------------------------------------------------OFFICE USE ONLY
_____ Kindergarten Physical Exam _____ Immunization Record _____ Baptismal Certificate _____ Birth Certificate _____ Recent Report Card _____ Accepted
_____ Waiting List
St. Joseph Catholic School
Student Application 2015-2016 | 2
11610 Atwood Road ● Auburn, CA 95603 ● ph (530) 885-4490 ● fax (530) 885-0182 [email protected] ● www.saintjosephauburn.org
