1 St. Vincent de Paul Catholic School 6571 Larkspur Drive Mobile, Alabama REGISTRATION INFORMATION FOR A tuition rate and fee schedule is attached for your review. All deadlines and fee amounts are listed on tuition sheet. ACCEPTANCE TO ST. VINCENT DE PAUL CATHOLIC SCHOOL The following requirements must be met before acceptance is final: 1. Completed registration form with registration fee 2. Full payment of all fees by required deadlines 3. Signed tuition agreement and fees policy and returning the tuition preference form 4. Current blue immunization card (IMM50) 5. Kindergarten and new students must show proof of the second measles shot required after their 5 th birthday. 6. Original birth certificate with state seal 7. Baptismal certificate (if Catholic) 8. Social Security Number 9. School Health Form 10. Custody Information (if applicable) 11. All records from previous schools sent to St. Vincent and evaluated by the principal. 12. Interview with the principal (new students) 13. Letter from Pastor, if coming from outside of St. Vincent de Paul Parish 14. Copy of educational evaluation, if student is requesting special services AGE REQUIREMENTS: *Please note students entering pre-kindergarten must be four years old by September 10 th. Students entering kindergarten must be five years old by September 10 th. A school supply list, textbook list and fees, summer reading list, and uniform information will be sent to you in May.
2 St. Vincent de Paul Catholic School FEE SCHEDULE FOR *Registration Fee (per child) due at time of registration and is non-refundable $ by March 1 st $ after March 1st *Academic Fee (per child) due May 1 st $ *Computer/Library Fee (per child) due May 1 st $25.00 *Archdiocesan Fee (per child) due May 1 st $35.00 *Family Assessment Fee (per family) due June 1 st4 $ *PE Fee (per family) due June 1st $25.00 *New Family Assessment due June 1st $30.00 *Textbook fee (per child) due June 1 st Textbook fees and list will be sent home in May. *Registration and all fees are paid directly to the school and are non-refundable. TUITION SCHEDULE FOR Grades K-8 *Contributor Non-Contributor/Non-Catholic One Child $2535 $3826 Two children $4008 $5535 Three Children $4429 $6565 *The contributor rate is granted to a family who is a registered member of a parish and contributes the minimum required contribution of $900 in an identifiable manner (envelope/checks), and their parish agrees to subsidize their students. If you are a member of St. Vincent de Paul Parish, $450 is due to the church by June 1 st and the remaining $450 is due to the church by December 1 st. Tithing rates are checked on December 1 st and tuition rates will be adjusted accordingly. TUITION FOR PRESCHOOL The child must be 4 years old by September 10 th. Preschool is a full 5 day program. No subsidy is applied to preschool. One rate applies to all students $3224. TUITION PAYMENT PLANS 1. Full tuition payment due on July 1, Payment will be made directly to the school. No FACTS fee will be assessed. 2. Ten monthly payments through FACTS. Parents elect to pay tuition on either the 5 th or 20 th of each month through FACTS payment plan. This is an automatic payment plan made through your checking or savings account. The FACTS annual enrollment fee is $ First payment month is July. Tuition payments are divided into ten monthly payments. 3. Credit card payment through FACTS. Parents may pay monthly using Master Card, Discover, or American Express. In addition to the FACTS fee of $38.00, there will be a convenience fee for each payment. The convenience fee is $2.50 per $100 of tuition. TUITION REDUCTION OPTIONS If you are a contributing member of St. Vincent de Paul Parish, you may apply for tuition assistance through the parish. Applications are available in the school office.
3 ST. VINCENT DE PAUL CATHOLIC SCHOOL 6571 Larkspur Drive Mobile, AL PRE-REGISTRATION FORM Student Information Name Last, First, Middle Address City/State/Zip Phone Grade Entering Social Security # Gender (male/female ) Race (white, hispanic, black, etc.) Date of Birth Birth Place (city and state) Religion Present Parish Baptismal Date and Parish First Reconciliation Date and Parish First Communion Date and Parish Confirmation Date and Parish Last School Attended (address and phone) Siblings attending St. Vincent and grades Does your child have any special needs which would require specific services? Please include any medications your child is taking, any classroom modifications your child is presently receiving, any behavioral concerns, and any psychological evaluations. List the name of the public school district your child lives in This information is required. (If you are unsure of the school, you may call for assistance.) Emergency Contact Name/phone/relationship
4 Parent/Guardian Information Please circle one : Father/Step Father Last Name First Name Deceased Yes No Marital Status Address City/State/Zip Home Phone Occupation Employer Address Work Phone Cell Phone Religion Emergency Contact yes no Has Legal Custody yes no Student Lives With yes no Are you alumni of SVS? yes no
5 Please circle one : Mother/Step Mother Last Name First Name Maiden Name Deceased Yes No Marital Status Address City/State/Zip Home Phone Occupation Employer Address Work Phone Cell Phone Religion Emergency Contact yes no Has Legal Custody yes no Student Lives With yes no Are you alumni of SVS? yes no
6 St. Vincent de Paul Tuition and Fees Policy Introduction The following policy for fees and tuition has been approved by the principal, pastor, and school board of St. Vincent de Paul Catholic School. Fees Payment The registration fee is due at the time of registration and is non-refundable unless the student is not accepted into the school. The Early Bird Special of $100 is only good through March 1st. After March 1 st, the registration fee is $125. The academic, computer/library, and archdiocesan fees are due to the school on or before May 1 st. If the fees are not received by May 1 st, a $25 late fee will be assessed per student. The family assessment fee is due to the school on or before June 1 st. If the fee is not received by June 1 st, a $25 late fee will be assessed per family. All fees are non-refundable. Any check that is returned to the school from the bank will be assessed a $25 service charge and all applicable late fees. Any family who has more than one check returned must pay all the remaining payments by either cash or money order. Tuition Payment 1. Contributor s Rate This rate is granted to a family who is a registered member of a Catholic Church parish and who tithes to that parish. The pastor of the parish must send a letter to St. Vincent verifying membership in his parish and agreeing to subsidize the student s education. If you are a member of St. Vincent s Parish, the minimum required contribution to the church is $900 in an identifiable manner (checks/envelopes). $450 is due to the church by June 1 st and the remaining $450 is due to the church by December 1 st. Tithing rates will be checked on December 1 st, and tuition rates will be readjusted accordingly. 2. Non-Contributor s/non-catholic s Rate This rate is granted to Catholic families who are not a contributing member of a parish. This rate is granted to all Non- Catholic families. All families shall be expected to make tuition payments according to one of the following payment plans. Each family s preferred manner of payment must be submitted each year at the time of student registration. Options for payment shall include: 1. Full payment Under this plan, the entire amount of tuition is paid on or before July 1 st directly to the school. 2. Monthly payments Under this plan, the entire amount of tuition is paid monthly over 10 months beginning in July through the FACTS payment plan. This plan is an automatic payment plan made through your checking or statement savings account. Those choosing this plan will authorize their financial institution to make automatic monthly payments to FACTS on either the 5 th or the 20 th of each month. There will be a $38 annual fee per family payable to FACTS. 3. Master Card or Discover - Under this plan, the entire amount of tuition is paid monthly over 10 months beginning in July through the FACTS payment plan.
7 This plan charges your Master Card or Discover. The $38 annual fee will still apply, and a convenience fee of $2.50 per $100 spent on tuition will also apply. Late Registrations Families registering after July 1 st shall be expected to fulfill their tuition and fee obligations according to the above policies. Tuition for students registering after the first day of school shall be prorated according to the number of remaining days of school. Late Payments It shall be the responsibility of each school family to keep the principal informed of their need to make any changes in their preferred tuition payment plan or adjustments in the amount of tuition expected to be paid. Without such information, the following policy will apply when tuition payments are received late. 1. Full payment If payment is not received on or before July 1 st, the family will be contacted by the principal and alternative tuition payment options will be offered. If funds are not received according to the new agreement, all tuition payments shall be made through the FACTS payment plan. 2. Monthly payments School families who choose the 10 month payment plan and miss a monthly payment due to insufficient funds will be assessed a $25 missed payment fee by FACTS and may incur a fee from their own financial institution. The missed payment will be reattempted by FACTS within 20 days. In addition, school families who have missed two monthly payments and have not made suitable arrangements within 5 days of the second missed payment will be informed that their child(ren) will not be re-admitted to school according to the specifications of this policy. Tuition Assistance If you are a contributing member of St. Vincent de Paul Parish, you may apply for tuition assistance through the parish. Applications will be available in the school office. If you are a member of another parish, you must apply to your local parish for tuition assistance.
8 Non-Admission of Students Due to Tuition Delinquency School families failing to pay tuition according to the agreement which they have made with St. Vincent de Paul Catholic School or who have been unwilling to make suitable alternative arrangements with the school will be informed that they may incur all of the following penalties: 1. If fees are not current by June 30 th, the student will not be allowed to attend on the first day of school. 2. If tuition is not current by August 1 st, the student will not be allowed to attend on the first day of school. 3. Parents will not be given a copy of their child s report card until all financial obligations have been met. 4. Students will not be eligible for semester exams until all financial obligations have been met. 5. No paperwork (transcripts, report cards, blue immunization cards, etc.) will be released until all financial obligations have been met. 6. Eighth graders will not be allowed to participate in completion exercises and transcripts will not be forwarded to high schools until all financial obligations have been met. 7. The student will not be re-admitted into the school. Delinquent Tuition From Previous Year(s) Registration will not be accepted for the next school year until all debts are cleared from the current year. If tuition becomes delinquent after registration, your child will be considered conditional until all debts are cleared from the previous year. All previously unpaid tuition must be paid by May 31st if a student is to be readmitted on the first day of classes for a new school year. Payments need to be made directly to the school. Tuition Refunds Families withdrawing their child(ren) prior to the first day of school shall be refunded the entire amount of tuition that has been paid for the current school year. In the event of withdrawal once school begins and before the school year is complete, tuition shall be owed to the school through the end of the month of withdrawal. ********************************************************************* I have read the above tuition and fees policy for St. Vincent de Paul Catholic School and consent to abide by the conditions of this agreement. Payment of registration fee and/or completion of this form does not guarantee acceptance. Only an official notification from the school confirms that the child has been accepted.
9 The person responsible for payment should sign below: Name: Address: City/state/zip: Signature and date: THIS AGREEMENT MUST BE TURNED IN WITH YOUR REGISTRATION FORM!
10 St. Vincent de Paul Catholic School 6571 Larkspur Drive Mobile, AL Tuition Payment Preference Form Responsible Parent Name: Address: City/state/zip: Student Name(s): For the school year, I will pay my child s tuition by the payment option checked below. Full payment Under this plan, the entire amount of tuition is paid on or before July 1 st directly to the school. Monthly payments Under this plan, the entire amount of tuition is paid monthly over 10 months beginning in July through the FACTS payment plan. This plan is an automatic payment plan made through your checking or statement savings account. Those choosing this plan will authorize their financial institution to make automatic monthly payments to FACTS on either the 5 th or the 20 th of each month. There will be a $38 annual fee per family payable to FACTS. MasterCard, Discover, or American Express - Under this plan, the entire amount of tuition is paid monthly over 10 months beginning in July through the FACTS payment plan. This plan charges your MasterCard, Discover, or American Express. The $38 annual fee will still apply, and a convenience fee of $2.50 per $100 spent on tuition will also apply. Please choose a payment plan and return this form with your plan indicated when you turn in your registration packet.
11 TUITION Parish Contributor with subsidy Non-Contributor (or non- contributing member) without subsidy Who will be responsible for tuition payments? Driver s License Number State Social Security Number Please check preferred tuition plan Total payment due to school on or before July 1, monthly payments beginning in July through the FACTS payment plan. This is an automatic payment plan made through your checking or savings account. There is a $38 annual enrollment fee. 10 month payments on your MasterCard, Discover, or American Express credit card through the FACTS payment plan beginning in July. The $38 annual fee sill applies and a convenience fee of $2.50 per $100 spent on tuition will also apply. This pre-registration form for the school year is a planning form only. This is not a contract. Payment of registration fee and/or completion of this form does not guarantee acceptance. Only an official notification from the school confirms that the child has been accepted as a student at St. Vincent de Paul Catholic School. Parent s Signature and Date FOR OFFICE USE ONLY: Registration Fee Paid $ Cash/Check # Date Fees Paid $ Cash/Check # Date Date of Appointment with Principal Date accepted as student
12 Rights Under FERPA For Elementary and Secondary Schools The Family Educational Rights and Privacy Act (FERPA) affords parents and student over 18 years of age ( eligible students ) certain rights with respect to students education records. These rights are: 1. The right to inspect and review the student s education records with 45 days of the day the school receives a request for access. Parents or eligible students should submit to the school principal [or appropriate school official] a written request that identifies the records (s) they wish to inspect. The school official will make arrangements for access and notify the parent or eligible student of the time and place where the records may be inspected. 2. The right to request the amendment of the student s education record that the parent or eligible student believes inaccurate or misleading. They should write the school principal [or appropriate official], clearly identify the part of the record they want changed, and specify why it is inaccurate or misleading. If the school decides not to amend the record as requested by the parent or eligible student, the school will notify the parent or eligible student on the decision and advise them of their right to a hearing regarding the request for amendment. Additional information regarding the hearing procedures will be provided to the parent or eligible student when notified of the right to a hearing. 3. The right to consent to disclosures of personally identifiable information contained in the student s education records, except to the extent that FERPA authorizes disclosure without consent. One exception, which permits disclosure without consent, is disclosure to school officials with legitimate educational interests. A school official is a person employed by the school as an administrator, supervisor, instructor, or support staff member (including health or medical staff and law enforcement unit personnel); a person serving on the school board; a person or company with whom the school has contracted to perform a special task (such as an attorney, auditor, medical consultant, or therapist); or parent or student serving on an official committee, such as a disciplinary or grievance committee, or assisting another school official in performing his or her tasks. A school official has a legitimate educational interest if the official needs to review an education record in order to fulfill his or her professional responsibility. Upon request, the school discloses education records without consent to officials of another school district in which a student seeks or intends to enroll. [NOTE: FERPA requires a school district to make a reasonable attempt to notify the parent or eligible student of the records request unless it states in its annual notification that it intends to forward records on request.] 4. The right to file a complaint with the U. S. Department of Education concerning alleged failures by the school to comply with the requirements of FERPA. The name and address of the office that administers FERPA is: Family Policy Compliance Office U. S. Department of Education 400 Maryland Avenue SW Washington, DC
13 Consent to Withhold Release of Directory Information To: All Parents School Year Under the provisions of the Family Educational Rights and Privacy Act of 1974, and as amended, you have the right to withhold the release of any or all of the information listed below. These items listed below may be released for any purpose with your consent at the discretion of St. Vincent de Paul Catholic School. If you choose to have withheld any of the following information, a copy of this document must be on file. If this form is not received by St. Vincent de Paul Catholic School prior to August 19, 2012, it will be assumed that the information may be released for the remainder of the school year. A new form for non-release must be completed each year. Please consider very carefully your decision to withhold any item listed. Should you decide to inform St. Vincent de Paul Catholic School not to release any or all of the items listed below, any future requests for such information from individuals or entities not affiliated with St. Vincent de Paul Catholic School will be refused. Please check any items you choose to have withheld: Name, address, and phone number of the student for the publication of the Student Directory Name and address of student to corporate vendors that service student needs (examples: companies that supply student pictures/uniforms) Photographs/video tape of student for the purpose of publicity materials, statistical data of officially recognized activities and sports, awards, scholarships and other honors released to the media and/or for use in the school yearbook Parent s Name: Signature: Student s Name: Date: Please return this form to the following address ONLY if you have checked any of the above. St. Vincent de Paul Catholic School 6571 Larkspur Dr. Mobile, AL Attention: Mary B. McLendon, Principal
14 St. Vincent de Paul Catholic School Child s Name and Grade: Parental Permission Requirements: 1. I give permission for my child to be photographed and/or video-taped for the purpose of publicity materials to promote the school. ( )yes ( )no Signature and date: 2. I give permission for my child to use the Internet as guided by the school s usage policy. I understand that any violation of this policy by my child may result in appropriate actions. ( )yes ( )no Signature and date: 3. I give permission for my child to talk with the school counselor as needed or recommended by a teacher. ( )yes ( )no Signature and date: 4. I give permission for my name, address, phone number, and address to be published in the St. Vincent de Paul Catholic School directory. ( )yes ( )no Signature and date: 5. I give St. Vincent de Paul Catholic Shool permission to release mailing information to McGill-Toolen Catholic High School. ( )yes ( )no Signature and date:
15 Custody and Contact Information in an Order of Dissolution Names of Children Attending St. Vincent: Home Addresses of Children Listed Above: Parent Addresses and Phone Numbers: The school program, unless otherwise decreed by a court order, will make available to both parents notices of school program functions, progress reports, appointments for parent-teacher conferences, etc. Please provide the names, addresses, and phone numbers of both biological parents. Please list the custodial parent first Authorization of Step-Parent or Other Adult: Please list the name, address, and phone number of step-parent(s) or other adult(s), and name of biological parent(s) for whom the step-parent or other adult is acting. Step-parent or other adult: Address: Phone Number: Biological Parent for whom this person may be acting in place of: (Printed Name): (Signature): (Date): *A copy of divorce decree and/or other legal court orders associated must accompany this form.
16 ST. VINCENT DE PAUL SCHOOL HEALTH FORM Student Name Student Address Physician Name Physician Phone # Health Insurance (Company Name) Hospital Preference MEDICAL HISTORY: YES NO REMARKS Fainting spells Epilepsy Diabetes Allergies Other Serious Illness or Injuries Please list any medicine student takes on a daily basis: Emergency Information Father/Guardian Home Phone# Mother/Guardian Home Phone # Father/Guardian Work Phone# Mother/Guardian Work Phone# Father/Guardian Pager Mother/Guardian Pager Father/Guardian Cell Phone# Mother//Guardian Cell Phone# In case of an emergency, if parent/guardian is not available, please notify: Name Relationship Phone# Name Relationship Phone# In the event of illness or accident and the unavailability of the above named physician, I consent to the treatment of by a physician, selected by school officials or those persons conducting or assisting in any school related function or activity, or hospital emergency room personnel. This consent shall remain in full force and effect so long as is a student at St. Vincent de Paul School unless notice or revocation is given in writing to the Principal of the school. Parent/Guardian Signature Date
17 St. Vincent de Paul Catholic School Before and After School Care Program for Notice New Hours and Prices Before School Care Hours of Operation 6:00 a.m. - 7:20 a.m. $3.50 per child from 6:00-7:20 a.m. (Students needing care beginning at 6:00 a.m. must be dropped off at the Daycare, at 6651 Three Notch Road) All student arriving before 7:20 a.m. must sign in with the staff at the Daycare, on Three Notch Road. Your bill is due the following Tuesday. After School Care Hours of Operation - 3:15 p.m. - 5:30 p.m. in the Parish Hall Weekly rate - 1 child $40.00, 2 children $55.00 For less than 11.5 hours a week, they are charged at $3.50 per hour. There is a registration fee of $75.00 per child due upon the start of care. After 5:30 p.m., there is an additional charge of $15.00 for the first 5 minutes and $1.00 per minute after that. Half-Day of School Your child can stay in after school care for a charge of $18.00 per student or $3.50 per hour. No lunch is served on half days. Students must bring a lunch. $27.00 per child per day Daycare When School Is Out All Day (Christmas breaks, Spring breaks, etc.) St. Vincent Daycare St. Vincent Daycare is available to any parent with a child 6 weeks old to 4 years old. Weekly rate for children 6 weeks to 1 year is $ Weekly rate children over 1 year of age is $ for 1 child and $ for 2 children *For more information, please contact Merle Tant, Director, at
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Welcome to the Surrey Muslim School! ADMISSION PROCESS We are delighted that you are considering Surrey Muslim School for your child. To apply for admission of your child, please fill an application form,
Toronto International Student Programs STUDENT APPLICATION FORM Please submit completed application form to: Toronto District School Board International Students and Admissions Office 5050 Yonge Street,
COSMETOLOGY Program Policy & Procedures Manual 502 W Broadway Mount Pleasant MI 48858 (989) 775-1500 ADMISSIONS REQUIREMENTS Water Works Academy L.L.C. is a Cosmetology school designed to educate applicants
FERPA: An Introduction to the Family Educational Rights and Privacy Act Introduction This is an overview of FERPA and is not meant to answer every question you may have. University policies have been developed
CONSENT FOR MEDICAL TREATMENT Patient Name DOB Date I, the patient or authorized representative, consent to any examination, evaluation and treatment regarding any illness, injury or other health concern
Parental Rights MARYLAND PROCEDURAL SAFEGUARDS NOTICE Infants and Toddlers Early Intervention Preschool Special Education Special Education REVISED JULY 2016 MARYLAND STATE DEPARTMENT OF EDUCATION DIVISION
Application Summer Study - Pre-College New York Summer Study 2016 First Name Birth Date (Month/Day/Year) Address Last Name Male Female City State Zip/Country code Country Home Tel. E-mail Current School
APPLICATION FOR UNDERGRADUATE ADMISSION OFFICE OF ADMISSION 421 N. Woodland Blvd. Unit 8378 DeLand, Florida 32723 Toll free (800) 688-0101 (386) 822-7100 Fax (386) 822-7112 www.stetson.edu T hank you for
THE DIOCESE OF COLORADO SPRINGS 228 North Cascade Avenue Colorado Springs, Colorado 80903 (719) 636-2345 APPLICATION FOR EMPLOYMENT: SUBSTITUTE TEACHER In order that your application may be properly evaluated,
The Health Insurance Portability and Accountability Act (HIPAA) and Client Privacy Statement This notice describes how your medical information may be used and disclosed and how you can get access to this
Welcome to the BC Muslim School! BC MUSLIM SCHOOL ADMISSION PROCESS We are delighted that you are considering BC Muslim School for your child. To apply for admission of your child, please fill an application
Physical Paperwork Worksheet Team: Physical forms deadline: Athlete s Name YOU WILL MISS TRY-OUTS/ PRACTICE TIME IF YOU SUBMIT LATE, INCOMPLETE OR INACCURATE FORMS 1. Schedule your sports physical with
GENERAL INFORMATION ELIGIBILITY The University will follow the requirements for participation as stated in the state legislation. A student wishing an Early College or dual credit for a high school course