APPLICATION For High School Admission Due date: December 16, 2011

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1 APPLICATION For High School Admission Due date: December 16, 2011 _ Name of Student To: Name of First-Choice High School _ Name of Second-Choice High School (Optional) Name of Elementary (Jr. High) School Now Attending Date Dear Eighth-Grade Applicants and Parents: We, the Catholic High Schools of Toledo, are happy that you are considering attending one of our schools next year. We feel that we have programs to offer which are strong and which offer you a well-rounded education. Together we will help you find the best school for you within our network of schools. The decision as to which school you would like to attend is up to you. Our common admission policy is to help you attend the school that you indicate as your first-choice. Should the school of your first-choice not be able to accept you, or should you be placed on a waiting list, a copy of this application will be forwarded to the second-choice high school. An important part of our admission program is to have some information from you and from your school about your background. Please fill out this form and at the top of this page indicate to which high school you wish your application sent. Your teacher is asked to fill out the evaluation section for you and to send the form to the school indicated. Most of our testing and admission processing is done in the winter months. On the day of the placement examination you should go (if at all possible) to the school of your first-choice to take the examination. On the test you will be asked to indicate your first-choice as well as your second-choice if there is one. The schools indicated will then receive copies of your scores. On the day designated for sending out acceptance letters, you will only receive a letter of acceptance from your first-choice school unless your first-choice school is unable to accept you. In that case, you will receive a letter from the school you indicate as second-choice, if that school is able to accept you. However, in any event, a school must have a copy of this form and your test scores to make a decision. It is our hope that the above procedure aids you in finding the best school for you. Should you have any questions about our admission policy, please feel free to call us. Sincerely yours in Christ, Catholic Schools Office Ph: (419) ext. 621 Cardinal Stritch Catholic High School St. Francis de Sales High School 3225 Pickle Road - Oregon W. Bancroft - Toledo (Tel. No.) (Tel. No.) admissions@cardinalstritch.org admissions@sfstoledo.org Fax: Fax: Central Catholic High School St. John s Jesuit High School 2550 Cherry Street - Toledo Airport Highway - Toledo (Tel. No.) (Tel. No.) , ext admissions@centralcatholic.org admissions@sjjtitans.org Fax: Fax: Notre Dame Academy St. Ursula Academy 3535 Sylvania Avenue-Toledo Indian Road - Toledo (Tel. No.) , ext (Tel. No.) , ext admissions@nda.org admissions@toledosua.org Fax: Fax:

2 TO BE COMPLETED BY THE PARENTS: I. INFORMATION REGARDING THE STUDENT Name Family Last First Middle Address Number and Street City State Zip Birth date Birthplace Sex M F Month Day Year City State School Now Attending Public School District Religion Church II. INFORMATION REGARDING PARENTS/GUARDIANS WITH WHOM THE STUDENT LIVES Last Name First Middle Home Phone: Emergency Phone: Cell Phone: Relation: Father Step-Father Legal Guardian Alumnus of this school Yes No Religion: Church Work Company Employed by Business Address Type of Work Business Phone Area Code Phone Number Last Name First Middle (Maiden Name) Home Phone Emergency Phone: Cell Phone: Relation: Mother Step-Mother Legal Guardian Alumna of this school Yes No Religion: Church Work Company Employed by Business Address Type of Work Business Phone Area Code Phone Number III. INFORMATION REGARDING NON-CUSTODIAL PARENTS, IF NOT THE SAME AS THOSE LISTED ABOVE Name If deceased, when? Address Number and Street City State Zip Religion: Church Work Company Employed by Business Address Type of Work Business Phone Area Code Phone Number

3 IV. MISCELLANEOUS INFORMATION Number of brothers: older younger Number of sisters: older younger Names of relatives who are attending or have attended this high school: We would like you to write your thoughts on why you are applying to this high school: Include any comments concerning health, physical, or learning disabilities: TO BE COMPLETED BY THE STUDENT: 1. Do you play a musical instrument? Yes No If so, which 2. Do you wish to continue (or begin) to play a musical instrument? Yes No 3. Are you interested in choral work? Yes No Perhaps 4. Are you interested in athletics? Yes No Perhaps If yes, which sports interest you most? 5. What hobbies or interests do you have? 6. Why did you select this school?

4 7. What factors helped you choose this high school? (Rank the Top 3) academic reputation athletic programs Catholic beliefs convenient location school spirit family members attended financial assistance available friends attend co-ed or single sex school other 8. Who made the decision to apply to this high school? student parents both 9. Where did you hear about the high school that you wish to attend? ( check all that apply) newspaper television radio web site mailings 8th grade school visitation individual visits open house word-of-mouth other To complete this application, you are asked to write your name on the enclosed form and give it to your eighth-grade teacher or counselor. Parent s signature below authorizes the release of disciplinary and academic information from the school that the student is currently attending to the Catholic high school of choice. Applicant s Signature Parent s Signature Date

5 EVALUATION For High School Admission DEADLINE FOR SUBMISSION OF THIS FORM: DECEMBER16, 2011 Name of Student Name of Elementary School (Jr. High) Now Attending Send To: Name of High School Date PLEASE SEND THIS FORM DIRECTLY TO THE ABOVE-NAMED HIGH SCHOOL. Dear Eighth-Grade Teacher/Counselor: The above-named student has applied for admission to one of our Toledo-area Catholic high schools. To assist us in the process of reviewing your student s application, we ask you to please fill out the evaluation on the reverse side of this letter. We want to point out that your evaluation of this student will be highly regarded. Because admittance to our schools is not based solely on the results of the High School Placement Test, we must ask you for further information. Specifically needed is information regarding the student s academic performance in grade school and your personal evaluation of this student. This information will assist us in interpreting the test scores for admission and placement in the program best suited for him/her. We want you to be assured that this information will be used in the admittance process and will be kept confidential. This evaluation will be released only to the second-choice school in the event that the student is not accepted by the first-choice school. Parents have been apprised of this procedure and have signed a release for this information. It is important for us that we receive your evaluation on or before the deadline so that we can process your student s application. Certainly the information you provide us will complement that of the test scores and the information received from the parents and the student. We thank you for your time, effort and interest in completing this evaluation. Sincerely yours, Catholic Schools Office Ph: (419) ext. 621

6 Cardinal Stritch Catholic High School St. Francis de Sales High School 3225 Pickle Road 2323 W. Bancroft Oregon, OH Toledo, OH (Tel. No.) (Tel. No.) Fax: Fax: Central Catholic High School St. John s Jesuit High School 2550 Cherry Street 5901 Airport Highway Toledo, OH Toledo, OH (Tel. No.) (Tel. No.) ext. 248 Fax: Fax: Notre Dame Academy St. Ursula Academy 3535 Sylvania Avenue 4025 Indian Road Toledo, OH Toledo, OH (Tel. No.) , ext (Tel. No.) , ext. 209 Fax: Fax:

7 Student s Name Current School School Phone Number I. DISCIPLINARY EVALUATION Has the student ever been expelled? Yes No If yes, explain below: Has the student ever been suspended (in-school or out-of-school)? During 7th grade Yes No # of days. During 8th grade Yes No # of days. Briefly indicate reasons for suspensions: (i.e., tardies, fighting, cheating, etc.) II. ACADEMIC EVALUATION Please indicate below your estimation of this student s performance in comparison to all students his / her age, not only those in his / her class but those he / she will most likely encounter in high school. (Please circle) Reading Achievement: Mathematical Achievement: Oral English Achievement: Written English Achievement: Mental Ability: In my opinion, this student works: above ability at ability below ability Comments regarding circled information: Public schools: Attach a copy of the most recent standardized test results (percentile scores, if possible). Also attach a copy of the permanent record card/transcript. (Required)

8 Please list the student s most recent grade in: (8th) Math Algebra English Science Social Studies Foreign Language III. SUMMARY INFORMATION 1. How long has the student been enrolled in your school? 2. Has the student s attendance during 7th and 8th grades been satisfactory? YES NO Absences: 7th Grade: Number of days Excused Unexcused Times Tardy Absences: 8th Grade: Number of days Excused Unexcused Times Tardy 3. List other schools attended by student Grade(s) Grade(s) Grade(s) 4. Has the student ever repeated a grade? YES NO If so, why? 5. Does the student have any significant health problems, or physical disabilities? YES NO 6. Does the student have a diagnosed learning disability? Yes No If so, does the student have an active IEP? Yes No If the student has an active IEP or 504 Plan, a copy must be attached. 7. Are any type of educational accommodations made for this student? YES NO 8. For which type of program do you recommend this student? College Preparation General Course 9. Are there specific concerns (disciplinary, academic, or otherwise) about this student that you would like to discuss by phone? Yes No Evaluator s Signature and Position Date To complete this application, you are asked to write your name on the enclosed form and give it to your eighth-grade teacher or counselor. Parent s signature below authorizes the release of disciplinary and academic information from the school that the student is currently attending to the Catholic high school of choice. Applicant s Signature Date Parent s Signature Date

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