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Online Application
Application for admission to grade
*
5
6
7
8
9
10
11
12
For the academic year
*
2009-10
2010-11
Applicant First Name
*
Applicant MI
Applicant Last Name
*
Sex
*
Male
Female
Date of Birth
*
Social Security Number
Current Grade
*
4
5
6
7
8
9
10
11
12
Applicant's Current School:
Name
*
Religious Preference
Ethnic Background
*
- select -
African American
Asian American
Caucasian
Latino/Hispanic
Middle Eastern
Multiracial
Native American
Anonymous
Place of birth
*
Student lives with (select all that apply)
*
Father
Mother
Stepfather
Stepmother
Other:
If divorced, who has legal custody?
Father's First Name
*
Father's Last Name
*
Home Address Line 1
*
Home Address Line 2
City
*
State
*
Zipcode
*
Place of employment
*
Position
Home Phone
*
Cellular Telephone
Business Telephone
Email
*
Mother's First Name
*
Mother's Last Name
*
Home Address Line 1 of Mother (if different)
Home Address Line 2 of Mother (if different)
City of Mother (if different)
State of Mother (if different)
Zip Code of Mother (if different)
Place of employment - Mother
Position - Mother
Home Telephone - Mother
Cellular Phone - Mother
Business Telephone - Mother
Email - mother
Are you interested in receiving financial aid information?
- select -
Yes
No
How did you hear about us?
Newspaper
Radio
TV
Alumnus
Freind/Relative
Other
Does the student have a health problem or learning disability that needs special consideration. If yes, please explain.
Has your child ever been subject to any serious disciplinary action, suspension or expulsion from school? If yes, please explain.
Please list the names, ages, grades, and schools of student's siblings. Sibling First Name
Sibling Last Name
Sibling Age
Sibling Grade
Sibling School
Sibling First Name
Sibling Last Name
Sibling Age
Sibling Grade
Sibling School
Sibling First Name
Sibling Last Name
Sibling Age
Sibling Grade
Sibling School
Have any of your family members attended Marshall/Duluth Cathedral?
Yes
No
Please list names, relationships, and graduating year for family members who attended Marshall/Duluth Cathedral. (John Doe, Brother, 1985)
Official School Communication should be sent to:
*
Father
Mother
Other Guardian
Names and addresses of grandparents to whom newsletters and invitations to school functions may be sent:
May we send fund-raising materials to grandparents?
Yes
No
Signed
If you would like a copy of this submission, please put your email address in the field below.
Please Note: Questions marked with an asterisk (
*
) are required.
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