SHA Application for Admission (Transfers)

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Thank you for your interest in Sacred Heart Academy!

This form must be submitted with a $25 non-refundable application fee. Please proceed to payment after completing this form to enter your debit/credit card information.

Student Last Name*

Answer required for "Student Last Name"

Student Middle Name*

Answer required for "Student Middle Name"

Student First Name*

Answer required for "Student First Name"

Student Preferred Name

Answer required for "Student Preferred Name"

Applying For*

Answer required for "Applying For"

9th

10th

11th

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Home Phone*

Answer required for "Home Phone"

Student Cell*

Answer required for "Student Cell"

Student Email*

Answer required for "Student Email"

Birth Date

Answer required for "Birth Date"

Student SSN

Answer required for "Student SSN"

Race/Ethnic Origin

Answer required for "Race/Ethnic Origin"

Religion

Answer required for "Religion"

Parish/Church Membership

Answer required for "Parish/Church Membership"

Reason for Transfer*

Answer required for "Reason for Transfer"

Is student a U.S. citizen?

Answer required for "Is student a U.S. citizen?"

Yes

If no, please give status.

Answer required for "If no, please give status."

Current citizenship visa status and date of expiration.

Answer required for "Current citizenship visa status and date of expiration."

Family Information (Check all that apply)

Answer required for "Family Information (Check all that apply)"

Parents Married To Each other

Parents Separated

Parents Divorced

Father Remarried

Mother Remarried

Father Single

Mother Single

Father Deceased

Mother Deceased

Father Last Name

Answer required for "Father Last Name"

Father First Name

Answer required for "Father First Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Father Cell

Answer required for "Father Cell"

Father Email

Answer required for "Father Email"

Employer

Answer required for "Employer"

Position

Answer required for "Position"

Mother Last Name

Answer required for "Mother Last Name"

Mother First Name

Answer required for "Mother First Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Mother Cell

Answer required for "Mother Cell"

Mother Email

Answer required for "Mother Email"

Employer

Answer required for " Employer"

Position

Answer required for "Position"

Stepfather Last Name

Answer required for "Stepfather Last Name"

Stepfather First Name

Answer required for "Stepfather First Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Stepfather Cell

Answer required for "Stepfather Cell"

Stepfather Email

Answer required for "Stepfather Email"

Employer

Answer required for "Employer"

Position

Answer required for "Position"

Stepmother Last Name

Answer required for "Stepmother Last Name"

Stepmother First Name

Answer required for "Stepmother First Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Stepmother Cell

Answer required for "Stepmother Cell"

Stepmother Email

Answer required for "Stepmother Email"

Employer

Answer required for "Employer"

Position

Answer required for "Position"

Please list all siblings and step siblings.

Name

Answer required for "Name"

Age

Answer required for "Age"

Current School

Answer required for "Current School"

Current Grade

Answer required for "Current Grade"

Name

Answer required for "Name"

Age

Answer required for "Age"

Current School

Answer required for "Current School"

Current Grade

Answer required for "Current Grade"

Name

Answer required for "Name"

Age

Answer required for "Age"

Current School

Answer required for "Current School"

Current Grade

Answer required for "Current Grade"

Name

Answer required for "Name"

Age

Answer required for "Age"

Current School

Answer required for "Current School"

Current Grade

Answer required for "Current Grade"

Present/Prior School Information

Present School

Answer required for "Present School"

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Grade/Middle School (If not present school)

Answer required for "Grade/Middle School (If not present school)"

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Please list family members who have attended Sacred Heart Academy, Angela Merici or Ursuline Academy.

Name

Answer required for "Name"

Relationship

Answer required for "Relationship"

School Attended

Answer required for "School Attended"

Year Graduated

Answer required for "Year Graduated"

Name

Answer required for "Name"

Relationship

Answer required for "Relationship"

School Attended

Answer required for "School Attended"

Year Graduated

Answer required for "Year Graduated"

Name

Answer required for "Name"

Relationship

Answer required for "Relationship"

School Attended

Answer required for "School Attended"

Year Graduated

Answer required for "Year Graduated"

Educational Information

Student's Academic Strengths and Interests

Answer required for "Student's Academic Strengths and Interests"

Student's Co-curricular and Extra-curricular Interest and Activities

Answer required for "Student's Co-curricular and Extra-curricular Interest and Activities"

Has the student tested for a Learning Difference?

Answer required for "Has the student tested for a Learning Difference?"

Yes

Diagnosis

Answer required for "Diagnosis"

Does the applicant have any physical or medical limitations?

Answer required for "Does the applicant have any physical or medical limitations?"

Yes

Please Explain

Answer required for "Please Explain"

Has the student had disciplinary problems or been dismissed from a school?

Answer required for "Has the student had disciplinary problems or been dismissed from a school?"

Yes

Please Explain

Answer required for "Please Explain"

There is a $25 non-refundable application fee.*

Price: $25.00

Please fix the highlighted areas below before submitting.

SHA Application for Admission (Transfers)