- Application Form
- for
- St. Joseph's Parish School
- 695 Stevens Avenue
- Portland, ME 04103
- Phone: (207) 797-7073
-
- Please print out this form and bring
or send it to our school office. You must also include a copy
of the child's
- birth certificate and baptisimal
record (if applicable).
-
- There is a $200 application fee due
when submitting this form to our school office. The $200 fee
is a one-time,
- per-family
application fee that will be applied to the tuition contract.
The application fee is only refundable if there
- is no space available. If the student
is accepted, this fee is applied to the contract/registration
fee.
-
-
- Present Date:__________________ Grade
for which you are applying:______ School Year:_________________
-
- NAME:______________________________________________________
_________________SEX:_______
-
-
- ADDRESS:____________________________________
CITY:________________ STATE:____ ZIP:_______
-
- MAILING ADDRESS (if different):_____________________________________________________________
-
- TELEPHONE (day):_____________ (eve.)____________
DATE & CITY/STATE OF BIRTH:____________________
-
- FATHER
-
- NAME:_______________________________
RELIGION:____________ Phone:_______________________
-
- Occupation/Place of Work:___________________________________________
Work Phone/pager:_________
-
-
- MOTHER
-
- NAME:_______________________________
RELIGION:____________ Phone:_______________________
-
- Occupation/Place of Work:___________________________________________
Work Phone/pager:_________
-
- Important: What Parish are you a member of?________________________________________
-
- SCHOOL & ADDRESS LAST ATTENDED
(if applicable):__________________________________________
-
- ____________________________________________________________________________________________
-
- Whom may we contact in case
of emergency, if parents aren't available?
- Name & Relationship _________________________________telephone___________________cellphone/pager___
-
- _____________________________________________________________________________________________
-
- _____________________________________________________________________________________________
-
- _____________________________________________________________________________________________
-
-
- In case of accident and the school
is unable to contact anyone, what is your hospital preference?__________________
- Is your child covered by insurance?_______
- Are you a graduate of St. Joseph's
School?______ If yes, year of graduation:_______
- Are there any other siblings at home?
If yes, what are their ages?___________________________________________