| Applicant Information |
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| Full Name of Applicant: (First Middle Last/Family) |
| Nickname: | Social Security #: |
| Address: |
| City: State: Zip: Country: |
| Student Email: | Home Phone: |
| Religion: | Parish: |
| Country of Citizenship: |
Ethnicity: |
| Age: Date of Birth: | Birthplace: |
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| Family Information |
Father Name (Legal Guardian):
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| Street Address: |
| City: State: Zip: |
| Home Phone: | Work Phone:
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| Fax: | Email:
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| Occupation: | Employer:
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Mother Name (Legal Guardian):
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| Street Address: |
| City: State: Zip: |
| Home Phone: | Work Phone:
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Fax: | Email:
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Occupation: | Employer:
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If necessary, please explain:
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Names and birthdays of other children in family:
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Relatives who have attended Maur Hill or Mount St. Scholastica Academy:
Name: Relationship: Years:
Name: Relationship: Years:
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Correspondence: (How do you wish the school correspondence to be addressed?)
Name:
Address:
City: State: Zip:
To whom should financial statements be addressed?
Second Address
Name:
Address:
City: State: Zip:
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| Present School |
School Name:
Address:
City: State: Zip:
Telephone: Fax:
Years Attended: Grades:
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| Previous
School |
School Name:
Address:
City: State: Zip:
Telephone: Fax:
Years Attended: Grades:
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If applicant has attended any other secondary schools or programs please provide the names of the school, address, telephone, and fax numbers.
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Has the applicant been in trouble with authorities in or out of school?
If yes, please explain:
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| General Student Information |
1) Any special habits or tendencies - academic or otherwise?
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2) Does the applicant have any special dietary restrictions/needs?
If yes, please explain:
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3) Does the student have any special health or learning needs? If yes, please list.
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4) Most current SLEP test score:
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I understand that any misstatement or omission of information made on this application or during the admissions process may result in revocation of an offer of admission and/or enrollment to, or involuntary withdrawal of my daughter/son from Maur Hill - Mount Academy.
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Students needing an I-20 are not required to have an interview. Before an I-20 can be issued, required documents include: the application, application fee, deposit, recommendations, translated transcript of grades, and letter of bank solvency.
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