Step 1 of 6 16% Which school are you applying for?* St. Aloysius Academy K – 8 Co-ed Montessori Number of days:* 2 days 3 days 5 days Name of Student* First Middle Last Student Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence* School District of Residence* Contact Phone*Date of Birth* MM slash DD slash YYYY Country of Birth* Current Grade*Pre-KKindergarten1st2nd3rd4th5th6th7thGrade Applying For*Montessori 3 Year OldsMontessori 4 Year OldsKindergarten1st2nd3rd4th5th6th7th8thYear of Entry School InformationPresent School* School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School District* Other schools student has attended:SchoolGradesReason for leaving Click the "+" to add more schools. Applicant InformationReligion of student:* Parish in which you are registered:* Has the student ever received an educational evaluation?* Yes No Date of educational evaluation MM slash DD slash YYYY Please explain the purpose of the educational evaluation:Please include a copy of the educational evaluation report:Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Has the student ever had psychological testing?* Yes No Date of psychological testing MM slash DD slash YYYY Please explain the purpose of the psychological testing:Please include a copy of the psychological testing report:Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Does the student have any significant medical problems?* Yes No Please explain medical problems:Has the student ever been retained in a grade?* Yes No Please explain:Has the student ever skipped a grade?* Yes No Please explain:State any hobbies, athletics, special interests :*Indicate any insights or comments about your child that you feel would be helpful:* Family InformationFather's Name* First Last Father's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Religion* Father's Country of Birth* Father's Home Phone*Father's Cell Phone*Father's Email Address* Father's Employer* Father's Position* Father's Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Business Phone*Mother's Name* First Last Please include maiden name.Mother's Address* Same as Father's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Religion* Mother's Country of Birth* Mother's Home Phone*Mother's Cell Phone*Mother's Email Address* Mother's Employer* Mother's Position* Mother's Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Business Phone*Marital Status* Married Separated Divorced Widowed Single Student Lives with:* Both Mother Father If divorced, separated or single, please attach copy of most current court order.Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Please list all siblings:*NameBrother/SisterAgeSchool Indicate: step/half/foster, if appropriate. Click the "+" to add siblings. Please enter "None" in the name if no siblings.How did you learn about St. Aloysius Academy?*Did a St. Aloysius Academy family refer you?* Yes No Referrer Name Forms to be Included with ApplicationCopies of the following documents can be sent under separate cover or uploaded below.Sacrament Certificates Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 32 MB, Max. files: 5. Please upload copies of Baptismal, Penance, Holy Communion and Confirmation certificates. Accepted file types: pdf, jpg, or png. Max file size: 32MB.Birth CertificateAccepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Immunization Records Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 16 MB, Max. files: 5. Accepted file types: pdf, jpg, or png. Max file size: 16MB.Medical and Dental Records Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 32 MB, Max. files: 5. Accepted file types: pdf, jpg, or png. Max file size: 32MB.Writing Sample (grades 3 to 8)Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Progress Report (grades Pre-K and Kindergarten)Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Most Recent Report Card (grades Kindergarten to 7)Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Most Recent Math Assessment (grades 3 to 8)Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB.Most Recent English Assessment (grades 3 to 8)Accepted file types: pdf, jpg, png, Max. file size: 16 MB.Accepted file types: pdf, jpg, or png. Max file size: 16MB. PermissionsAre you applying for financial aid?* Yes No Please be sure to view our Financial Aid page to learn more about scholarships and financial aid opportunities (opens in new window).For more information on financial aid, please visit National Association of Independent Schools Aid. St. Aloysius Academy's code is 6219.By checking the boxes and signing below, you agree to the following statements:Permissions* I/we realize we are bound by the policies and procedures as set forth in the Parent/Student Handbook. I/we, the parents/guardians of the applicant, confirm that the information in this application is accurate. Both parents (guardian) bear full responsibility for all financial obligations to St. Aloysius Academy. This includes both tuition and any applicable fees. Father's Signature*Today's Date* MM slash DD slash YYYY Mother's Signature*Today's Date* MM slash DD slash YYYY Application Fee Price: Payment Method* Check PayPal Please select your payment method. If you choose PayPal, you will be redirected to PayPal's website to complete your payment.
