Application for Admission

*Print a copy of the online application before submitting to our office. Give the copy to the Principal of your child’s current school. This will serve as a notification to the elementary or middle school office that you have begun the admissions process at Bishop Canevin High School.

Student Information

First Name:
Middle Name:
Last Name:
Current Grade:
Grade to Enter:
Birthday (mm/dd/yyyy):
Street Address:
Zip Code:
Current School:
Elementary School:
School District:

Father’s/Custodial Guardian’s Information

Full Name:
BC Class Year:

Mother’s/Custodial Guardian’s Information

Full Name:
Maiden Name:
BC Class Year:

Contact Information

Home Phone Number:
Emergency Phone Number:
Father’s Work Phone Number:
Father’s Cell Phone Number:
Father’s E-Mail Address:
Mother’s Work Phone Number:
Mother’s Cell Phone Number:
Mother’s E-Mail Address:

Parent Living Outside the Home

Full Name:
BC Class Year:
Street Address:
Zip Code:

I hereby authorize the Principal of my son or daughter’s current school to release his or her records to Bishop Canevin High School for the purpose of admissions review.
Enter your name as an online signature:
Today’s Date (mm/dd/yyyy):
Once completed , please print and mail, email or fax this application to Mrs. Reinhart at Bishop Canevin.