2021-2022 Incoming Freshman Application

Student Applicant Information

Put N/A where question is not applicable

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Nickname Please enter valid data.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Birth Date REQUIRED Please fill out this field. Please enter a date.

Catholic or non-Catholic REQUIRED Please fill out this field.

Home Parish/Church Please enter valid data.

Home Address

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Public School District REQUIRED Please fill out this field. Please enter valid data.

Current School REQUIRED Please fill out this field. Please enter valid data.

Dates Attended REQUIRED Please fill out this field. Please enter valid data.

Previous School(s): Grades 6-8 REQUIRED Please fill out this field. Please enter valid data.

Previous School(s): Transfer Students - Grades 6-11 REQUIRED Please fill out this field. Please enter valid data.

Dates Attended REQUIRED Please fill out this field. Please enter valid data.

Please check the box if you are currently in 8th Grade (if not, you may need to fill out the Transfer application). REQUIRED Currently in 8th Grade Please fill out this field.

Please check the box if you are applying to be a 9th grader in the 2021-2022 school year. REQUIRED Applying for 9th grade for the 2021-2022 school year. Please fill out this field.

First Parent or Guardian Information

Relationship to student, example: Mother, Grandmother, Step-Father, etc. REQUIRED Please fill out this field. Please enter valid data.

Prefix (Mr. Mrs. Dr. Ms.) Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Suffix Please enter valid data.

Home Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Work or other Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Employer REQUIRED Please fill out this field. Please enter valid data.

Position/Occupation REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian is a Canevin Catholic or Bishop Canevin graduate. REQUIRED Yes No Please fill out this field.

If yes, what year? Please enter valid data.

Second Parent or Guardian Information