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2020-2021 Incoming Freshman Application

- Admissions

The maximum number of form submissions has been reached. This form is currently not available.
- Student Applicant Information
- 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 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) 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 2020-2021 school year. REQUIRED Applying for 9th grade for the 2020-2021 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
- 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.
- Applicant lives with: REQUIRED Both parents/guardians listed above Parent/Guardian 1 listed above Parent/Guardian 2 listed above Other Please fill out this field.
- Name of person(s) responsible for paying tuition: REQUIRED Please fill out this field. Please enter valid data.
- If parents do not reside together, should the parent at the 2nd household also receive school mailings? (If yes, please give name and address) REQUIRED Yes No Please fill out this field.
- Use an address listed above for second household: REQUIRED Student Address Parent/Guardian 1 Parent/Guardian 2 Other Address Please fill out this field.
- Street Address (Other Address to be used for mailing) 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.
- The Following Information Is Used to Gather Demographic Information About Our Students For Reporting Purposes. REQUIRED American Indian/Native Alaskan Asian Black Native Hawaiian/Pacific Islander White Two or more races Please fill out this field.
- Student Ethnicity REQUIRED Hispanic Non-Hispanic Please fill out this field.
- Siblings
- Sibling 1
- Relationship to student applying to BC 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.
- Age Please enter valid data.
- Gender Male Female
- Current Grade Please enter valid data.
- Current School Please enter valid data.
- Sibling 2
- Relationship to student applying to BC 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.
- Age Please enter valid data.
- Gender Male Female
- Current Grade Please enter valid data.
- Current School Please enter valid data.
- Sibling 3
- Relationship to student applying to BC Please enter valid data.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Age Please enter valid data.
- Gender Male Female
- Current Grade Please enter valid data.
- Current School Please enter valid data.
- Required information about the applicant
- Is the student's primary language English? REQUIRED Yes No Please fill out this field.
- What other languages does the student use or prefer? Please enter valid data.
- Does the student have a learning disability? REQUIRED Yes No Please fill out this field.
- If yes, please explain.
- If yes, does the student have an I.E.P. (Individualized Learning Plan)?
- Does the student have any physical disability or health issue (e.g. vision, hearing, asthma, allergies, etc.) of which the School Personnel should be made aware? REQUIRED Yes - Please explain below No Please fill out this field.
- If yes, please explain.
- If any of the above information changes, notify the Counseling and Guidance Department immediately.
- I hereby grant Bishop Canevin High School administration permission to request and examine all information provided by my previous school(s) attended in considering my application for acceptance, admittance and course placement, including: Academic Records, Standardized Test Scores, Attendance Record, Conduct/Discipline Record, Health Record, Psychological Record, Principal and/or Teacher Recommendations.
- I agree with the message above. REQUIRED I agree. Please fill out this field.
- Student Signature (Please type full name) REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
- Parent/Guardian Signature (Please type full name) REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
- Parent/Guardian Signature (Please type full name) Please enter valid data.
- Date Please enter a date.
Submit

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