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International Student Application

- Admissions

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- 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.
- Preferred Name Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Student Email Address REQUIRED Please fill out this field. Please enter an email address.
- Catholic or non-Catholic REQUIRED Please fill out this field.
- Parish/Church Please enter valid data.
- Current Grade REQUIRED Please fill out this field. Please enter valid data.
- Applying to Grade REQUIRED Please fill out this field. Please enter valid data.
- Applying For REQUIRED 2023-2024 School Year 2024-2025 School Year Please fill out this field.
- Native Language REQUIRED Please fill out this field. Please enter valid data.
- Additional Languages Please enter valid data.
- Student's English Proficiency (EP) Score, if known Please enter valid data.
- Student Interests, Talents, Hobbies REQUIRED Please fill out this field.
- Current School Information
  
  In addition to providing the informaiton below, please also submit an Official Student Transcript, translated to English. This can be mailed to Bishop Canevin at 2700 Morange Road, Pittsburgh, PA 15205 or emailed to konklej@bishopcanevin.org.
- Current School Name REQUIRED Please fill out this field. Please enter valid data.
- Current School Address REQUIRED Please fill out this field.
- Current School Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Current School Website Please enter valid data.
- Student's Home Address
  
  Please indicate where the student currently resides.
- Student's Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- State/Province REQUIRED Please fill out this field. Please enter valid data.
- Postal Code REQUIRED Please fill out this field. Please enter valid data.
- Country REQUIRED Please fill out this field. Please enter valid data.
- First Parent/Guardian Information
- Relationship to Student (Mother, Father, 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.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Employer REQUIRED Please fill out this field. Please enter valid data.
- Position/Occupation REQUIRED Please fill out this field. Please enter valid data.
- Home Address (if different from student)
- Second Parent/Guardian Information
- Relationship to Student (Mother, Father, 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.
- Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Employer REQUIRED Please fill out this field. Please enter valid data.
- Position/Occupation REQUIRED Please fill out this field. Please enter valid data.
- Home Address (if different from student)
- Additional Parent/Guardian Information
- Please indicate which parent(s)/guardian(s) should receive communication from the school REQUIRED Parent/Guardian 1 Parent/Guardian 2 Both Please fill out this field.
- Name of Person Responsible for Paying Tuition REQUIRED Please fill out this field. Please enter valid data.
- Student Plans While Attending Bishop Canevin
- Please indicate where the student will live while they attend Bishop Canevin High School REQUIRED Please fill out this field.
- Does the student have up-to-date immunizations following Pennsylvania requirements? REQUIRED Please fill out this field. Please enter valid data.
- Please indicate the student's plan for health insurance coverage while in the USA REQUIRED Please fill out this field. Please enter valid data.
- Please describe any physical or dietary restrictions REQUIRED Please fill out this field.
- Signatures
- Parent/Guardian 1 Signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
- Parent/Guardian 2 Signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
Submit

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