International Student Application

First Name(Required)

Middle Name(Required)

Last Name(Required)

Preferred Name

Date of Birth(Required)

Gender(Required)

Male

Female

Student Email Address(Required)

Catholic or Non-Catholic(Required)

Parish/Church

Current Grade Level(Required)

Applying to Grade Level(Required)

Applying for(Required)

2024-2025 School Year

Native Language(Required)

Additional Languages(Required)

Student's English Profiency (EP) Scores, if known.

Student Interests/Hobbies/Talents(Required)

Current School Information

In addition to providing the information 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 admissions@bishopcanevin.org.

Current School Name(Required)

Current School Address(Required)

Current School Phone Number(Required)

Current School Website

Student's Home Address

Where the student currently resides.

Student's Home Address(Required)

City(Required)

State/Province(Required)

Postal Code(Required)

Country(Required)

First Parent/Guardian

Relationship to Student (Mother, Father, Grandmother, etc.)(Required)

Prefix (Mr. Mrs. Dr. Ms.)(Required)

First Name(Required)

Last Name(Required)

Cell Phone Number(Required)

Email Address(Required)

Employer(Required)

Position/Occupation(Required)

Home Address (if different from student)(Required)

Second Parent/Guardian Information

Relationship to Student (Mother, Father, Grandmother, etc.)(Required)

Prefix (Mr. Mrs. Dr. Ms.)(Required)

First Name(Required)

Last Name(Required)

Cell Phone Number(Required)

Email Address(Required)

Employer(Required)

Position/Occupation(Required)

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

Name of Person Responsible for Paying Tuition(Required)

Student Plans While Attending Bishop Canevin

Please indicate where your student will live while they attend Bishop Canevin High School(Required)

Does your student have up-to-date immunizations following Pennsylvania requirements?(Required)

Please indicate your student's plan for health insurance coverage while in the USA(Required)

Please describe any physical or dietary restrictions(Required)

Signatures

Parent/Guardian 1 Signature(Required)

Date(Required)

Parent/Guardian 2 Signature(Required)

Date(Required)