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Royalmont Academy Application for Admissions

Please submit application fee, most recent copies of report cards, standardized test scores, birth certiďŹ cate, and baptismal certiďŹ cate with this form. Please type or print. For Grade: ______________________

Please attach a recent photo of the applicant

Academic Year: ______________________

Date of Birth: _________________________

Boy

Girl

Full Name of Applicant: ________________________________________________________________________ Last

First

Middle

Home address: _______________________________________________________________________________ Street

City/State

Zipcode

Home Phone: (______) ________________ Ethnicity: _________________ Religion: ___________________ Parish or Place of Worship: _____________________________________________________________________ Name

Address: ______________________________________________________________________________ Street

How did your hear about Royalmont Academy? Archdiocese website

City/State

Friend/Relative

We attended a Royalmont event.

Internet search

Zipcode

Facebook

Other ___________________

Have you ever applied to Royalmont before?

Yes

No

(If so, when?) _________________________

Do you know any families at Royalmont?

Yes

No (If so, whom?) ________________________

School district in which you live: ________________________________________________________________ Present School: _______________________________________________________________________________ Address: ______________________________________________________________________________ Street

City/State

Zipcode

Head of School: _________________________________________ Phone: (______) ______________________ Present Grade: ___________________ How many years have you been at this school? __________________


Parent Information

Father’s Full Name: ___________________________

Mother’s Full Name: ___________________________

Home Address (if different from applicant):

Home Address (if different from applicant):

_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Home Phone: (________) _______________________ Home Phone: (________) _______________________ Employer: ___________________________________

Employer: ___________________________________

Title: _______________________________________

Title: _______________________________________

Type of Business: ______________________________ Type of Business: ______________________________ Business Address: _____________________________ Business Address: _____________________________ _____________________________________________ _____________________________________________ Business Phone: (________) _____________________ Business Phone: (________) _____________________ Cell Phone: (________) ________________________

Cell Phone: (________) ________________________

E-mail: ______________________________________ E-mail: ______________________________________ Educational Background: _______________________ Educational Background: _______________________ _____________________________________________ _____________________________________________ Person Financially Responsible: _________________________________________________________________ Address for Billing: ____________________________________________________________________________ Do you anticipate a need for financial aid?

Yes

Please check the following, if applicable:

Parents divorced

Mother remarried

Father remarried

No

Mother deceased

Parents separated Father deceased

If applicant does not live with both parents, please explain the family situation. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________


Applicant’s Brothers & Sisters

_____________________________________________________________________________________________ Name

Present School/Grade

Age

_____________________________________________________________________________________________ Name

Present School/Grade

Age

_____________________________________________________________________________________________ Name

Present School/Grade

Age

_____________________________________________________________________________________________ Name

Present School/Grade

Age

_____________________________________________________________________________________________ Name

Present School/Grade

Age

What activities do you enjoy as a family? __________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Please describe any illness, disease, or disabilities, which either have affected or may limit your child’s participation in the full range of school activities.___________________________________________________ _____________________________________________________________________________________________ Have your child had any behavioral, psychological, or educational evaluations?

Yes

No

If yes, when and by whom? _____________________________________________________________________

The following questions are to be answered by the applicant’s parents. 1. What are the most important qualities you are looking for in your child’s next school? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________


2. What would you like to tell us about your child that will help us to know him/her better? We would be interested in any special talents or gifts he/she may possess, as well as areas in which you would like to see further development. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 3. What are your child’s interests and hobbies? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 4. Why do you want to send your child to attend Royalmont Academy? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 5. Are there any extenuating circumstances, which may affect your child’s success at Royalmont Academy? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________


Royalmont Application for Admission