Saint Augustine Catholic School

School Year 2023 - 2024

Application For Admission

Applicant Information
Family Information
Emergency Contact Information
Student Background Information
Home Language Survey
Transferring Students
For Catholic Applicants Only
Parent/Guardian Acknowledgment

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Applicant Information

Student Name: *

Student Name:

Last

First

Sex *

Male

Female

Date of Birth:

Place of Birth

City

State

Country

Home Address

Street Adress

Suite #

City

State/Province

Zip/Postal

Home Address

Email Address:

Please provide an email address where all official school communication may be sent.

Sibling(s) Enrolled:

Name

Grade

Add Remove

Religion:

Baptized:

YES

NO

Local Public School System:

Local Public School Child Would Attend:

The following information is optional but helpful when completing census data for grants and the National Catholic
Educational Association (NCEA) Data Bank. This information is not used in any way to determine admission and each
label is adopted directly from the U.S. Census Bureau.

Race of the Student: Please check ✓ one of the following

Asian

Native Hawaiian/ Pacific Islander

White

Black

American Indian/ Native Alaskan

Two or more races

Ethnicity of Student: Please check ✓ one of the following

Hispanic

Non-Hispanic

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