Applicant Information
| Student Name: | CASTILLO LAILA | Date | July 7, 2011 |
|---|---|---|---|
| Sex | Female | Place of Birth | BETHESDA,MD, United States |
| Email Address: | KRISTANIE.CASTILLO@GMAIL.COM | Home Address | 82 WESTOVER AVE SW WASHINGTON, DC 20032 |
| Siblings | [] | ||
| Name | Grade | ||
| Religion: | Baptized: | NO | |
| Local Public School System: | DCPS | Local Public School Child Would Attend: | ALICE DEAL MIDDLE SCHOOL |
| Race of the Student: | Black | Ethnicity of Student: | Hispanic |
Family Information
| Mother | Father | |
|---|---|---|
| Full Name | KRISTANIE | REY |
| Maiden Name | WHITT | |
| Country of Birth | USA | PUERTO RICO |
| Home Address | 82 WESTOVER AVE SW | SAME |
| Home Phone | ||
| Mother Cell Phone | (202) 423 5785 | (202) 710 1867 |
| Preferred Email | KRISTANIE.CASTILLO@GMAIL.COM | REY.F.CASTILLO@GMAIL.COM |
| Mother Occupation | MANAGEMENT CONSULTANT | MILITARY OFFICER |
| Employer | KPMG, LLP | USCG |
| Mother Work Phone | ||
| Religion | ||
| Parish/Church |
| Parents’ Marital Status: | Married | Student lives with: | Mother and Father |
|---|---|---|---|
| Full Name | Country of Birth | ||
| Home Address | Preferred Email | ||
| Home Phone | Cell Phone | ||
| Occupation | Employer | ||
| Work Phone | Religion | ||
| Parish/Church | Person responsible for Tuition/Fee Payments: |
REY AND KRISTANIE CASTILLO | |
| Address, City, State, ZIP: | 82 WESTOVER AVE, SW WASHINGTON, DC 20032 | Phone & Email: | (202) 423 5785 |
Emergency Contact Information
| Contact #1: | GALLOWAY BRIAN | Relation to Student: | GODFATHER |
|---|---|---|---|
| Email Address: | BGALLPHONE@GMAIL.COM | Home Address: | |
| Home Phone | Other Phone | (202) 256 5605 | |
| Contact #2 | COPELAND AMBER | Relation to Student: | AUNT |
| Email Address | Home Address: | ||
| Other Phone | (215) 869 1255 | Home Phone |
Student Background Information
| Does your child need any particular academic enrichment in order to be successful in school? | NO |
|---|---|
| If yes, please explain briefly (other forms will be required): | |
| Has your child received special services from a professional (e.g. counselor, speech therapist, special education teacher)? | NO |
| Briefly describe the type of service, length of service, and if it discontinued, a reason for discontinuation: | |
| Does your child need accommodations to be successful in school? | NO |
| Please list: | |
| Does your child have any diagnosed allergies? | NO |
| If yes, please list (other forms will be required): | |
| Will your child require medication to be administered during the school day? | NO |
| If yes, please explain briefly (other forms will be required): | |
| Medical Diagnosis: Please check ✓ all that apply: | No known medical conditions |
| Physical Disability: | No existing physical disability |
| Learning Disorder: | No known learning disorder |
Home Language Survey
| Primary language(s) spoken in students household: | ENGLISH |
|---|---|
| Does primary guardian speak English? | YES |
| Is the Student Bi-Lingual? | NO |
| Does the student spend significant time with a non-English speaking caregiver? | NO |
Transferring Students
| Is the student transferring from another school(s)? | YES |
|---|
| Dates Attended | School Name | City | Phone Number | Grade Avg |
|---|---|---|---|---|
| August 1, 2022, August 1, 2021, August 1, 2018, August 1, 2017 | ALICE DEAL MS, ROSS ES, CIBOLO VALLEY ES, FRANCIS KEY ES | WASHINGTON, DC, WASHINGTON, DC, CIBOLO, TX, WASHINGTON, DC | 202 939 2010, 2026737200, 2106194700, 2027293280 |
For Catholic Applicants Only
| Current Parish: | Pastor: |
|---|
| Date | Church | City | State | |
|---|---|---|---|---|
| Baptism | ||||
| Date Reconciliation: | ||||
| Date First Eucharist | ||||
| Date Confirmation | ||||
| Date Other | Date Other |
Parent/Guardian Acknowledgment
| ALL STUDENT APPLICANTS | |
|---|---|
| TRANSFER STUDENT APPLICANTS ONLY | Current standardized test scores plus the two previous years’ scores, Current report card including comments and the two previous years’ report cards |
| Mother Names of Parents/Guardians | KRISTANIE CASTILLO |
| Father Names of Parents/Guardians | REY CASTILLO |
| Mother Signatures | KCASTILLO |
For Office Use Only
| Check ✓and Date when each item is received and verified |
|---|
| Applicant Name: |
| Application Received: |
| Application Fee Paid: |
| Baptismal Certificate: |
| Immunization Documents: |
| Birth Certificate: |
| If Applicable |
| Allergy Agreement :, |
| Custody Decree: , |
| Transfer Students ONLY: |
| Report Cards: , |
| Test Scores: , |
| Admissions Interview Completed: , |
| RELIGION: , |
| Catholic |
| Non-Catholic: |
| Parish Registration Form: , |
| STATUS: |
| Accepted: , |
| Denied: , |
| Grade:, |
| Homeroom Teacher: , : |
| Name: | Address: | ||
|---|---|---|---|
| Phone Number: | NOTES: |