Sacred Heart Middle School
Application for Admission
APPLICANT INFORMATION
APPLYING FOR
Please Select
REGULAR ADMISSION
MID-YEAR TRANSFER
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
Student
Parent
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Country of Birth
Name of Parish
Parish
City
School Now Attending
School Name
City
Current Grade
Parent/Guardian Information
Mother's Name
First Name
(Maiden Name)
Last Name
Phone Number
Please enter a valid phone number.
Mother's Address (if different from the student address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Father's Address (if different from the student address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alumni Information
Brothers or Sisters Currently Attending Sacred Heart High School
*
Name
Grade
Name
Grade
Relative Who Have Graduated From Sacred Heart High School
*
Name
Year
Name
Year
STUDENT INFORMATION
What hobbies and special interests do you have?
What clubs and organizations are you involved in?
What sports have you played? (Please list only organized teams)
List your first, second, and third choices for high school.
First Choice
Second Choice
Third Choice
Please write a short essay explaining why you wish to attend Sacred Heart High School.
GENERAL INFORMATION
Do you plan to apply for financial aid
Please Select
Yes
No
How did you hear about Sacred Heart High School? Click up to 4 responses.
Guidance Counselor
Television Commercial
Radio Commercial
Friend or Relative
Website
8th Grade Class Presentation
High School Open House
Posters/Billboards
Newspaper
SHHS Student/Alumni Mailings
Have You Visited Sacred Heart For a Day?
Please Select
Yes
No
If no, please call 203-721-6354 to schedule an appointment.
FOR ADMISSIONS OFFICE ONLY
Name
Date Received
Exam Score
Accepted?
Reason
Date Acceptance Mailed
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