Entrance Exam for Incoming Freshmen

Student Information
Student Name* Parent Name Home Address Apt # / City / State / Zip Home Phone (555-555-5555) Parent Work Phone (555-555-5555) Parent Cell Phone (555-555-5555)
Email* Date of Birth (mm/dd/yyyy)
School Currently Attending Parish/Church Membership
Student Gender
Male Female
Has the applicant ever been tested for a learning disability?
Yes No

* If yes, please provide a copy of the initial evaluation and I.E.P. as soon as possible.