2022-2023 PreSchool Application for Enrollment Saint Aloysius Parish School
Sign in to Google to save your progress. Learn more
Email *
STUDENT INFORMATION
Student First Name *
Student Middle Name
Student Last Name *
Street Address *
City *
Zip Code *
Student's Gender *
Student's Age - Must be 3 years old by September 1 to enter Preschool and 4 years old by September 1 to enter PreK4 *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Place of Birth (City, State, Country) *
Students Ethnicity *
Required
Student's Current School *
School District where Student resides *
Registering for Grade in 2022-2023 *
Is there any medical information we should know regarding the student? *
Any Known Allergies to Foods? *
List any Food (s) & Treatment practices (be specific) send in any additional information that may be needed.
Religious Information
Religion *
Parish where family is registered? *
My Student has received Baptism *
Church where student was baptized (include city/state)
Date of Baptism
MM
/
DD
/
YYYY
Is there another language spoken in the home?  If yes what language?
Family Information (Natural/Adoptive/Guardian)
Father's First Name
Father's Last Name
Father's Address (include street, city, state and zip)
Father's Work Phone Number
Father's Cell Phone Number
Father's Email Address
Father's Employer
Father's Occupation
Father's Religion
Clear selection
Father's Place of Birth (City, State. Country)
Father's Ethnicity
Clear selection
Father's Marital Status
Clear selection
Mother's First Name
Mother's Last Name
Mother's Maiden Name
Mother's Address (include street, city, state and zip)
Mother's Cell Phone Number
Mother's Work Phone Number
Mother's Email Address
Mother's Employer
Mother's Occupation
Mother's Religion
Clear selection
Mother's Place of Birth (City, State, Country)
Mother's Ethnicity
Clear selection
Mother's Marital Status
Clear selection
LIVING SITUATION
Student Primarily Lives With (Check all that apply) *
GUARDIAN INFORMATION
Guardian Full Name
Guardian's Address (include street, city, state and zip)
Guardian's Cell Phone Number
Guardian's Home Phone Number
Guardian's Work Phone Number
Guardian's Email Address
Guardian's Religion
Clear selection
Guardian's Place of Birth (City, State, Country)
Guardian's Ethnicity
Clear selection
Guardian's Relationship to Student
Guardian's Employer
Guardian's Occupation
Describe special custody arrangements: (copy of legal documents must be sent into school)
STUDENT PROFILE
In the two previous school years, has the student been absent from school more than 10 times? *
If Answered yes to the above question, please explain.
Has the student been suspended or expelled or removed from school, childcare service, or other educational program? *
If Answered yes to the above question please explain:                                                                                        
Has the student been evaluated by an Intermediate Unit, Public School, private psychologist/psychiatrist/behavior specialist? *
If Answered yes to the above question please explain:                                                                                        
Has the student ever been identified as having special learning needs or have another diagnosis that could affect the student academically? *
If Answered yes to the above question please explain:                                                                                        
Has the student received learning support in either reading or math? *
If Answered yes to the above question please explain:                                                                                        
Has the student been identified as needing psychological counseling, behavioral support, or emotional support? *
If Answered yes to the above question please explain:                                                                                        
Does the student and an IEP? *
If Answered yes to the above question please explain:                                                                                        
Has the student qualified for Early Intervention or any other special services? *
If Answered yes to the above question please explain:                                                                                        
Has your child even been retained in any grade level or was retention recommended by a previous educational program? *
If Answered yes to the above question please explain:                                                                                        
PREVIOUS EDUCATIONAL EXPERIENCE
Name of school or childcare attended previously: *
Reason for Transfer:
SIBLING INFORMATION
Names of Siblings/Grade/Present School
My child plans to do the following after Saint Aloysius Pre-K graduation
Clear selection
TRANSPORTATION INFORMATION
Afternoon Transportation *
OTHER DOCUMENTS
In an effort to acknowledge the rights of parents regarding access of information, we ask that you submit any court documents that substantiate your legal status as it relates to the child being enrolled in Saint Aloysius Parish School. *
VERIFICATION OF INFORMATION
I understand and verify that all information on this application and all other accompanying forms is truthful, accurate and complete.  I understand and give my permission for my child's previous school or intermediate unit to be contacted for verification of information or to provide a reference.  I understand that submitting this application does not guarantee my child admission to Saint Aloysius Parish School. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Saint Aloysius Parish School. Report Abuse
Google Forms