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St. Maximilian Kolbe School Application
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Email
*
Your email
What year are you applying for:
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2023-2024
2024-2025
Child's Full Name
*
Your answer
Applying for Grade
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Pre-K 3 half day (5 days)
Pre-K 3 full day (5 days)
Pre K 3 full day (3 days)
Pre K 3 half day (3 days)
Pre-K 4 half day (5 days)
Pre-K 4 full day (5 days)
Kindergarten full day
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Child's Gender
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Male
Female
Child's Address (street, city, county, state, zip code)
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Your answer
Home Phone Number
*
Your answer
Date of Birth of Child
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MM
/
DD
/
YYYY
City, State, Country of Birth of Child (a copy of the birth certificate is required)
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Your answer
Ethnicity of Child
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Non-Hispanic
Hispanic
Race of Child
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American Indian/Native American
Asian
Black
Native Hawaiian/Pacific islander
White
Two or more races
Religion of Child
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Catholic
Non-Catholic
Are you a member of St. Maximilian Kolbe Parish
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yes
no
If no, where is your parish?
Your answer
Eastern Rite
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Yes
No
Place of Baptism
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St. Maximilian Kolbe Pairsh
Other
If Other, Where was your child baptized? (Church, City, and Date) Copy of Baptismal Certificate is required. If at St. Max date of baptism
*
Your answer
Has your child received any other Sacraments?
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yes
no
If yes, please list the Sacrament, date received and Church.
Your answer
School District in which your child resides
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West Chester
Kennett Square
Unionville-Chadds Ford
other
If applying for grades 1-8, current school your child is attending.
Your answer
Reason for leaving that school.
Your answer
Please describe any medical alerts, serious illnesses or disabilities we should be aware of.
Your answer
Has your child ever been in a program for special needs or help?
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Yes
No
If yes, please elaborate
Your answer
Does your child have an Individual Education Plan (IEP)?
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Yes
No
Parent's Marital Status
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single
married
separated
divorced
widow(er)
Child lives with
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both parents
mother
father
other
If other than both parents please answer the following: who is the primary physical custodial parent, if there is special custodial court instructions( please provide a copy) and provide step parent information if applicable.
Your answer
Mother's Name
*
Your answer
Mother's Maiden Name
Your answer
Mother's Address (street, city, county, state, zip code)
*
Your answer
Mother's Cell Phone Number
*
Your answer
Mother's Work Phone Number
*
Your answer
Mother's Email Address
*
Your answer
Mother's Religion
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Catholic
Non- catholic
Mother's Country of Birth
*
Your answer
Father's Full Name
*
Your answer
Father's Address (street, city, county, state, zip code)
*
Your answer
Father's Cell Phone Number
*
Your answer
Father's Work Phone Number
*
Your answer
Father's Email Address
*
Your answer
Father's Religion
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Catholic
non-catholic
Father's Country of Birth
*
Your answer
2 Emergency contacts are required: name, phone number, and relationship cannot be parents.
*
Your answer
How did you hear about St. Maximilian Kolbe School?
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Current school family
Website
Real Estate Agent
Prep Family
other
If you answered a current St. Max family, please tell us who they are. They can be rewarded for recommending you.
Your answer
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