ST. LAWRENCE ACADEMY (6184 Hwy 9, Felton, CA) APPLICATION FORM (NEW STUDENT) Please review our
misson statement
and
code of conduct
prior to filling out the application. It is important that all families are in agreement with our mission statement and code of conduct before enrolling in the Academy.
Student's First name:
*
Student's middle initial
Student's last name:
*
Current school/preschool name, address, tel. (if any, otherwise enter n/a)
*
Entering grade
*
K
1
2
3
4
5
6
7
8
FIRST PARENT/GUARDIAN INFO
Relationship to student:
*
Father
Mother
Guardian
Marital Status
*
Single
Married
Separated
Divorced
Last name:
*
First name:
*
Living with student?
*
Yes
No
Church affiliation (if any)
*
Home phone:
*
Cell phone:
Email address:
*
Retype email
*
Occupation:
*
Employer address and tel. number
*
Custody:
*
Shared
Sole
Restrictions or restraining orders? (Y/N, explain if yes)
*
Is anyone living in your household a registered sex offender?
*
YES
NO
SECOND PARENT/GUARDIAN (Unless sole custody AND 2nd parent is assuming no financial or other responsibilty for child, in which case add n/a to all fields)
Relationship to student
*
Father
Mother
Guardian
Marital Status
*
Single
Married
Separated
Divorced
First name
*
Last name
*
Living with student?
*
Yes
No
Church affiliation (if any)
*
Home phone
*
Cell phone
Email address
*
Retype email
*
Occupation
*
Employer address and tel.
*
Custody
*
Shared
Sole
Restrictions or restraining orders (Y/N explain if YES)
*
Is anyone in your household a registered sex offender?
YES
NO
Why do you wish to enroll your child at St. Lawrence Academy? What expectations do you have of the school? What are your hopes for your child here?
*
Please describe briefly your child’s experience at his or her previous school (or at home). In what ways did your child benefit there? What learning or behavioral difficulties did your child experience?
*
Please describe any specific learning or emotional issues, physical disabilities, or disciplinary problems your child may have. Has your child ever repeated a grade? Does your child have an IEP or 504 Plan?
*
Please describe your child’s special interests, skills, or hobbies. Does your child enjoy learning? If so, what kind of learning and in what subjects?
*
Please identify the church your family attends and describe your family’s church life. Does your family attend church regularly? Are you or any family members actively involved in a ministry or other church programs? In what other ways does your family participate in church life? How does your family incorporate church life into the home?
*
Please describe any special skills, interests, or other ways in which you as parents might be able to contribute to the school.
*
Please add any other comments that you might like to make about your child, or anything else that would help us in the consideration of your application.
How did you hear about St. Lawrence Academy?
Internet
From current parent
Have other students enrolled already
I am a member of St. Lawrence parish
Other
Security Code
*