Student Information Sheet - St. Andrew The Apostle Roman Catholic Elementary School
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1St. Andrew the Apostle Roman Catholic Elementary School
3131 Eton Street
New Orleans, LA 70131
School Year:
Student Information Sheet
Grade Entering:
Date:
STUDENT INFORMATION
Child’s Name (Last)
(First)
(Middle)
D.O.B.
Address
City
State
Zip
Sex
Child resides with:
Who has custody?
Child’s Religion
S.S. #
Place of Birth
Please check one:
□ American Indian □ Asian
Baptism:
Date
Church
□ Black
□ Caucasian
Reconciliation:
Date
Church
□ Hispanic □ Vietnamese
Communion:
Date
Church
Name:
Age:
Grade:
Is this your oldest child
attending St. Andrew?
Name:
Age:
Grade:
Yes
No
Name:
Age:
Grade:
PARENT INFORMATION
Father’s Name
Mother’s Name
Address
Address
City
State
Zip
City
State
Zip
Home Phone (
)
Cell Phone (
)
Home Phone (
)
Cell Phone (
)
Occupation
Work Phone (
)
Occupation
Work Phone (
)
Email address
Email address
Do you want to be included in the directory?
Do you want to be included in the directory?
SAS alumni?
Year(s)
SAS alumni?
Year(s)
Religion
Deceased?
Religion
Deceased?
Marital Status: □ Married □ Divorced □ Single □ Widowed Marital Status: □ Married □ Divorced □ Single □ Widowed
ADDITIONAL INFORMATION
School last attended
Address
City, State, Zip
Reason for transfer
Phone (
)
Reason for wanting to attend St. Andrew
Are there any medical, physiological or educational conditions which may impact your child’s learning environment (ex. Asthma,
diabetes, speech/language, dyslexia, ADD, ADDHD)?
If so, please indicate:
Has your child been evaluated for any of the above conditions within the last five years?
Do you support St. Andrew the Apostle Church?
Church Envelope No.
Church Parish in which you reside?
St. Andrew the Apostle School does not discriminate on the basis of race, sex, creed or national origin.
Rev. 04/13
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