Application For Admission Form - Diocese Of Arlington Page 3
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3Diocese of Arlington
Application for Admission
The following optional but helpful information is for use in applying for Federal Grants and NCEA Data
Bank Information:
Ethnic status of child:
American Indian/Native Alaskan
Native Hawaiian/Pacific Islander
Asian
White
Black
Multi-Racial
Hispanic
All Others
To be considered for admission, the following documents, including a non-refundable application fee, must
accompany this application:
1. Copy of Baptismal Certificate (Catholics only)
2. Immunization record
3. Copy of custody decree (if applicable)
4. Copy of birth certificate must be presented to school personnel for verification
5. Current report card including comments and the two previous academic years’ report cards
6. Current standardized test scores plus the two previous years, if available
7. A non-refundable application fee
8. Commonwealth of Virginia School Entrance Health Form
(Must be submitted prior to beginning of school year)
/
/
Printed Name of Parent/Guardian
Date
Signature of Parent/Guardian
OFFICE USE ONLY:
Application Date
Application Fee
Birth Certificate
Baptismal Certificate
Immunization Record
Physical Form
Custody Decree
Report Cards
Test Scores
Scholastic Form
Assessment/Interview
Confirmation of Parish Registration Form
In Parish
Out of Parish
Non Catholic
Date Accepted
Grade/Room Number
/
Teacher/Advisor
/
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Diocese of Arlington Office of Catholic Schools 2009
Page
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