MDCHS - Application

Monsignor Donovan Catholic High School
2020-2021 Application for Admission

Your Information

Please enter in the name and email address of the person filling out this form.

Full Name:

Email Address:

Date:

Applicant Information

First Name:

Middle Name:

Last Name:

Does this applicant have any other last name, which might appear on school records?
Yes
No

If yes, please indicate name:

Grade Applying for:

Applicant’s Social Security Number:

Applicant’s Date of Birth:

Home Address:

City:

State:

Zip:

County:

Home Phone:

Student Cell Phone:

Student Email Address:

Parent Email Address:

If a language other than, or in addition to, English is spoken at home, please indicate:

Religious Information of Applicant (required):

Religion:
Catholic
Other

If other, please specify:

Place of Worship:

Baptism:

First Communion:

First Reconciliation:

Confirmation:

Parent/Guardian Information:

Parent 1/Guardian 1:

First Name:

Middle Name:

Last Name:

Home Street Address: (if different than applicant’s)

City:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone:

Occupation:

Company:

Work Email:

Parent 2/Guardian 2:

First Name:

Middle Name:

Last Name:

Home Street Address: (if different than applicant’s)

City:

State:

Zip:

Home Phone:

Cell Phone:

Work Phone:

Occupation:

Company:

Work Email:

Parents Are:
Residing Together
Divorced
Separated
Deceased

Applicant resides with: (Check all that apply):
Parent 1
Parent 2
Grand-Parents
Guardian

Name of your CURRENT school:

School Phone Number:

Years Attended:

Other School 1:

Phone Number:

Reason For Leaving:

Other School 2:

Phone Number:

Reason For Leaving:

Other School 3:

Phone Number:

Reason For Leaving:

Academic and Behavior Record:

Has the applicant ever been retained (held back) in any grade level?
Yes
No

If yes, please attach an explanation:

Has the student applicant ever been placed on ISS, OSS, or not allowed to return to any school?
Yes
No

If yes, please attach an explanation:

Needs and Services:

Does the applicant now, or ever had, an IEP or 504 plan for Special Education Services?
Yes
No

*If yes, please attach a copy of the most recent IEP or 504 plan to this application for review by the Admissions Committee. DONOVAN does not discriminate against any student on the basis of disability. DONOVAN will admit students with special needs that can be accommodated with minor adjustment to the curriculum. Once the IEP or 504 plan has been reviewed, a parent meeting will be held.

Why do you want to send your son or daughter to Monsignor Donovan Catholic High School?

How did you hear about Donovan?

How did you hear about Monsignor Donovan Catholic High School? (Check all that apply)

Other:

Signature

I have read and understand this application, and I further certify that the information and attached documents are complete and accurate to the best of my knowledge. I agree to communicate in writing to the principal any changes contained herein even if said changes occur after enrollment. I understand that upon discovery of substantial inaccuracy of any information herein, or omission of information requested herein, the school reserves the right to revoke admission of this applicant. I waive any right of access to all information from any source in conjunction with my child’s application to Monsignor Donovan Catholic High School.

Digital Signature of Applicant:

Date:

Digital Signature of Parent / Guardian:

Date:

By typing your name and date above, you authorize these electronic signatures to be used in place of a physical signatures.

Non-Discrimination Policy

Monsignor Donovan Catholic High School shall admit students of any race, color, sex, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students. Monsignor Donovan Catholic High School shall not discriminate on the basis of race, color, nationality and ethnic origin in the administration of its educational policies, admission policies, scholarship and loan programs, and athletic or other school-administered programs.

Ethnic Information

The information requested in this box does not impact your admission to DONOVAN. This information will only be used for reports we are required to file and to assist us in applying for grants and other aid.

If "Multi-Racial" or "Other" was chose above, please specify: