APPLICATION FOR ADMISSIONS

APPLICANT INFORMATION

Last Name: First: Middle:

Preferred Name:

Applying for Grade: Date of Birth: Gender: SSN:

Home Street Address:

City: State: Zip:

Home Phone: Student E-mail: Student Cell Phone:

Birth City: Birth State: Birth Country:

Present School:

Religion: Parish:

FAMILY INFORMATION

Father Info:
Full Name:

Birth City: Birth State: Birth Country:

Religion:

Employer/Title:

Business Address:

Business Phone: Father Preferred E-mail:

Home Street Address (if different from applicant's):

City: State: Zip:

Mother Info:
Full Name:

Birth City: Birth State: Birth Country:

Religion:

Employer/Title:

Business Address:

Business Phone: Mother Preferred E-mail:

Home Street Address (if different from applicant's):

City: State: Zip:

Check if Appropriate:

Father Deceased Mother Deceased Parents Separated
Parents Divorced Father Remarried Mother Remarried

Who is/are the legal guardian(s)?

Relationship(s) to applicant?

With whom does the applicant live?

Who is responsible for finances?

Preferred Mailing Address:

Salutation: Full Name:

Street:

City: State: Zip:

Please check if mailing should be sent to two homes.

Sibling Name(s) - Ages(s) - Present School(s):

Relatives who attend or who have attended St. John's or other Lasallian schools:

Name: Class: School: Relationship:

To what other schools are you applying?

Language(s) spoken at home, other than English:

I will be requesting/requiring any accommodations:

Do you have a current IEP or psycho-educational testing?

Clubs, organizations and activities in which you participate (include awards/honors received in these activities):

Extracurricular life is a vital part of a St. John's education.
Please check those activities in which you are interested:

Extracurricular Activities: Athletic CO-ED:
Band Cross Country
Bible Club Golf
Chess Club Ice Hockey
Chorus Rifle Team
Debate Team Swimming
Equestrian Team Track
French Club    
International Club
Female
Male
It's Academic Team Basketball Baseball
Lasallian Youth Volunteers Crew Basketball
Model UN Field Hockey Crew
Multi-Cultural Student Alliance Lacrosse Football
Newspaper - The Sabre Soccer Ice Hockey
Rifle Club Softball Lacrosse
SJC TV News Tennis Rugby
Spanish Club Volleyball Soccer
St. John's Theatre Tennis
Strings Wrestling
Student Government
JROTC Color Guard
JROTC Drill Team
JROTC Raiders (Challenge Course)
JROTC Regimental Band
Yearbook

Personal Statement All applicants must submit a typed or hand-written essay describing yourself to the Admissions Committee. Indicate why you wish to attend
St. John's College High School. Transfer students must also explain why they wish to leave their current school. Mail the essay separate from the application with the
$60.00 application fee (make check payable to St. John's College High School).

De La Salle Scholars Program serves the academically gifted student whose motivation and commitment to learning extend beyond the challenges of the traditional
classroom. In addition to your personal statement, De La Salle Scholar applicants must answer the following question:
Sophomore scholars at St. John's learn through field-based experiences focused on art, reasoning, politics and faith. These field-based experiences help Scholars evolve
into more active learners. Describe a time where you learned about one of these subjects outside the traditional classroom. What role did you play in taking responsibility
for your learning? Additionally, how do you feel that experiences outside the classroom can enhance your high school education?

Benilde Program is a resource program for students with mild learning differences. The Benilde Program admits freshmen only. Interested applicants should contact
the Admissions Office for further information. Check the box if interested in applying for the Benilde Program.