St. Monica Catholic Elementary School

INSTRUCTIONS

1. Please complete this application in its entirety in order to receive full consideration for admission.

2. Please provide copies of the two most recent report cards and standardized test scores (if applicable) for the applicant.

3. Please provide a copy of the applicant's birth certificate.

4. In order to receive the Catholic tuition rate, families must provide a Roman Catholic baptismal certificate for the applicant, and submit the Parish Registration Verification form from your home parish.

5. Applicants must submit the recommendation forms to be filled out by the applicant's current teacher and/or administrator.

6. Applicants must submit a non-refundable application fee of $100. (Applications received after March 1st are $125 and applications received after May 1st is $150.)

SPECIAL NOTES

1. Our school's policy requires that children must be 4 years of age upon entering transitional kindergarten, 5 years of age upon entering kindergarten, 6 years of age upon entering first grade. St. Monica Catholic Elementary School will assess applicants to determine whether our curriculum fits their educational needs.

2. Applicants who have provided a completed application with all supporting documentation and payment of the application fee will be contacted for the next steps in the admissions process.

3. Upon acceptance and prior to enrollment, parents must provide their child's immunization records as required by California State Law.

4. California State Law also requires all entering first graders and students new to California to provide a completed Report of Health Examination For School Entry form upon enrollment.

Please complete the form below. Required fields marked *

Today's Date*

Family Name*

Applicant Information

Applicant's Last Name *

Applicant's First Name*

Applicant's Middle Name

Street Address*

City*

State*

Zip/Postal*

Date of Birth*

Place of Birth*

Male or Female*

Male

Female

Family Information

Applicant lives with:*

Both Parents

Mother

Father

Other:

Parents are:*

Living Together

Separted

Divorced

Mother Deceased

Father Deceased

Primary language spoken at home:*

English

Spanish

Other:

Are any relatives alumni of SMCES?

Mother

Father

Other:

Father Name (Last, First, Middle)

Religion:

Occupation:

Home Address (if different from above):

Home Phone:

Work Phone

Cell Phone

Email:

Mother's Name(Maiden, First, Middle)

Religion

Occupation

Home Address (if different from above)

Home Phone

Work Phone

Cell Phone

Guardian or Stepparent (if applicable)

Name (Last, First, Middle)

Religion

Occupation:

Home Address (if different from above)

Home Phone

Work Phone

Cell Phone

Siblings

Please list applicant's siblings who are currently or were previously enrolled at St. Monica Catholic Elementary School.

Names, Ages, Grades:

Please list all other siblings of the Applicant:

Names, Ages, Grades, Schools:

School Information

Please list previous schools this applicant has attended:

School Name:

City and State:

Current Grade:

Reason for Leaving:

School #2 Name, City and State, Dates Attended, Reason for Leaving:

School #3 Name, City and State, Dates Attended, Reason for Leaving:

Has your child ever been retained or repeated a grade?

Yes

Has your child ever received disciplinary action, such as suspension or expulsion?

Yes

Does your child take ANY prescribed daily medication?

e.g. insulin for diabetes, inhalers for asthma, stimulant or non-stimulant drugs for ADHD?

Yes

If you answered "yes" to any of the above questions, please explain below:

SACRAMENTAL & CHURCH INFORMATION

Baptism Date, Church, City/State:

First Communion Date, Church, City/State:

In what parish are you currently registered?

In what activities do you participate in your parish?

Please explain why you are choosing St. Monica Catholic Elementary School as your child's school.

What are your expectations for your child as a student at St. Monica Catholic Elementary School?

How can the staff of St. Monica Catholic Elementary School best serve your child?

Is there anything else you would like us to know about your child or family?

AGREEMENT

In accordance with the Family Educational Rights and Privacy Act of 1974 and California State Law, I hereby authorize the release of all school records, including grades, health records, and any other developmental information regarding my child. I agree to support St. Monica Catholic Elementary School's academic/discipline policies, administration, faculty, and parent organizations. I also agree to meet the financial responsibilities (tuition/fees) for this child. The school/parent relationship is a collaborative one, providing false, misleading, or incomplete information in this application can result in termination of any subsequent enrollment agreements.

Please sign and date below*

Please upload all required supplementary documentation.

Birth, Baptismal certificates, most recent report cards, Standardized test scores, etc.

Choose a file or drag it here.

St. Monica Catholic Elementary School

Please fix the highlighted areas below before submitting.

Application For 2018/19 Admission