Application Form

STUDENT INFORMATION

Student Name*

First Middle Last

Name of Parent/Guardian Completing This Form*

First Last

Email of Parent/Guardian Completing This Form*

Student Address*

Include Apartment # if applicable

Street Address Address Line 2 City State ZIP Code

Student Age*

Student Date of Birth*

Student Email Address

Student Telephone Number

Student Current School*

Student Current Grade*

Does the Student qualify for Free and Reduced Meals at her school?*

Free

Reduced

Neither

I Don't Know

STUDENT INFORMATION

Academic & Extracurricular

List any academic honors or awards (Student of the Month, etc.) that have been received at school*

List all current extracurricular activities (sports, clubs, music, art, church, community, etc.)*

List any other hobbies or recreational interests*

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STUDENT STATEMENT OF INTEREST

This must be student’s own original work and completed without parental assistance.

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Why do you wish to attend Sisters Academy of Baltimore?*

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Tell us about a time when you were a leader in your school/classroom.*

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What Does Sisterhood Mean To You?*

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STUDENT'S SIGNATURE*

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Date*

FAMILY INFORMATION

Parent/Guardian 1 Information

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Age*

Parent/Guardian 1 Relationship to Student*

Describe Parent/Guardian 1 Relationship to Student*

Parent/Guardian 1 Address*

Same as Student Address

Street Address Address Line 2 City State ZIP Code

Parent/Guardian 1 Employer*

Parent/Guardian 1 Occupation*

Parent/Guardian 1 Position*

Parent/Guardian 1 Highest Level of Education*

Parent/Guardian 1 Home Phone

Parent/Guardian 1 Cell Phone*

Parent/Guardian 1 Work Phone

Parent/Guardian 1 Email Address*

Parent/Guardian 2 Information

Parent/Guardian 2 Name

First Last

Parent/Guardian 2 Age

Parent/Guardian 2 Relationship to Student

Describe Parent/Guardian 2 Relationship to Student

Parent/Guardian 2 Address

Same as Student Address

Street Address Address Line 2 City State ZIP Code

Parent/Guardian 2 Employer

Parent/Guardian 2 Occupation

Parent/Guardian 2 Position

Parent/Guardian 1 Highest Level of Education

Parent/Guardian 2 Home Phone

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Work Phone

Parent/Guardian 2 Email Address

HOUSEHOLD INFORMATION

Parent's Marital Status*

Student Lives With*

Mother

Father

Both Parents

Mother/Step Father

Father/Step Mother

Other (Please Describe)

Describe Student Living Arrangement*

Are there any other Siblings or Dependents Living at Home? (Not Parents)*

Yes

No

Siblings and Dependents Living at Home (Not Parents)

Please include step-siblings and other dependents. Click the 'Add Sibling/Dependent' to add additional persons.

Name	Age	Grade	Actions

There are no Siblings/Dependents.

Religious Affiliation

Name of Church

Ethnic Background*

Describe Other Ethnic Background*

FINANCIAL STATEMENT

Sisters Academy of Baltimore follows the Federal Free and Reduced Meal standards and the Financial Statement as guidelines for the financial requirements we have for admissions. As part of the Financial Statement, please submit the most recent tax return (form 1040 or 1040A) with this application.

Total Number of People in the Household*

Household Members (Required)

List names of all household members, including children. Click 'Add Member' to enter household member information.

Household Member Name	Actions

There are no Household Members.

Do you or your child participate in any of the following programs?*

Please check all that are applicable

TCA Case Number:*

If applicable give the Food Supplemental Program or TCA case number for household

Please Describe HUD Program:*

Please Describe Other:*

DISCLOSURE AND CERTIFICATION

Signature of Parent/Guardian Completing Form*

Form Completion Date*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Thank You!

for your interest in Sisters Academy of Baltimore.

STUDENT INFORMATION

STUDENT INFORMATION

STUDENT STATEMENT OF INTEREST

FAMILY INFORMATION

Parent/Guardian 1 Information

Parent/Guardian 2 Information

HOUSEHOLD INFORMATION

PARENT/GUARDIAN QUESTIONNAIRE

FINANCIAL STATEMENT

DISCLOSURE AND CERTIFICATION