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Application Form

Thank You!

for your interest in Sisters Academy of Baltimore.

You may submit your application using the form below or Download a Printed Application to complete and mail.

Need assistance? Please contact us

"*" indicates required fields

Step 1 of 6

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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*

Month

Day

Year

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*

This field is hidden when viewing the form

Date*

Month

Day

Year

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*

Married

Divorced

Widow/Widower

Separated

Single Parent

Other

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.

Religious Affiliation

Name of Church

Ethnic Background*

Describe Other Ethnic Background*

PARENT/GUARDIAN QUESTIONNAIRE

PARENT QUESTIONNAIRE: Note: Answers to these questions on their own will not in any way disqualify a student from admission. The more complete our information about each student, the better the decisions we can make, and the better we can serve the student.

Does your child suffer from any serious illness, disability, physical or emotional limitations, depression, or other mental health concerns?*

Yes

No

Please explain:*

Is there any illness or disability that impacts your child’s academic performance?*

Yes

No

Please explain:*

Does your child have hyperactivity, ADHD, ADD, or a spectrum disorder?*

Yes

No

Please explain:*

Does your child take any medications?*

Yes

No

Please explain:*

Has your child repeated a grade?*

Yes

No

Please explain:*

Describe your child's temperament. How does she work through challenges?*

Has your child ever been suspended or expelled?*

Yes

No

Please explain:*

Approximately how many days has your child been absent from school in the past year?*

Please enter a number greater than or equal to 0.

Please explain:*

Tell us about Student Support Services that could benefit your child (counseling, tutoring, speech/language, etc.).*

Does your child have an IEP or is enrolled in any type of special education program at school or another place?*

Yes (Please explain)

No

If your child has an IEP or is enrolled in any type of special education program at school or another place, please share any accommodations that your child requires for optimal education.*

Please describe your daughter’s academic strengths and her opportunities for growth/improvement.*

Please describe your daughter’s personal strengths and her opportunities for growth/improvement.*

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

IMPORTANT NOTE: It is my understanding that Sisters Academy of Baltimore is an academically challenging school with a compulsory code of attendance, dress, and conduct and that full participation of parents or guardians is necessary in order to meet the requirements of the program.

POLICY OF NON-DISCRIMINATION: Sisters Academy admits students of any race, religion, color, nationality, and ethnic origin to all right, privileges, programs, and activities generally accorded or made available at the school. The Academy does not discriminate on the basis of race, religion, color, nationality, or ethnic origin in the administration of its educational policies, scholarship, athletic, and other school-administered programs.

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.

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

Please check all that are applicable

Social Security Supplemental Income (SSI)

Medicaid

Worker’s Compensation income

SNAP- Food Stamps

TCA- Temporary Cash Assistance, formerly TANF

MCHIP (MD Children’s Health Insurance Program)

WIC (Women Infants, and Children Program)

HUD Subsidized Housing Program

Other

Not 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

Disclosure Consent*

Yes, I Understand

I understand as part of the Assets Disclosure and Financial Statement, I need to submit the most recent tax return (form 1040 or 1040A) with this application. If taxes were not filed I will submit a letter from the Social Security Office stating the amount of you Social Security or Supplemental Security Income (SSI) or a Letter from the Department of Social Services indicating budget.

Certification*

Yes, I Agree

I certify that all the information above is accurate for my child, my household, and me. I understand that providing misleading, inaccurate, or false information will result in my child not being able to attend Sisters Academy of Baltimore.

Signature of Parent/Guardian Completing Form*

Form Completion Date*

Month

Day

Year

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Comments

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

Campus Address

139 First Ave. | Baltimore, MD 21227

Main Office Phone

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