Student Information

boy girl

Full Legal name ( last, first, middle) DATE OF BIRTH
grade applying for SCHOOL YEAR APPLYING FOR
home address
home phone PLACE OF BIRTH
current age PARISH
baptism date / church baptized in / church address
first communion date / church / church address

Father Information

full legal name (last, first, middle)
home address
home phone / cell phone / email
employer / occupation/position
employer phone / religion
are you a notre dame elementary school alumnus?


Mother Information

full legal name (last, first, middle) / maiden name
home address
home phone / cell phone / Email
employer / occupation/position
employer phone / religion
are you a notre dame elementary school alumna?

Family Information

sibling / age / current grade / also applying to nde? / for which grade?
sibling / age / current grade / also applying to nde? / for which grade?
please check any special family circumstances:

parents separated father remarried mother remarried

other (please explain)

Educational Background

present school / grade
present school address
former schools attended
has the applicant ever required special tutoring? in what area?
has the applicant ever repeated or skipped a grade? what grade and why?
has the applicant ever been subject to major disciplinary action? what were the circumstances?
has the applicant’s school attendance been regular? if not, please explain.


Parent (Mother) Response

what are your reasons for applying to notre dame elementary?

Parent (Father) Response

what are your reasons for applying to notre dame elementary?

Other

have you toured our school?

yes no

how did you hear about us?

i/we understand that this is an application only. all applications are reviewed by the faculty and principal. I/we have provided accurate, truthful information on this application. Please find attached the $75 non-refundable application fee.

signature / date

please note: since notre dame elementary school is a catholic school, priority will be given to catholic children.

Teach the children what they need to know for life.

Notre Dame Elementary School

1200 Notre Dame Avenue, Belmont, CA 94002

www.nde.org

Notre Dame Elementary School

Admission packet checklist

o  Competed Application

o  $75 application fee (check payable to notre dame elementary school or cash)

o  copy of birth certificate

o  copy of most recent report card

o  copy of most recent state test scores (iowa, star ) if applicable

o  Deliver student evaluation form to student’s current teacher (the school will mail the evaluation back to NDE confidentially)

NOTRE DAME ELEMENTARY SCHOOL

1200 NOTRE DAME AVE

BELMONT, CA 94002