Bishop Canevin High School

Application

*Print a copy of the online application before submitting to our office. Give the copy to the Principal of your child's current school. This will serve as a notification to the elementary or middle school office that you have begun the admissions process at Bishop Canevin High School.

Student Information
First Name:	A value is required.
Middle Name:
Last Name:	A value is required.
Current Grade:
Grade to Enter:
Sex:
Birthday (mm/dd/yyyy):	A value is required. Invalid format.
Street Address:	A value is required.
City:	A value is required.
State:	A value is required.
Zip Code:	A value is required.
Religion:
Parish:
Current School:	A value is required.
Elementary School:	A value is required.
School District:	A value is required.
Father's/Custodial Guardian's Information
Full Name:
BC Class Year:
Mother's/Custodial Guardian's Information
Full Name:
Maiden Name:
BC Class Year:
Contact Information
Home Phone Number:	A value is required. Invalid format.
Emergency Phone Number:	A value is required.
Father's Work Phone Number:
Father's Pager Number:
Father's Cell Phone Number:
Father's E-Mail Address:
Mother's Work Phone Number:
Mother's Pager Number:
Mother's Cell Phone Number:
Mother's E-Mail Address:
Parent Living Outside the Home
Full Name:
BC Class Year:
Street Address:
City:
State:
Zip Code:

I hereby authorize the Principal of my son or daughter's current school to release his or her records to Bishop Canevin High School for the purpose of admissions review.
Enter your name as an online signature:	A value is required.
Today's Date (mm/dd/yyyy):	A value is required. Invalid format.

Application

Student Information

Father's/Custodial Guardian's Information

Mother's/Custodial Guardian's Information

Contact Information

Parent Living Outside the Home