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Bishop Canevin A Jesuit-inspired High School

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Application for Admission

Applicant's Name

Gender*

General Information

State*

Father/Step-Father/Guardian

Choose One*
State*
State
Father/Step-Father/Guardian is a Canevin Catholic or Bishop Canevin Graduate?*

Mother/Step-Mother/Guardian

Choose One*
State*
State
Mother/Step-Mother/Guardian is a Canevin Catholic or Bishop Canevin Graduate?*
Applicant Resides with*
If parents do not reside together, should both parents receive school mailings? (If yes, please give name and address)
The Following Information Is Optional And Is Used to Gather Demographic Information About Our Students For Reporting Purposes.

Brothers & Sisters

Sex
Sex
Sex
Sex
Does your child have an Individualized Instruction Plan (IEP) or a Growth Plan in their current school that would identify a diagnosed Learning Disability?
I hereby grant Bishop Canevin High School administration permission to request and examine all information provided by my previous school(s) attended in considering my application for acceptance, admittance and course placement, including: Academic Records, Standardized Test Scores, Attendance Record, Conduct/Discipline Record, Health Record, Psychological Record, Principal and/or Teacher Recommendations.*
Confirmation Email