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Bishop Canevin A Jesuit-inspired High School

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Application for Admission 2019-20

Applicant's Name

Gender*

General Information

Catholic or non-Catholic*
State*

Father/Step-Father/Guardian

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

Mother/Step-Mother/Guardian

Choose One*
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 Used to Gather Demographic Information About Our Students For Reporting Purposes.*
Student Ethnicity*

Brothers & Sisters

Gender
Gender
Sex
Gender
Is the student's main language English?*
Does the student have a learning disability?*
If yes, does the student have an I.E.P. (Individualized Learning Plan)?
Does the student have a physical disability or health issues (asthma, allergies, etc.) of which the School Personnel should be made aware?*

If the above information changes, notify the Counseling Department immediately.

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