Apply Now"*" indicates required fieldsStep 1 of 425%Student InformationDate of Application* MM slash DD slash YYYY Student Name* First Middle Last Student Gender*MaleFemaleBirthdate* MM slash DD slash YYYY Birth Certificate Upload Drop files here or Select filesMax. file size: 256 MB. Please upload your child's birth certificateGrade applying for:*TKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeBirthplace* City State CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Address* Street Address City State / Province / Region ZIP / Postal Code Home Phone (If Applicable)*Cell PhoneEmail Address* Current School Now Attending*Current Grade*Preschool/TKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeSchool Address* Street Address City State ZIP / Postal Code Sacramental InformationBaptism Date MM slash DD slash YYYY Church NameChurch Address Street Address City State ZIP / Postal Code Baptism Certificate Drop files here or Select filesMax. file size: 256 MB. Please upload your child's baptism certificate1st Penance Date MM slash DD slash YYYY Church NameChurch Address Street Address City State ZIP / Postal Code 1st Communion Date MM slash DD slash YYYY Church NameChurch Address Street Address City State ZIP / Postal Code First Communion Certificate Drop files here or Select filesMax. file size: 256 MB. Please check where applicable:* Catholic non-CatholicDo you attend Mass regularly?* Yes NoRegistered in Our Lady of Lourdes Parish?* Yes NoSunday Envelope NumberPlease list ways you have been active in Our Lady of Lourdes Parish*ParishIf not registered in this parish, please indicate the parish where you resideName of Parish*City*Family InformationNot applicable Check here if not applicable (e.g. single parent)Father's Name* First Middle Last Father's Email* Cell PhoneWork PhoneFather's Birthplace*Father's Religion*Father's Occupation*Father's Employer*Father's Marital Status*Is the last name different from the applicant's last name?* Yes NoIf name is different from applicant's, what name is used?*Not applicable Check here if not applicable (e.g. single parent)Mother's Name* First Middle Maiden Mother's Email* Cell PhoneWork PhoneMaiden NameMother's Birthplace*Mother's Religion*Mother's Occupation*Mother's EmployerMother's Marital Status*Is the last name different from the applicant's last name?* Yes NoIf name is different from applicant's, what name is used?*Are the child's parents divorced?* Yes NoIf divorced, who has legal custody of the applicant*Mother/GuardianFather/GuardianNot applicable Check here if not applicable (e.g. single parent)Guardian's Name* First Middle Last Guardian's Birthplace*Guardian's Religion*Guardian's Occupation*Guardian's Marital Status*Is the last name different from the applicant's last name?* Yes NoIf name is different from applicant's, what name is used?*Parent/Guardian QuestionnaireChild Applicant's Name* First Last Nickname*Entering Grade*TKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeBirth Date* MM slash DD slash YYYY Present Age*Religious Education Attendance* Yes NoHas your child attended Catholic school previously?* Yes NoWhere is that?*If so, how long did he/she attend?*How did you hear about Our Lady of Lourdes? Did a current school family refer you? If so, which family?Previous School(s)Previous School(s) attended: (If school attended was Catholic, please asterisk).Name of SchoolFrom MM slash DD slash YYYY To MM slash DD slash YYYY Name of SchoolFrom MM slash DD slash YYYY To MM slash DD slash YYYY Name of SchoolFrom MM slash DD slash YYYY To MM slash DD slash YYYY Upload 2 Years of Report Cards and Standardized Test ResultsPlease upload the last 2 years of the student's report cards and standardized testing. Drop files here or Select filesMax. file size: 256 MB. Additional StudentsNames and grades of other family children applyingNumber of ChildrenNone12345Child's Name* First Middle Last Grade applying for:*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeChild's Name* First Middle Last Grade applying for:*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeChild's Name* First Middle Last Grade applying for:*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeChild's Name* First Middle Last Grade applying for:*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeChild's Name* First Middle Last Grade applying for:*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeIf you have more than one child applying, would you be willing to send only one child if we are unable to accommodate the others?* Yes NoWhy do you want your child to attend Lourdes?*Where do you plan to apply if you are not accepted at Lourdes?*Please add any information that might be pertinent in helping us evaluate this application.*How do you plan to contribute your time and talent to the Lourdes Community?*Family Education HistoryNot applicable Check here if not applicable (e.g. single parent)Father's Elementary SchoolElementary School Address City State Father's High SchoolHigh School Address City State Father's CollegeCollege Address City State Not applicable Check here if not applicable (e.g. single parent)Mother's Elementary SchoolElementary School Address City State Mother's High SchoolHigh School Address City State Mother's CollegeCollege Address City State Any other family background information that you would like to add
