Application

Student Information

First name

Last name

Birthdate

Birthplace

Student Address

City

Zip Code

State

Country

Contact Information for Parent / Guardian 1:

First name

Last name

Lives wih Applicant

Yes

Phone Number

Religion

Profession

Birthplace

Parent / Guardian 1 Address (Complete if different from Student):

Address

City

Zip Code

State

Country

Contact Information for Parent / Guardian 2:

First name

Lives wih Applicant

Yes

Last name

Phone Number

Religion

Profession

Birthplace

Parent / Guardian 2 Address (Complete if different from Student):

Address

City

Zip Code

State

Country

Sacramental Information

Baptism Church and Address

Baptismal Date

First Communion Church and Address

First Communion Date

Additional Information

Current School

How did you hear about us?

Why are you interested in sending your child(ren) to STA?

How are you involved in your parish/school now?

How are you committed to becoming involved in school activities and participating in fundraising events? What creative ideas do you have for future STA activities and fundraising events?

Thanks for applying ! We'll get back to you soon.

St. Teresa of Avila Microschool

Application

Student Information

Contact Information for Parent / Guardian 1:

Parent / Guardian 1 Address (Complete if different from Student):

Contact Information for Parent / Guardian 2:

Parent / Guardian 2 Address (Complete if different from Student):

Sacramental Information

Additional Information

St. Teresa of Avila
Microschool

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