| Applicant's Personal Information |
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| Applicant's Full Name |
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| Grade Applying To |
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For School Year |
Year |
| Nickname |
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Sex |
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| Address |
City State Zip |
| Telephone |
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Cell Phone |
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| Email |
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| Name of Person(s) with whom applicant resides |
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Relationship |
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| Religious Affiliation (optional) |
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Social Security # |
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| Age |
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Present Grade |
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| Birthdate |
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Birth Place |
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| Applicant's Scholastic Background |
| Current or most recent school |
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Grades attended |
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| Former schools attended |
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| Has the applicant ever repeated a grade? |
Yes No |
If yes, which grade? |
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Applicant has had previous educational or psychological testing and these results may be obtained from |
Date of Testing |
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Has Applicant ever used the services of a professional counselor, psychologist or psychiatrist?
Yes No |
Name of counselor or therapist
St. George's may contact therapist
Yes No |
| Applicant will be tested at St. George’s |
Yes No |
or will be tested independently by (please list date of testing) |
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| To what other schools are you applying? (Separate with commas) |
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| Birth Information |
Normal gestation and delivery
Cesarian section
Premature delivery at weeks.
Crawled at age
Walked at age
Spoke first words at age
Spoke sentences at age |
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Special accomplishments or awards Applicant has achieved
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Additional Information: Please indicate any additional information you feel would be helpful for St. George's to get to know the Applicant better
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| Family Information |
| Mother's Full Name |
(include maiden) |
| Address |
City State Zip |
| Home Phone |
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Business Phone |
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| Place of Employment |
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Title |
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| Business Address |
City State Zip |
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| Father's Full Name |
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| Address |
City State Zip |
| Home Phone |
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Business Phone |
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| Place of Employment |
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Title |
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| Business Address |
City State Zip |
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| Step Parent or Guardian's Full Name |
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| Address |
City State Zip |
| Home Phone |
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Business Phone |
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| Place of Employment |
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Title |
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| Business Address |
City State Zip |
| Are both parents living? |
Yes No |
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| Marital Status |
Married Separated Divorced |
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Mother Remarried Father Remarried |
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| Siblings |
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| Financial responsibility for Applicant will be assumed by |
| Name |
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Relationship |
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| We heard of St. George’s through |
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A non-refundable application fee of $30.00 must be submitted with this application.
Mail payments to:
St. George’s Episcopal School
Attention: Admissions
923 Napoleon Ave.
New Orleans, LA 70115
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When you click on "submit," the application will be sent to our admissions office. Simply mail a check for $30.00 or pay through Paypal, being sure to reference the applicant's name, and we'll apply payment to the application and process it promptly.
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