Catholic High School Application Intent Form

Catholic High School Choice 1 (required):

Catholic high school alternate choice 2 (optional):

Catholic high school alternate choice 3:

Student Last Name:

First Name:

Parent Email:

Student Gender:

Male

Female

Student Birthdate:

Parent(s)' Name with whom student resides:

Home Address:

City:

State:

Zip:

Home Phone:

Parent Cell Phone:

School attended in eighth grade:

If Public School, Catholic - Illinois or Non-Catholic Other, Middle/Elementary school student attended:

Religion of the student:

Parish (if Catholic)

Public school district in which the student resides:

Name(s) of Relatives who have attended the high school(s) listed above:

Check this box to authorize the transfer of transcripts of your student.

Signature*:

*I recognize that the electronic entry is the equivalent of my physical signature and I authorize the release of records for my student at a Catholic School in the Archdiocese of St. Louis.

If your student goes to a Public Middle School they will have to request records from the Public school to be sent to the Catholic High School where they have applied.

* Please wait 30 seconds for the form to be processed.
You will then receive a response that says, "Thank you. Your transcript request has been submitted successfully."