SACRED HEART ACADEMY

STUDENT ENROLLMENT APPLICATION

For Spring, Summer, and Fall Enrollment

APPLICANT

Legal Name — Last Last / Family / Sur

First / Given

Middle

Birthdate

Gender

Female Male

Telephone

Home Address Street #

City

State

Zip

Father's Name — Last Last / Family / Sur

First / Given

Middle

Father's Occupation

Mother's Name — Last Last / Family / Sur

First / Given

Middle

Mother's Occupation

DEMOGRAPHICS

Citizenship Status

Languages Spoken

Birthplace

Years Lived in Sunshine Valley

Please indicate your race (check one or more based on your background)

FUTURE PLANS

Academic Interests

Career Interests

Do you need to apply for Financial Aid?

Yes No

Do you need to apply for scholarships?

Yes No

Do you intend to live on campus?

Yes No

I certify that the information provided in this application is true and complete to the best of my knowledge.

Applicant Signature (type full name)

Date

Thank You!