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Editing previous response:

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Application
Please complete the form below. Required fields marked *
Applying For*
Address
State*

Child's Education: Previous Schools Attended

Please list previous schools attended in the following format: Name of School, Grades Completed, Years Attended.

Sacraments (For Catholic Applicants Only)

Please list the Sacraments received in the following format: Sacrament Name (Baptism, Reconciliation, First Holy Communion, Confirmation), Date Received, Church Received, Location. 

Family Information

Parent/Guardian #1

Relationship to Child*
Address
State*

Parent/Guardian #2

Relationship to Child
Address
State

Maternal Grandparents

Address
State
Title
Address
State
Title

Paternal Grandparents

Address
State
Title
Address
State
Title

If applicant's parents are separated or divorced, please check the appropriate boxes:

Child lives with
The School should send mail to

Applicant Information (To be completed by parent)

If your child has been seen by a physician or other professional for an evaluation in any of the following areas, please check the appropriate box and forward a copy of the evaluation to the Admission Office.

If your child has been seen by the public district Committee on Special Education, applicant must complete the following:

Was an IEP ever generated?
Child has a Section 504 Accommodation Plan

*Please note that all information provided will be kept confidential.

The following information is OPTIONAL. This information is used to assist us in completing state and federal surveys. This information is confidential and will not affect the application process in any way.

I affirm that the above information is true to the best of my knowledge. I understand that failure to provide the required documentation stops the application process. Furthermore, should my child be accepted/admitted under false, incomplete or negligent information, my child will be dismissed from the school. I also agree that should my child be accepted/admitted, my child and I will be bound by the terms and conditions of the school’s parent/student handbook including those provision referencing inoculations. Final acceptance is also dependent on all fees being paid in full to previous school. Acceptance notices will be mailed. 

Please send your non-refundable application fee ($100) and remaining materials to:

Admissions Office

Notre Dame Academy of Staten Island

90 Howard Avenue

Staten Island, NY 10301

Attn: Kristina Mulroy

 

Once the application is submitted, the Admissions Office will contact you regarding next steps.