Student's Name *

First Name

Last Name

Student's Birthdate *

MM

DD

YYYY

Sacraments received *

If your student has completed any sacrament, please bring a copy of their Sacrament certificate(s) to the school office.

Baptism

Communion

Confirmation

None but are in the works of going through RCIA

None

Select the type of schooling the student has previously attended *

Public school

Private Non-Catholic school

Private Catholic School

Homeschool

Other, please explain down below

Please list the school's phone number.

(###)

###

####

Address of the school

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father/Stepfather/Guardian *

please check one below

Father

Stepfather

Guardian

None

Name of Father/Stepfather/Guardian

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Mother/Stepmother/Guardian *

please check one below

Mother

Stepmother

Guardian

None

Name of Mother/Stepmother/Guardian

First Name

Last Name

Address

Please fill out if differs from the Father/Stepfather/Guardian address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Are you currently seeking different schooling options outside of Chesterton? *

No

Yes (Please list the school(s) and the reason down below. This information will help us to keep you notified with your options here)

Please read the following and check the following boxes to complete your application. *

Tuition is $8,000, which may be paid in installments of 10 or 12 months. Families are encouraged to apply for financial aid, if needed.

I understand that this application is not a guarantee of admission.

I understand that financial is limited and may not be available.