Student Information

One application per student.

Grade in September*

Gender*

Male

Female

Student's Legal Name*

First Last

Date of Birth*

Month

Day

Year

Birthplace (City/State)*

Student's Home Address*

Street Address City State ZIP Code

Cell Phone

School Previously Attended

Name of School Previously Attended

Address of School Previously Attended

Street Address City State ZIP Code

School Telephone

Sacraments

Baptized*

Yes

Date of Baptism

Month

Day

Year

Church of Baptism

Church of Baptism City/State

Has the applicant received First Communion?*

Yes

Date of First Communion

Month

Day

Year

Church of First Communion

Church of First Communion City/State

Additional Student Information

Does the applicant have physical/emotional needs requiring special attention?*

Yes

Please Explain*

Has your child applied previously for admittance at St. Bruno Catholic School?*

Yes

Family Information

Birth Parents or Legal Guardians

Which parents/legal guardians will you be listing?*

Both Father and Mother/Legal Guardians

Father/Legal Guardian Only

Mother/Legal Guardian Only

Father/Legal Guardian

Father's Name*

First Last

Father's Religion

Father's Birthplace

Father's Home Telephone

Father's Cell Phone*

Father's Occupation

Father's Employer/Company Name

Father's Workplace Telephone

Father's Marital Status*

Married

Separated

Divorced

Remarried

Deceased

Single

Does the father live in the same household as the applicant?*

Yes

Father's Home Address*

Street Address City State ZIP Code

Father's Email*

Mother/Legal Guardian

Mother's Name*

First Last

Mother's Religion

Mother's Birthplace

Mother's Home Telephone

Mother's Cell Phone*

Mother's Occupation

Mother's Employer/Company Name

Mother's Workplace Telephone

Mother's Marital Status*

Married

Separated

Divorced

Remarried

Deceased

Single

Does the mother live in the same household as the applicant?*

Yes

Mother's Home Address*

Street Address City State ZIP Code

Mother's Email*

Other Children in the Family

Please list all other children in the family. Do not list the applicant.

Other Children

Relative Name	Relationship to Applicant	Actions

There are no Children.

Maximum number of children reached.

Click "Add Child" for each other child in the family. Leave blank if none.

Relatives Who Attended St. Bruno School

Relatives

Relative Name	Relationship to Applicant	Actions

There are no Relatives.

Maximum number of relatives reached.

List any relatives who have attended or are currently attending St. Bruno School. Click "Add Relative" for each. Leave blank if none.

Language and Background

Is the applicant bilingual?*

Yes

Language Spoken at Home*

English

Spanish

Other

Other Language Spoken at Home*

Racial/Ethnic Origin

Native American

Filipino

Asian/Pacific Islander

African American/Black

Hispanic/Latino

White/Other

Multiracial

For use strictly in the annual Archdiocesan Census Report.

Parish Information

Are you currently a registered member of St. Bruno Church?*

Yes

St. Bruno Church Offering Envelope #*

The parish must verify that you are currently an active, contributing member of St. Bruno Church for you to be granted In-Parish tuition.

Which church do you currently attend?*

St. Bruno (not currently using our Offering Envelope)

St. Hilary

St. Gregory

Beatitudes

St. Mary's

Other

Are you a registered member of the church you currently attend?*

Yes

Statement

Brief Statement for Seeking Admission to St. Bruno Catholic School*

Custody and Guardianship

For the protection of all parties, if this child is accepted at St. Bruno Catholic School and you are his/her Legal Guardian, you must provide original court order guardianship papers, which will be photocopied and kept on file. If this applicant is accepted and his/her parents are separated or divorced, original court order child custody papers must be provided so that photocopies can be made and kept on file.

Signatures

By typing your full name below, you confirm that the information in this application is accurate.

Signature of Father/Legal Guardian*

Signature of Mother/Legal Guardian*

Parents

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Student Information

School Previously Attended

Sacraments

Additional Student Information

Family Information

Father/Legal Guardian

Mother/Legal Guardian

Other Children in the Family

Relatives Who Attended St. Bruno School

Language and Background

Parish Information

Statement

Custody and Guardianship

Signatures

Quick Links

Contact Info

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