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PART 1: APPLICATION FOR ADMISSION Our Lady of Mercy Catholic High School
TO BE COMPLETED BY PARENT/LEGAL GUARDIAN. If a questions doesn't pertain to you, please note N/A in the appropriate field.
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* Indicates required question
Last name of Student Applicant
*
Your answer
First name of Student Applicant
*
Your answer
Middle name and/or Nickname of Student Applicant
Your answer
Gender
*
Female
Male
Birthdate
*
MM
/
DD
/
YYYY
Does the applicant have any other last name which might appear on school records?
*
Yes
No
Address (Street, City, State, Zip)
*
Your answer
County
*
Fayette
Fulton
Clayton
Coweta
Other
Email Address
*
Your answer
Home Phone #
*
Your answer
Religion
*
Your answer
Church Attending
*
Your answer
Birthplace
*
Your answer
U.S. Citizenship
*
Yes
No
Applying for admission to grade:
*
9th
10th
11th
12th (Please call the school before applying)
School currently attending:
*
Your answer
Reason for leaving present school
*
Your answer
List all other high schools to which you are applying:
*
Your answer
List all schools applicant attended beginning with 6th grade through present school: (Grade, Name of School)
*
Your answer
Cultural heritage of applicant - Optional
African
African American
Asian/Pacific Islander
Biracial
Caucasian
Hispanic
Native American
Other
Clear selection
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