Gibault Catholic High School
Applicant lives with...
Mother & Father Mother Mother & Stepfather Father Father & Stepmother Guardian Other
Date of Birth
Social Security Number
Last School Attended & Grade Completed
In which public high school district do you reside?
If the applicant is not in a Catholic school, does he or she attend a Parish School of Religion (PSR) program?
Co-Curriculars: Activities, clubs, athletics, leadership positions and awards (with grade level):
Other hobbies, interests or talents:
Send billing to this address?
I hereby request that the above named student be considered as an applicant for admission to Gibault Catholic High School. I have requested that a copy of his/her records be sent to Gibault Catholic.
The $50 application fee will be billed separately.