Gibault Catholic High School
Name*
Address 1
Address 2
City
State
Zip/Postal Code
Applicant lives with... Mother & FatherMotherMother & StepfatherFatherFather & StepmotherGuardianOther
Date of Birth
Religious Affiliation
Church/Parish Name
Pastor
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? YesNo
Co-Curriculars: Activities, clubs, athletics, leadership positions and awards (with grade level):
Other hobbies, interests or talents:
Send billing to this address? YesNo
Email (required)
Home Phone
Mobile Phone
Work Phone
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. I agree
Upon submission, you will have the option to pay the $50 application fee online.