OLL High School Application Form

Our Lady of the Lakes Catholic High School Application for Admission

To be completed by parents/students
Applicant Information
Student Name*

First NameMiddle InitialLast Name
Preferred Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Religious Affiliation(s)
Parish/Place of Worship
Age*
Gender*

MaleFemale
Birth Date*

MonthDayYear
City/State of Birth*
Current Grade*
School District of Residence*
Current School*
Please list any other school(s) attended in the last three years
Race:

American Indian/Alaskan NativeAsianBlackNative Hawaiian/Other Pacific IslanderWhiteHispanic

Parent Information
Parent 1
Name*

First NameLast Name
Title
Relationship to Applicant*
LivingDeceased
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Occupation*
Employer*
High School Attended (optional)
College(s) Attended (optional)
Stepparent Name (if applicable):

First NameLast Name
Parent 2
Name

First NameLast Name
Title
Relationship to Applicant
LivingDeceased
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Occupation
Employer
High School Attended (optional)
College(s) Attended (optional)
Stepparent Name (if applicable):

First NameLast Name
Residence
Student resides with (check all that apply)*

Parent 1/GuardianParent 2/Guardian
If parents are not married, please provide a copy of the custody order.
Correspondence should be emailed/mailed to:*

Email/Mail of Parent 1/GuardianEmail/Mail of Parent 2/GuardianEmail/Mail of Both Parent 1 & 2

Family Information
Siblings
Please complete a line below for each of the applicant's siblings:
Name
Current School
Current Grade
Name
Current School
Current Grade
Name
Current School
Current Grade
Name
Current School
Current Grade
Alumni/Alumnae
Please complete a line below for family members who attend/have attended Our Lady of the Lakes Catholic School
Name
Relationship to Applicant
Class of
Name
Relationship to Applicant
Class of
Name
Relationship to Applicant
Class of
Name
Relationship to Applicant
Class of

History
Please describe any circumstances which have affected or may affect the applicant's academic performance, school attendance and/or participation in school activities (examples: frequent moves/changes of school, accommodation plan, separation/loss of a significant family member, disciplinary action, etc.):
Please describe any extenuating circumstances pertaining to the sequence of your child's schooling (examples: double promotion, repeating a grade, being asked to withdraw from a school, being suspended or placed on probation, etc.):

Student Application

To be completed by student
Please describe your academic interests and detail any academic achievements for which you have been honored (examples: list academic subjects you enjoy and at which you excel, awards and honors such as Student of the Month, National Honor Society, Honor Roll, etc.):*
Please describe any academic difficulties you have encountered (examples: an academic subject that you find particularly challenging, a learning environment that you found difficult, etc.)
Please describe your co-curricular interests and detail achievements so far (examples: list clubs, community service activities, hobbies, athletics and leadership opportunities that you participate in, both inside and outside of school, as well as any awards or special achievements you have accomplished in these activities):*
Is there anything else you would like us to know about you?
Why do you want to attend Our Lady of the Lakes Catholic School? What will you contribute to the school through your involvement in our academic and extracurricular activities? *
STATEMENT OF CONFIDENTIALITY:

It is the policy of Our Lady of the Lakes Catholic School that all information received regarding a candidate's application for admission will be treated with complete confidentiality. Only authorized school personnel have access to this information and then only to the extent that the information is releveant to admission and placement decisions.
STATEMENT OF NON-DISCRIMINATION:

It is the policy of Our Lady of the Lakes Catholic School not to discriminate on the basis of race, color, gender, religion, disability, national or ethnic origin in the administration of their admission policies, educational policies, tuition assistance or any school administered programs. Our Lady of the Lakes Catholic School reserves the right to limit admission or give preference to Catholic applicants.
SIGNATURES OF APPLICANT AND PARENT(S)/GUARDIAN(S):

I/We hereby state that the information contained herin is true and complete. I/We have not knowingly omitted any pertinent information regarding student's academic, family, medical or behavioral history. I/We acknowledge that supplimental information may be required by Our Lady of the Lakes Catholic School and understand that our application(s) will not be reviewed until supplement(s), if required, have been submitted.
Signature of student applicant*

Clear
Signature of Parent 1*

Clear
Signature of Parent 2

Clear
Date*

MonthDayYear
Date

Transcript Release

This Transcript Release form provides Our Lady of the Lakes authorization to request your child's records from their current school.
I/We authorize the release of my/our child's:
- Middle school grades (6th & 7th) and all report cards from the current school year. Pertains to incoming 9th graders only.
- Transcript and report cards from the current school year. Pertains to incoming 10th - 12th grade.
- Standardized test scores
- Attendance and disciplinary records
- Accommodation plan required by student (if applicable)
I/We release my/our child's current school from any and all liability arising out of its release of information requested herein.

I/We agree on behalf of ourselves and my/our child to waive my/our rights and my/our child's right to access confidential information, reference and evaluation materials. I/We further agree to indemnity all schools and employees providing information from any liability for doing so.
Applicant's Full Name*

First NameMiddle NameLast Name
Enrolling Date:*

MonthDayYear
Date
Date of Birth:*

MonthDayYear
Date
Current School:*
School Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone*

Area CodePhone Number
School Fax

Area CodePhone Number
Statement of Confidentiality

It is the policy of Our Lady of the Lakes Catholic High School that all information received regarding a candiate's application for admission will be treated with appropriate confidentiality. Only authorized school personnel have access to this information and only to the extent that the infromation is relevant to admission and placement decisions. Information received within this portion of the application is not disclosed to the applicant or to the applicant's family.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Our Lady of the Lakes Catholic High School Application for Admission

Applicant Information

Parent Information

Parent 1

Parent 2

Residence

Family Information

Siblings

Alumni/Alumnae

History

Student Application

Transcript Release