Empowering students with Knowledge, Skills and Catholic Values

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                              Application for Admission

                                                                             to

                            Kolbe Cathedral High School

                                                               33 Calhoun Place

                                                           Bridgeport, CT 06604

                                                                  (203)-335-2554

 

Student’s Name: ______________________________________________________________________

                                                Last                                                                          First                                         Middle

 

Home Address: _______________________________________________________________________

                                Number & Street                                                                      Apt. #                                       Bldg. #

 

___________________________________________________                  __________________________

                City                                          State                        Zip Code                                  Home Phone Number

 

___________________________________  _____________________________________________

                Cell Phone Number                  Whose cell?              Parent’s   e-mail address                        

 

Male or Female: _____   Date of Birth: _____________     Social Security #: _________________

                                     M or F

 

Check the statement that applies to the student:

I am a citizen of the United States_______

I am an eligible noncitizen_______, Alien registration number: A __ __ __ __ __ __ __ __ __

I am not a citizen or an eligible noncitizen__________

 

School now attending: ____________________________________________       Grade: _____________

 

Grammar school you graduated from: ___________________________________________________

 

Family Information:

_______________________________________   _____________________________________

Father’s Name                                                                                    Mother’s Name

 

_______________________________________   _____________________________________

Address if different from above                                                            Address if different from above

 

_______________________________________   _____________________________________

City, State, Zip Code                                                                            City, State, Zip Code

 

_______________________________________   _____________________________________

Occupation                                                                                         Occupation

 

_______________________________________   _____________________________________

Place of Employment                                                                          Place of Employment

 

_______________________________________   _____________________________________

Work phone                                                                                         Work phone

Is Father a Kolbe or Kolbe Cathedral grad?       Is Mother a Cathedral or Kolbe Cathedral grad?

No ____    Yes ____ , Year___________             No ____    Yes ____ , Year___________

 

Brothers and Sisters:

Name:                                      Age:                             In case of emergency, contact:

 

_____________________________________                      Name: _________________________________

 

_____________________________________                      How related? ___________________________

 

_____________________________________                      Phone: ________________________________

 

Parish or Church: _____________________________________    Religion: _________________

 

Ethnic Group: Amer. White _____ Amer. Black _____ Amer. Indian _____ Cape Verdean _____

                        Cuban _____ Jamaican _____ Puerto Rican _____ Portuguese _____ Haitian _____

                        Other _____________________________________________

                                Check or list the group that you feel is most appropriate.

 

What language is spoken most often in your home? _________________________________

 

Do your parents speak and understand English?  YES _____  NO _____

 

How did you hear about Kolbe Cathedral? (Please complete, explain)

 

Family ___________________________    Friend _______________________________ 

                                Name                                                                                       Name

 

Radio ________________      Grammar School ____________   Newspaper ______________

                                Station                                                                 Name                                                           Name

 

Other _____________________________________________________________

                                explain

 

The student briefly describes reasons for seeking admission to Kolbe Cathedral:

 

______________________________________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

The admissions process for eighth grade students will be started upon return of:

  1. This completed application with $35.00 fee
  2. Signed Release and Recommendation Form
  3. Successful completion of entrance exam and writing sample

Transfer students do not take the entrance exam but need to submit two letters of recommendation and the most recent report card showing a 2.0 grade point average.

 

Signature of Parent or Guardian: _______________________________________ Date: ___________

 

Signature of Parent or Guardian: _______________________________________ Date: ___________