HOLY CROSS HIGH SCHOOL – APPLICATION FOR ADMISSION

Phone: (210) 433-9395 / FAX: (210) 433-2117

www.HolyCross-Sa.org

Rev 11.03.00

Current Grade                                               Application for Grade (circle one)    7    8     9    10    11    12

 

Legal Name of Applicant:                                                                                                               

                                                     Last name                                    First Name                                   Middle Name

 

Home Address:                                                                                                                           

                                 Street Address                               City                                           State                  Zip Code

 

Home Phone: (             )              -                         Social Security No.              -                   -                

 

Date of Birth:                                         Place of Birth:                                                                       

 

Religion:         Roman Catholic            Other:                                                                                         

 

Name of Parish:                                               Citizenship:          US             Other:                                    

 

Ethnic Backgrounds:            Student                  Biological Mother      Biological Father

         American Indian                                                                                         

         Hispanic                                                                                                    

         African American                                                                                        

         Anglo                                                                                                        

         Asian/Pacific                                                                                              

 

Current School:                                                                 Grades Attended:   K  1  2  3  4  5  6  7  8  9  10

 

Address:                                                                                                                                         

                   Street Address                                                       City                                           State                  Zip Code 

 

List All Previous Schools Attended Different from above:

 

School:                                              Grades Attended:       Reason for Leaving:                             

 

School:                                              Grades Attended:       Reason for Leaving:                             

 

Public School District Where You Live:                                                                                                

 

Public High School You Would Attend if Not Attending Holy Cross:                                                                   

 

Applicant Now Living with: (check all that apply)

 

     Both Biological Parents       Biological Mother         Biological Father         Stepfather        Stepmother         Guardian  

 

Male Parent/Guardian Living with Applicant:

 

Father         Stepfather         Name:                                                                                           

                                                                     First Name                       Middle                            Last

 

Occupation:                                                  Employer:                                                           

 

Address of Employer:                                                                            Work Phone:                    

 

Female Parent/Guardian Living with Applicant:

 

Mother           Stepmother ___  Name:                                                                                                   

                                                                            First Name                       Middle                            Last

 

Occupation:                                                  Employer:                                                           

 

Address of Employer:                                                                            Work Phone:                    

 

Biological Parent who Does Not Live with Applicant (if applicable)

 

Relationship to Applicant:                          Name:                                                                       

                                                 Mother/father

 

Address:                                                                                                    Phone:                                    

                  Street Address                               City                  State                  Zip Code

 

Occupation:                                         Employer:                                                                    

 

Address of Employer:                                                                                             Phone:                                    

                                            Street Address                   City                   State                  Zip Code

All Correspondence Should Be Sent to:              Mr. and Mrs.            Mr.          Mrs.           Miss           Ms.

 

                                                                                                                                    Phone                                     

Name

 

                                                                                                                                                                                   

Street Address                                                                               City                               State                              Zip Code

Relatives who Attend/Attended Holy Cross of San Antonio

Name                                                           Relationship                           Year of Graduation

 

                                                                                                                                                                                   

 

                                                                                                                                                                                   

 

                                                                                                                                                                                   

EMERGENCY INFORMATION

In case of accident or serious illness, I request the school to contact me.  If the school is unable to reach me, I hereby authorize the school to call the physician indicated below or a hospital and to follow the medical instructions given.  If it is impossible to contact the physician, then the school may take whatever arrangements it deems necessary. 

Physician’s Name:                                                                               Phone:                          

 

Physician’s Address:                                                  Hospital Preferred:                                        

 

Allergies:                                 Medications:                                                                             

Please List Two Emergency Contacts Other Than Parents

 

                                                                                                    Phone:                          

Name                                                                             Relationship

 

                                                                                                    Phone:                          

Name                                                                             Relationship

 

Signature of Parent or Guardian:                                                              Date:                            

 

Signature of Applicant:                                                                                  Date:                            

 

 Please Return This Completed Application to:               Director of Admissions

              Holy Cross High School

                                                                                      426 N. San Felipe St.

              San Antonio, TX  78228