Welcome to St. Charles
Online Admissions Application
 

St. Charles now provides the ability to submit your admissions application online. Please complete the following information. Upon submission, you will receive a confirmation and instructions for finalizing your application.

Student Information:
*Student's First Name:
*Student's Middle Name:
*Student's Last Name:
*Student's Social Security Number: - -
*Student's Date of Birth: / /
(enter month/day/year, for example: 09/04/1990)


Student's Place of Birth:
City:
State:
County:


Student's Local Address:
*Street Number:
*Street:
*City:
*State:
*Zip:
*County:
*Cell Phone Number: ( ) - -


Student's Permanent Address: (if same as local please leave blank)
Street Number:
Street:
City:
State:
Zip:
County:
Permanent Address Phone Number: ( ) - -


Student's Parish Information:
Home Parish Name:
Home Parish City:
Home Parish State:
Home Parish Zip:


Student's Parish of Baptism:
Parish Name:
Parish City:
Parish State:
Parish Zip:


Student's Religious Affiliation:
Are You Affiliated With A Church Other Than The Roman Catholic:
Yes
No


Student's Previous Education:
School
Name:
School
Address:
School
State:
School
Zip:
Grade: Attended From
(mm/yyyy):
Attended To
(mm/yyyy):
Present School:
Other Schools:
Other Schools:


Father's Information:
*Father's First Name:
Father's Middle Name:
Father's Last Name:
*Date of Birth: / /
(enter month/day/year, for example: 09/04/1990)

Father's Religion:
Father's Occupation:
Father's Status: Living
Deceased

Address:
Street:
City:
State:
Zip:
County:
Home Phone Number: ( ) - -
Work Phone Number: ( ) - -
Email Address:


Mother's Information:
*Mother's First Name:
Mother's Middle Name:
Mother's Last Name:
*Date of Birth: / /
(enter month/day/year, for example: 09/04/1990)

Mother's Religion:
Mother's Occupation:
Mother's Status: Living
Deceased

Address:
Street:
City:
State:
Zip:
County:
Home Phone Number: ( ) - -
Work Phone Number: ( ) - -
Email Address:

Other Information


Has Either Parent Remarried? Give Details:


Sibling Information: (Please list the names of living brothers and sisters)
First Name: Last Name: Birthday: Address: Occupation:
1:
2:
3:
4:
5:


Family Information:

(Please list the names of any of your relatives who attended St.Charles and provide the following information:)
Name Position: Relationship:
1:
2:
3:
4:
5:
6:


Financial Aid:

(Please complete the following:)
Are you requsting financial aid?:
Yes
No
If yes, specify any circumstances that the school should be aware of:
 
  *Security Code:
 
 
 
 
 

*Required fields