Application

To the Parents, Guardians, and Future Students of Father Judge High School:

DIRECTIONS Please type or print all information, except signature, and complete all portions of this form.

The registration fee must accompany this application. Acceptance of this fee does not imply admission.

Each year we present the following information regarding the financial operation of Father Judge High School.

Our operating budget consists of three major categories. Information pertinent to each is listed below.

EXTERNAL BUDGET Consists of all tuition money that is received in the tuition office. This total sum is for-

warded to the Office of Catholic Education. These funds are used to pay the salaries of all teachers and staff, to

pay utilities, and to cover major building improvements.

INTERNAL BUDGET Consists of registration and activities fees that are received in the tuition office. This sum

and the monies collected from fund raising activities are the major source of revenue used to operate the school

for the following fiscal school year. The Registration fee is collected now so that we may be able to pay vendors

for equipment, materials and services received by the school before classes begin in September.

PARISH PORTION Archdiocesan parishes also pay an assessment to help maintain the secondary schools.

Parents must pay a supplemental tuition fee if the student is not Catholic, or if the student is a Catholic of

another rite, or if the family is not registered in any parish, or if in the judgment of the pastor, the family is not

practicing the faith or contributing to the Church according to their means.

Grade Applying For _______

Name _________________________________

Student # ______________________________ Judge FATHER

H I G H S C H O O L F O R B O Y S

APPLICATION FOR ADMISSION 2012-2013

WWW.FATHERJUDGE.COM

The Registration fee is $150.00. This is non-refundable and is due at the time of registration.The School fee is $350, due in June. School fees cover:

FEES FOR 2012-2013

!"#$%&'$(&')"*++,

!"#-%'$')"*++,

!".-&/+,$0"$01"2345"(+,(-06"*++,

!"3/7&&8"/$8+01$'

!"491-&:;-1+&"<$(+'-$8,

Please notify Father Judge High School if you decide to send your son to another school

so that we may forward his records to that school.

!"3(91+0("=.,

!">0('$0/+"(&"(7+"?$88"37&@A"B-0(+'"C&0/+'(A

and all home athletic games (excluding

"""D8$)&**,"E"57$0F,6-G-06".$)"H$<+I

!"B&'F%&&F,

A Chance Drive fee will be charged only if a student chooses not to participate inselling the required number of chances for the Crusader Club.

Tours are available by contacting the Admissions Office at x1132.

Student Name _______________________________________________________________________________ (last) (first) (middle initial)

Student Social Security # ____________________________________

Street Address _____________________________________________________________ Apt. # ___________

City ________________________________________ State _____ Zip ___________- ________

Student Religion: Catholic registered at ____________________________________________ Parish

Non-Catholic ___________________________________________ Church:3/7&&8

.$(+"&*"J-'(7 ______":KKKK__":KKKK__" " " J&'0"-0"LM3M4MN""o Yes o No (next line)

C&90(')"&*"J-'(7"KKKKKKKKKKKKKKKKKKKKKKKKKKKKK"""""" >0(+'+1"LM3M4M"O<&0(7:)+$'I""KKKK":"KKKK

#$069$6+(s) spoken at home ___________________________________________________________________

.&+,"(7+",(91+0(",D+$F">068-,7"*89+0(8)N""o yes o no

Ethnic background (for statistical purposes only)

o American Indian o Asian o African American o Hispanic o""B7-(+"""""o Other ___________

Applying for Grade o 9 o 10 o 11 o 12 P+,-1+,"-0"3/7&&8".-,('-/( _____________________

2'+,+0("$01"2'+G-&9,"3/7&&8O,I" " " #&/$(-&0" " """"""""" Grades attended

_______________________________________ _________________________ ______________

_______________________________________ _________________________ ______________

last 4 digits asfound on aUtility Bill

Mother’s Name _____________________________________________________________________________ (last) (first) (middle initial)

Father’s Name ______________________________________________________________________________ (last) (first) (middle initial)

MARITAL STATUS OF PARENTS

o Married o Separated o".-G&'/+1

o Mother only living o Father only living o"J&(7"D$'+0(,"1+/+$,+1

o P+<$''-+1"OQ",(+DRD$'+0(I" o"S(7+'"O+TD8$-0I""KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK____________

Court &'1+'"-0"D8$/+N o yes o 0&" " U916+<+0("*&'"(9-(-&0N o yes o no

If yes to either question, please submit copy of court order.

STUDENT INFORMATION

Parents with a son who has special needs or concerns are encouraged to share that information with the Office of

Academic Affairs, the Guidance Office or directly with your son’s teachers at the start of school.

FAMILY INFORMATION

PRIMARY PARENT INFORMATION (student lives with)

Name (Mr:V',:+(/I ________________________________________ Relationship to student______________

Primary Telephone # ( _________"I - _________ - ____________ for information for our Out-Reach Program

E-Mail Address(es) ___________________________________________________________________________ This refers to the PRIMARY E-MAIL, where school related information should be sent.

Occupation _________________________________ Employer _______________________________________

B&'F"D7&0+ # ( _________"I - _________ - ____________ ext. ____________ o Full time o Part Time

ADDITIONAL PARENT INFORMATION (If Divorced-Separated-Remarried)

Name (Mr:V',:+(/I ________________________________________ Relationship to student______________


City ________________________________________ State _____ Zip ___________- ________

Telephone # ( _________"I - _________ - ____________

E-Mail Address(es) ___________________________________________________________________________

Occupation _________________________________ Employer _______________________________________

B&'F"D7&0+ # ( _________"I - _________ - ____________ ext. ____________ o Full time o Part Time

o Yes, I would like to receive report cards and newsletters through the mail

Please list other students your family will have in High School during the 2012-2013 school year. Please contact

the Tuition Office for a family rate form if you will have three children in Archdiocesan high schools.

Name ____________________________________________ School __________________________________

Name ____________________________________________ School __________________________________

Name ____________________________________________ School __________________________________

Please list other students your family will have in Elementary School during the 2012-2013 school year.

Name _______________________________ School _____________________KKK"".SJ""KKKKK:KKKKK:KKKKK

Name _______________________________ School ______________________KK"".SJ""KKKKK:KKKKK:KKKKK

Name _______________________________ School ______________________KK"".SJ""KKKKK:KKKKK:KKKKK

PARENT INFORMATION

Please indicate with a #1 for your first choice AND a #2 for your second choice

For the 2011-2012 school year, I wish my son to study:

_________ French _________ Spanish

5'$/F"Q"W&0&'"3(91+0(,"@-88"%+"6-G+0"(7+"&D(-&0"(&",(91)"#45=X"-0"$11-(-&0"(&"$0&(7+'"B&'81"#$069$6+

o I do not wish my son to be rostered for a language in 9th grade

="@&981"D'+*+'"/&0/+0('$(-&0"%+"D8$/+1"&0"<)",&0Y,"1+G+8&D<+0("&*"%$,-/",F-88,"O-M+M"P+$1-06A">068-,7I

WORLD LANGUAGE COURSE SELECTION

This section must be completed for all students.

Student Name _______________________________________________________________________________ (last) (first) (middle)


City ________________________________________ State _____ Zip ___________- ________

REQUEST FOR LOAN OF TEXTBOOKS FROM THE STATE

CERTIFICATE OF INDIVIDUAL REQUEST FOR LOAN TEXTBOOKSI hereby request the Secretary of Education of the Commonwealth of Pennsylvania, the loan of textbooks and

-0,('9/(-&0$8"<$(+'-$8,"-0"$//&'1$0/+"@-(7"4/("QZ["OQZ\]IA"4/("^^"OQZ\[IA"$01"4/("Z_"OQZ\[I"*&'"<)"/7-81"$((+01-

ing Father Judge High School in Philadelphia, Philadelphia County, Pennsylvania.

.$(+"KKKKK:KKKKK:KKKKK" X"2$'+0(:H9$'1-$0"3-60$(9'+"KKKKKKKKKKKKKKKKKKKKKKKKKKKK______________

PLEASE NOTE: Father Judge High School usually considers for admission only students who have demonstrated

good academic, discipline, and attendance performance.

Father Judge will NOT consider for admission students with failures on their report at the time of application.

Father Judge will NOT consider for admission students with a poor discipline history or who have been charged

with a crime or who have charges pending at the time of admission.

Please sign below to indicate an understanding and acceptance of these policies and conditions.

X 2$'+0(:H9$'1-$0"3-60$(9'+ _________________________________________

X Student Signature ________________________________________________

Documents

Application