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HOLY FAMILY
PRESCHOOL APPLICATION
PACKET 2017-2018
HOLY FAMILY PRESCHOOL JoAnn Hogins, Preschool Director
Email: [email protected]
License #434411603
HOLY FAMILY SCHOOL
4850 PEARL AVENUE
SAN JOSE, CA 95136
408-978-1355
www.holyfamilyschoolsj.com
Holy Family School
4850 Pearl Ave., San Jose, CA 95136 408.978.1355office www.holyfamilyschoolsj.com
SCHOOL INFORMATION
Established: September 1986 – Catholic Elementary and Middle School Affiliation: Diocese of San Jose Accreditation: WCEA (Western Catholic Education Association) Grades: Preschool through Eighth Grade Teacher Ratio: Preschool – 1:10
Kindergarten – Fifth Grade – 1:15 Sixth - Eighth Grade – 1:22 Hours: Preschool: 8:00 a.m. to 1:00 p.m.
Kindergarten: 7:55 a.m. to 2:00 p.m. First through Eighth: 7:55 p.m. to 3:00 p.m.
Wednesday dismissal 12:45 p.m.
Faculty: All teachers possess or are pursuing teaching credentials and many have advanced degrees.
Core Program: Religion, Mathematics, Language Arts, Natural Sciences and Social Sciences.
Co-Curriculum: Music (Preschool to Fourth grade), Physical Education, Library, Art, Spanish and Computer. 1:1 Chromebooks in Fourth to Eighth grade.
Campus Ministry: Weekly masses and daily gathering for prayer. Seasonal prayer services and liturgies. Full initiation of the sacraments in Second Grade. Student lectures and Eucharistic Ministers in Seventh and Eighth grade.
Student Services: Extended Care 7:00 a.m. to 6:00 p.m. Onsite Occupational Therapist, Learning Intervention and Counselor.
Student Leadarship: Student Council and California Junior Scholarship Federation.
Extra Curricular Activities: Academic Chess Club, Lego Robotics (grades 4-8), Public Speaking, Girl Scouts, Boy Scouts and Girls on the Run.
Athletics: Basketball, Volleyball, Track, Softball (Girls), and Flag Football (Boys) for students in Fifth through Eighth grades.
Parent Involvement: Parents fulfill a 40 hour service requirement though various social and fundraising events. Single parent requirement is 20 hours.
Holy Family School
4850 Pearl Ave., San Jose, CA 95136 408.978.1355office www.holyfamilyschoolsj.com
HOLY FAMILY SCHOOL MISSION STATEMENT
Holy Family School is a parish school rich in the tradition of Catholic education and committed to academic excellence. Our mission is to foster and to support the development of Catholic faith and identity while nurturing the whole child. In partnership with family, educators, and the whole parish community, we strive to promote the spiritual, intellectual, and social development of our students.
SCHOOL MOTTO “Believe and Achieve”
PHILOSOPHY
We believe in providing an inclusive academic environment where the dignity and uniqueness of each student is valued.
We believe that in preparing our students to be life-long learners, we honor families as the primary educators of their children, while teachers facilitate and complement the learning process.
We believe and are committed to sharing the Gospel message through prayer, liturgy, reflection, study, and community service.
We believe in and strive to create a community, which allows a child to learn and grow while developing a social sense of responsibility for self and others.
Holy Family School admits students of any race, color, national, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national, or ethnic origin in the administration of educational policies, admissions policies, scholarships and loan programs, or athletic and other school programs.
Holy Family School
4850 Pearl Ave., San Jose, CA 95136 408.978.1355office www.holyfamilyschoolsj.com
Tuition, Scrip & Extended Care
Tuition for 2016-2017
Preschool 2 Day Program $3,905
Preschool 3 Day Program $5,660
Preschool 5 Day Program $9,433
Annual Tuition Active Parishioner
Kindergarten – 8th Grade
1 Child $9,949 $8,449
Kindergarten – 8th Grade
2 Chidren $18,338 $16,838
Kindergarten – 8th Grade
3 Chidren $26,576 $25,076
Kindergarten – 8th Grade
3Chidren $34,815 $33,315
Extended Care
Before School Only After School Only Before & After School Drop-in and Preschool
$105.00 $300.00 $350.00 $7.00/hr.
Each family must fulfill a scrip requirement of $4,000.00 per year.
Holy Family School
4850 Pearl Ave., San Jose, CA 95136 408.978.1355office www.holyfamilyschoolsj.com
FAQ
What is your high school acceptance rate? 98% of Holy Family School students are accepted into a high school of their choice. What is Scrip? This is a program that helps keep tuition costs down. Parents purchase gift cards for groceries, gas, retail stores, and restaurants at face value. Holy Family School receives a percentage of the gift card purchase from the company as fundraising income. Is it difficult to complete the 40 hour service requirement? Holy Family School and Parish have many opportunities to complete service hours. Many hours can be completed at our Fall Festival in September. Parents work on social and fundraising events throughout the year. Many parents complete their service hours by April and begin working on the following year’s requirement beginning in May. Are there technology devices for students? Students in fourth to eighth grade have 1:1 Chromebooks that they purchase and own. Kindergartners through eighth grade go to the computer lab once a week. Primary grades have iPads in the classroom. How is tuition paid? Every family registers with Smart Tuition. Monthly or annual payments get deducted from the family’s bank account. There is a 2% discount for paying the entire tuition cost in one annual payment at the beginning of the school year. Do you have Daycare? Extended care is provided for all grades from 7:00 a.m. to 6:00 p.m.
Do you have a hot lunch program? Choice Lunch is the hot lunch program that services Holy Family School. Parent can order their child’s lunch on-line. Hot lunch gets delivered to the students from Kindergarten to Eighth grade daily.
Holy Family School
4850 Pearl Ave., San Jose, CA 95136 408.978.1355office www.holyfamilyschoolsj.com
APPLICATION & ADMISSIONS
Open House for Prospective Families
November 5, 2016 @ 10:00 a.m. to 12:00 p.m.
January 18, 2017 @ 6:00 p.m. to 7:30pm
Age Requirements (Califonia State Requirements)
Preschool 3 yr. old program: Child must by 3 years old by September 1st
Preschool 4 yr. old program: Child must by 4 years old by September 1st
Kindergarten: Child must by 5 years old by September 1st
Placement Testing Dates:
Testing for Kinder- 8th Grade – February 4, 2017 10:00 a.m. to 11:30 a.m.
Preschool Group Evaluations – February 4, 2017 10:00 a.m. to 11:30 a.m.
Application Process: Please return a completed application and the following items by January 27, 2017:
1. Application Fee - $50.00 (Non-refundable) 2. Copy of County Birth Certificate (not a hospital copy) 3. Copy of Baptismal Certificate (if baptized) 4. Preschool (if applicable) or Kindergarten evaluation or progress report 5. Copies of the previous two years Report Cards (1st-8th grade) 6. Copies of previous two years Standardized Test Scores (1st-8th grade) 7. Current Teacher Recommendation Form (all grades) 8. Copies of Immunization Records (all grades) 9. Recent Photo (Kinder only)
Student Testing will not be scheduled until application is complete.
Acceptance & Registration Procedure:
Acceptance letters will be sent on March 1, 2017.
All registration forms and a non-refundable registration fee of $450.00 are due by March 18, 2017 to secure student enrollment
Acceptance information is not available by phone.
Rev.2016-05-12
Application Form Holy Family School Preschool – 8th Grade
School Year Applying for: __________________ Child’s Current Age: ________ Grade Applying for: _________
Session Preference for Preschool: ___5 day(M-F) (must be 4 by Sept. 1) ___ 3-days (MWF)( must be 4 by Sept. 1) ____ 2-day (T/Th)( must be 3 by Sept. 1)
Child’s Name: _____________________________________________ Child’s Nickname: ___________________ Last First Middle Preferred Name
Date of Birth: _____/_____/_____ Sex: M F Current Family: Yes No Alumni Family: Yes No
Address: _______________________________________________________ Home Phone: _________________ Number and Street Name City State Zip
Birth City & State: ______________________ Child’s Citizenship: U.S., Native Born U.S., Naturalized F Visa
Other: ___________ (if not U.S. Citizen, please provide a copy if the Student’s Visa)
Primary Ethnicity: Caucasian Filipino Chinese Native American Asian / Indian Hispanic Vietnamese Japanese African-American Korean Hawaiian/Pacific Islands Multiracial
Is your child English-Language proficient? Yes No Language spoken at home:_______________________
Has your child been retained? Yes No If yes, what grade? ____________________________________
Has your child ever been identified or tested for special needs: Yes No Speech Hearing Learning Other: _______________________________________________
Does your child have any special medical needs? Yes No If yes please explain______________________
First time at DSJ School? Yes No Have you applied here before?: Yes No If yes, when: __________
Child’s Interest/Hobbies: ______________________________________________________________________
Current/Previous Schools Attended: Name of School Address Phone Number Grade _______________________ ________________________________ _____________________ ___________ _______________________ ________________________________ _____________________ ___________
Do you have any outstanding tuition balances at any other school your child has attended? Yes No
If yes, at what school and when do you plan to finalize payment of this balance: ___________________________
Child’s Religion: _______________ Is Child Currently Enrolled in Parish Religious Program? Yes No
Child’s Sacraments: Baptism Confirmation Reconciliation First Communion Date _______________________________________________________________________________ Church _______________________________________________________________________________ City & State _______________________________________________________________________________
Please present certificates to the school office.
Do you wish any of the following for your child? Baptism Confirmation Reconciliation Communion
Are you a registered member of a parish? Yes No Church attending: _____________________________ Year registered with the parish: _________ Envelope #: _______ Use parish auto debit system? Yes No
LOGO
Option 2
Instructions: Complete all sections. Indicate a “N.A.” if something does not apply. Each application must be accompanied by a non-refundable application fee. Please see our school’s admission information for documentation that needs to be included/sent to our school.
STUDENT INFORMATION
SACRAMENTAL/PARISH INFORMATION
Rev.2016-05-12
__________________________________________________________________________________________ Child is living with: Both parents Mother Father Guardian Foster Parent Other: _____________
Guardian 1 Guardian 2
First and Last Name:
Guardian Relationship:
Home Address: (If different than that of child)
Home Phone: (If different than that of child)
Cell Phone:
Preferred/Primary Email:
Employer:
Employer Address:
Employer Phone Number:
Employee Email Address:
Occupation:
Religion:
School Alumni (please circle): Yes No Year Graduated: Under what name (if different):
Yes No Year Graduated: Under what name (if different):
Went to Catholic High School? Yes No Year Graduated: Under what name (if different):
Yes No Year Graduated: Under what name (if different):
Primary Ethnicity:
Caucasian Filipino Chinese Korean Native American Asian / Indian Multiracial Hispanic Vietnamese Japanese African-American Hawaiian/Pacific Islands
Caucasian Filipino Chinese Korean Native American Asian / Indian Multiracial Hispanic Vietnamese Japanese African-American Hawaiian/Pacific Islands
U.S. Citizen: Yes No Place of Birth: Yes No Place of Birth:
Parental Status: (Check One)
Married Separated Divorced Remarried Deceased Single
Married Separated Divorced Remarried Deceased Single
Sibling’s name(s) Age Current School Grade Applying to this school?
How did you hear about our school? Please check all that apply Current Family Parishioner DSJ Website Flyer School Ad Sign Website Social Media
Internet Search Other_______________ Referral: ________________________________________ If referred by a current family, please indicate their name above.
Why do you wish to apply for admission to our school? ______________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ I understand my child must be 5 years of age by September 1, of the starting fall school year to be admitted to Kindergarten. An original birth certificate must be presented for verification.
The information stated above is true and correct to the best of my knowledge.
Today’s Date Parent/Guardian Signature
Holy Family School does not unlawfully discriminate on the basis of race, color, religion, national or ethnic origin, age, sex, or disability in the administration of educational policies, scholarship, and loan programs, and other school-administered programs.
GUARDIAN/FAMILY INFORMATION
STATE OF CALIFORN[A-HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING
CHILD'S PREADMISSION HEALTH HISTORY-PARENT'S REPORT CHILD'S NAME BIRTH DATE
FATHER'S NAME DOES FATHER LIVE IN HOME WITH CHILD?
MOTHER'S NAME DOES MOTHER LIVE IN HOME WITH CHILD?
IS /HAS CHILD BEEN UNDER REGULAR SUPERVISION OF PHYSICIAN? DATE OF LAST PHYSICAUMEDICAL EXAMINATION
DEVELOPMEN IAL HISTORY (*For Infants and preschOOl-age children on/y) WALKEDAT* BEGAN TALKING AT* TOILET TRAINING STARTED AT.
MONTHS MONTHS MONTHS
PAST ILLNESSES Check illnesses that child has had and specify approximate dates of illnesses:
D
D
D
D
Chicken Pox
Asthma
Rheumatic Fever
Hay Fever
DATES
D
D
D
D
Diabetes
Epilepsy
Whooping cough
Mumps
DATES
D
D
D
Poliomyelitis
Ten-Day Measles (Rubeola)
Three-Day Measles (Rubella)
DATES
SPECIFY ANY OTHER SERIOUS OR SEVERE ILLNESSES OR ACCIDENTS
HOW MANY IN LAST YEAR? LIST ANY ALLERGIES STAFF SHOULD BE AWARE OFDOES CHILD HAVE FREQUENT COLDS? DYES D NO
DAILY ROUTINES (*For infants and preschool-age children only) WHAT TIME DOES CHILO GET UP? WHAT TIME DOES CHILD GO TO BED? DOES CHILD SLEEP WELL?
DOES CHILD SLEEP DURING THE DAY? WHEN?· HOW LONG?*
DIET PATTERN: BREAKFAST WHAT ARE USUAL EATING HOURS? (What does child usually BREAKFAST eat for these meals?) LUNCH LUNCH
DINNER
DINNER
IS CHILD PRESENTLY UNDER A OOCTOR'S CARE?
D YES D NO
F YES, NAME OF OOCTOR: DOES CHILD TAKE PRESCRIBED MEDICATION(S)?
D YES D NO
IF YES, WHAT KIND AND ANY SIDE EFFECTS:
DOES CHILD USE ANY SPECIAL DEVICE(S):
D YES D NO
F YES, WHAT KIND: DOES CHILD USE ANY SPECIAL DEVICE(S) AT HOME?
[] YES D NO
IF YES, WHAT KIND:
PARENT'S EVALUATION OF CHILD'S PERSONALITY
HAS THE CHILD HAD GROUP PLAY EXPERIENCES?
DOES THE CHILD HAVE ANY SPECIAL PROBLEMS/FEARSINEEDS? (EXPlAIN.)
WHAT IS THE PLAN FOR CARE WHEN THE CHILD IS ILL?
REASON FOR REQUESTING DAY CARE PLACEMENT
LIC 702 (7199) (CONFIDENTIAL)