Student Registration Step 1 of 520%Applicant's InformationToday's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Which best describes you?* New Student Mother Seton ApplicantGrade Entering*Please selectPK 3PK 4Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeNew Student Application Fee Price: Mother Seton Application Fee Price: Please indicate if you have been awarded any of the below mentioned scholarships:* Step Up For Students (FTC) Family Empowerment Scholarship Gardiner Scholarship McKay Scholarship NoneFamily Last Name* Persons responsible for student’s financial obligations Student's Name* First Middle Last Social Security Number*Date of Birth* MM slash DD slash YYYY Place of Birth*Please selectAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States (USA)UruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweAre you a U.S. Citizen?* Yes NoIf not U.S. Citizen, indicate Visa type:*Sex:* Male FemaleReligion:*Sacraments:* Baptism Communion Confirmation N/AImmigration Naturalization Services requires that a student holds a student visa (F-1) before they are allowed to attend classes in a school in the United States. A school is not allowed to admit a child who is in the country on a Tourist (B-1 or B-2) Visa.Student lives with:* Both Parents Mother Father Guardian Mother/Stepfather Father/StepmotherIf parents are divorced, which parent has custody of student?* Mother Father Both Not ApplicableCustody documents must be provided with this application.Name of person student lives with:*Home Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip / Postal Code Home Phone Number*Parent InformationMother's Name:* First Last Email Address:* Cell Phone #:*Occupation*Place of Employment:*Work Phone #:*Father's Name:* First Last Email Address:* Cell Phone #:*Occupation:*Place of Employment:*Work Phone #:*SiblingsHow many siblings does the student have?*None1 sibling2 siblings3 siblings4 siblings5 siblingsSibling 1*Sibling 2*Sibling 3*Sibling 4*Sibling 5*Academic HistoryPrior Schools*Please list name(s) and address (es) of school(s) that applicant has attended within the past five years and how long he/she attended each.Has student applied to Good Shepherd previously? If so, what year?*Has this student ever been dismissed from any school? If answer is yes, please explain.*What language is spoken at home?*Has this child ever been tested for a learning disability?* Yes NoIf answer is yes, copy of test results must be provided with this application.Has this child ever been tested for giftedness?* Yes NoIf answer is yes, copy of test results must be provided with this application.Have behavior, adjustment, or psychiatric case or psychological-educational studies been made on this applicant?* Yes NoIf answer is yes, please explain.*Please supply copy of documentation.I HEREBY ATTEST THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND SUBMIT THIS APPLICATION FOR ADMISSION OF MY CHILD TO GOOD SHEPHERD CATHOLIC SCHOOL.Mother’s Signature*Father’s Signature*Date* MM slash DD slash YYYY Document ListThe following documents must be submitted to the school office once the application has been completed.Copy of Birth CertificateCopy of Baptismal CertificateCopy of First Communion Certificate (if applicable)Standardized Test Scores (if applicable)Latest Report CardCopy of Report Card showing promotion to next grade levelHealth Form/Immunization FormAthletic Consent Form (2nd-8th Grade Only)Immigration Paperwork (if applicable)Custody documents (if applicable)Step Up For Students Award Letter (if applicable K-8)Wallet size picture of your child Recommended By:Δ Good Shepherd Catholic School14187 SW 72nd St. Miami, FL 33183(305) 385-7002305-385-7026 (Fax)Quick Links> Admissions > Contact Us > Privacy Policy > ND Policy
