Nativity Preparatory School
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Thank you for your interest in Nativity. Our application for the 2023-2024 school year is now open!
NATIVITY PREP APPLICATION
Student Information
Student's Full Name
*
Date of Birth
*
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Current School
*
Address of Current School
*
Parent/Guardian: (name and relation)
*
Applying to Grade
*
Nativity Prep accepts male students into the 5th grade. We may also have a few openings in 6th grade. If you have any questions, please call Admissions at (857) 273-0106
5th Grade
6th Grade
Family Information (Parent 1)
Parent/Guardian 1 Name
*
Parent/Guardian 1 Employer
*
Parent/Guardian 1 Position/Job
*
Parent/Guardian 1 Cell Phone #
*
Parent/Guardian 1 Work Phone #
*
Parent/Guardian 1 E-mail
*
Family Information (Parent/Guardian 2)
Parent/Guardian 2 Name
Parent/Guardian 2 Employer
Parent/Guardian 2 Position/Job
Parent/Guardian 2 Cell Phone #
Parent/Guardian 2 Work Phone #
Parent/Guardian 2 E-mail
Family Demographic Information
(For school internal data purposes only, has no influence on or relation to the Admissions process).
Religious Affiliation (if any)
Race
*
American Indian/Alaska Native
Asian
Black
Hispanic/Latino/Black
Hispanic/Latino/White
Hispanic/Latino/other
Native Hawaiian or other Pacific Islander
White
Other
Unknown/not specified
If you selected "Other" for race please specify.
Ethnic Background
*
African (specify______________), African-American, American, Asian Indian, Brazilian, Cambodian, Cape Verdean, Caribbean Islander (specify________), Chinese, Colombian, Cuban, Dominican, European, Filipino, Guatemalan, Haitian, Honduran, Japanese, Korean, Laotian, Mexican, Mexican-American, Chicano Middle Eastern (specify________), Portuguese, Puerto Rican, Russian, Salvadoran, Vietnamese, Other (specify_______________), Unknown/not specified
Language(s) spoken at home
English
Spanish
Portuguese
Cape Verdean Creole
Haitian Creole
Somali
Arabic
Other
If "Other" Language(s) spoken at home please specify.
Financial Information
Nativity is a tuition-free school, committed to serving students who come from low-income families. To determine eligibility, please bring a copy of your tax return form 1040 as a proof of income.
Does the family receive any type of transitional assistance?
*
Yes
No
If yes, please specify.
Student/Family Overview
Please answer the following questions. They will help us know your son better and determine if Nativity has the appropriate resources to best support him:
Do your child have any EI (early intervention) services?
*
Yes
No
If yes, please explain.
Has the student ever had any individual educational testing or currently has an Individualized Education Program (IEP), 504, BIP or FBA Plan?
*
Yes
No
If yes, please explain.
Does your child see a school counselor for any reason?
*
Yes
No
If yes, please explain.
What else would you like us to know about your son?
*
How did you hear about Nativity Prep?
*
Family/Friend
Sibling attends/attended Nativity
Website/Online Search
Facebook Advertisement
Bus Advertisement
School sign
Community event
Church/Faith Community
Other
If you selected "Family/Friend", "Community event", or "Church/Faith community" please specify below.
If you answered "Family/Friend", "Community Event" or "Other", please specify.
Please upload any documents here.
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