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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 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
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*
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
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?*
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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NATIVITY PREP APPLICATION

Student Information

Family Information (Parent 1)

Family Information (Parent/Guardian 2)

Family Demographic Information

Financial Information

Student/Family Overview