international – online application Admissions – Online Application International PROGRAM REQUESTSession Year*2023 – 20242024 – 20252025 – 2026Applying for Grade*7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeSTUDENT INFORMATIONStudent – First Name* Student – Middle Name or Initial Student – Last Name* Student – Preferred Name Student's Birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student's T-Shirt Size*Youth – SmallYouth – MediumYouth – LargeYouth – XLargeAdult – SmallAdult – MediumAdult – LargeStudent PhotoMax. file size: 256 MB.Please upload a most recent photo. PassportMax. file size: 256 MB.Please upload a copy of the photo page of the student’s passport.ADDRESS INFORMATIONPermanent – Home Address*Mailing Address – Where All School Mailings Will Be Sent*DEMOGRAPHIC INFORMATIONStudent's Religion*BaptistBuddhistCatholicChristianEpiscopalianHinduJehovah's WitnessJewishLutheranMethodistMormonMuslimNo religious identityNon-DenominationalOtherPentecostalPresbyterianProtestantIf "Other" – Please Name Your Religion* Student Presently Resides With*Mother & FatherAdoptive Parents – Mother & FatherFatherFather & StepmotherGodparentsGrandparentsGuardianMotherMother & StepfatherOtherSeparate Households – Equal Time Between ParentsIf "Other" – Please Indicate Who Student Resides With* Native Language*ArabicBengaliChineseEnglishFrenchGermanHindiJapaneseKoreanOtherPortugueseRussianSpanishVietnameseIf "Other" – Please Indicate Native Language* Country of Birth*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsIf Other, Identify Country of Birth CITIZENSHIP INFORMATIONCountry of Citzenship*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsIf Other, Identify Country of Citzenship Does the student currently hold a valid Form I-20?*Yes, he has a valid Form I-20NoFrom what school? School Address Street Address City State / Province / Region ZIP / Postal Code STUDENT EDUCATION INFORMATIONCurrent Grade*6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCurrent School* Start Date of Present School*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grades Attended*Current School Contact (principal, headmaster, counselor, etc)* Current School Contact Email Address Current School Mailing Address*Current School Phone NumberFAMILY INFORMATIONPRIMARY PARENT / GUARDIANSalutation*Dr.Mr.Mrs.Ms.Prof.Rev.Primary Parent / Guardian Name* First Last Primary Parent / Guardian Relationship to Student*AuntCousinFatherGrandfatherGrandmotherGuardianMotherOtherStepfatherStepmotherUnclePrimary Parent / Guardian Custody*YesNoIf Other, Identify Relationship* Primary Parent / Guardian Email* Primary Parent / Guardian PhoneHiddenPrimary Parent / Guardian PhonePrimary Parent / Guardian Employer Primary Parent / Guardian Occupation Primary Parent / Guardian WhatsApp Number Primary Parent / Guardian WeChat Number SECONDARY PARENT / GUARDIANSalutationDr.Mr.Mrs.Ms.Prof.Rev.Secondary Parent / Guardian Name First Last Secondary Parent / Guardian Relationship to StudentAuntCousinFatherGrandfatherGrandmotherGuardianMotherOtherStepfatherStepmotherUncleIf Other, Identify Relationship* Secondary Parent / Guardian CustodyYesNoSecondary Parent / Guardian PhoneSecondary Parent / Guardian Email Secondary Parent / Guardian Employer Secondary Parent / Guardian Occupation Secondary Parent / Guardian WhatsApp Number Secondary Parent / Guardian WeChat Number SAINT STANISLAUS CONNECTION(S)Name – Connection #1 First Last RelationshipBrotherCousinCoworkerFatherFriendGrandfatherOtherUncleIf Other, Identify Relationship* Class Of Name – Connection #2 First Last RelationshipBrotherCousinCoworkerFatherFriendGrandfatherOtherUncleIf Other, Identify Relationship* Class Of Name – Connection #3 First Last RelationshipBrotherCousinCoworkerFatherFriendGrandfatherOtherUncleIf Other, Identify Relationship* Class Of HiddenFamily RelationshipPotential StudentSTUDENT ACADEMIC & DISCIPLINE HISTORYHas the student ever been placed on probation, suspended, expelled, or not allowed to return to any school?* Yes No Has the student ever been placed on probation by a court?* Yes No Does the student have any type of substance abuse record?* Yes No If you answered "yes" to any of the previous 3 questions, please explain here:Has the student been diagnosed with a learning difference?* Yes No If "yes", please explain here:If "yes", please attach a copy of an official evaluation / diagnosis to this application that is no more than three years old.Max. file size: 256 MB.Has the student skipped or repeated a grade?* Yes No Is there anything else about the student's schooling that we need to know?EXTRACURRICULAR INTERESTSATHLETICSBaseball Yes Basketball Yes Cross Country Yes eSports Yes Football Yes Golf Yes Lacrosse Yes Sailing Yes Soccer Yes Swimming Yes Tennis Yes Track & Field Yes HiddenAthletics Baseball Basketball Cheer Cross Country eSports Football Golf Lacrosse Sailing Soccer Swimming Tennis Track & Field CLUBSAmateur Radio Club Yes Arts & Ceramics Yes Band & Music Yes Board Games Yes Campus Ministry Yes Chess Yes Drama Club Yes Environmental Club Yes Key Club Yes Magic Club Yes Mu Alpha Theta Yes Natl Honors Society Yes Radio Club Yes Robotics Yes Yearbook Yes Youth Legislation Yes HiddenClubs Amateur Radio Club Band Drama Club Environmental Club Fellowship of Christian Athletes International Club Key Club Magic Club Mu Alpha Theta Radio Control Club Robotics Student Ministry Varsity Quiz Bowl Yearbook PARENT STATEMENTHow do you hope that Saint Stanislaus can help your son and your family?*What do you believe your son might contribute to the Saint Stanislaus school community?*If there are additional details or comments you wish to share with us about your son, please do so here.RECOMMENDATIONSName of Reference #1* First Last Please share two school officials who can complete recommendation forms for your son.School* Title* Email* PhoneName of Reference #2* First Last School* Title* Email* PhoneRELEASE OF INFORMATIONI, the undersigned, do hereby request that you release to Saint Stanislaus an unofficial copy of the following school records for my son.Student's Name* First Last Please supply as much of the following information as possible: *Grades and credits received for the current year and all previous years while enrolled; *Discipline record for the current year and all previous years while enrolled; *Standardized test scores; *Recommendation form filled out by a teacher, counselor, or principal; *Special Needs Recommendation if applicable (IEP, 504, etc.).I also authorize Saint Stanislaus to contact you by phone, email, fax, or mail to request other information about my son’s academic and discipline history.A prompt response to this request is appreciated. First and Last Name of Parent/Guardian* First Last Date* MM slash DD slash YYYY Electronic Signature AgreementBy selecting the “I Consent” button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting “I Accept” you consent to be legally bound by this Agreement’s terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Saint Stanislaus or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as “E-Signature”), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Saint StanislausConsent* I do hereby request that you release to Saint Stanislaus my son’s school records including courses and grades, test scores, written evaluations, attendance records, and other requested documents. I also authorize Saint Stanislaus to contact you by phone, email, fax, or mail to request other information about my son’s academic and discipline history.