Application for Admission

APPLICATION FOR ADMISSION

Please be aware that there may be a waiting list for some grades. Please check with Kim Shields, Registrar, before completing application.

Applying For Grade *

What School Year are you applying for? *

Student Information

Child's Full Name *

Child's Preferred Name

DOB *

Child's Religion *

Place of Birth *

Gender *

Male
Female

Child's Social Security # (only Enter the Last 4 numbers) *

12 of 12 Character(s) left

Ethnicity *

Hispanic
Non-Hispanic

Race *

Asian
Black
Native American / Alaskan
Native Hawaiian / Pacific Islander
White
Multi-Racial

Language Spoken At Home *

Student's Home Address *

City *

Zip *

Primary Phone *

Main Email *

Preschool Attended

School Transferring From *

School City *

School State *

School District of Residence *

Recommendation Form Permission *

I give my permission for Incarnation School to request a Recommendation Form from the school listed above.

Reason For Transfer *

SPECIAL NEEDS: Any special needs must be indicated below and a copy of the current IEP/ISP and ETR, 504 Plan, or any other special accommodation plan must be submitted with this admission application. See Admission Policy Guidelines #7. Please give information on any health issues or other concerns in the “Special Notes” section on page 3 of this Application.

Does this child have a current IEP / ISP or 504? *

Baptized *

Baptism Date

RECONCILIATION *

Reconciliation Date

FIRST COMMUNION *

First Communion Date

Church where Baptism was received?

Address

City

US States

Zip

FAMILY INFORMATION

Father's Information:

Father's First Name *

Father's Last Name *

Father's Occupation *

Father's Employer *

Father's Religion *

Parish where Father is Registered Member *

Father's Cell Phone *

Father's Work Phone *

Father's Marital Status *

Father's Email *

Is Father's Address same as the student's address listed above? *

Mother's Information:

Mother's First Name *

Mother's Last Name *

Mother's Maiden Name *

Mother's Occupation *

Mother's Employer *

Mother's Religion *

Parish where Mother is Registered Member *

Mother's Cell Phone *

Mother's Work Phone *

Mother's Marital Status *

Mother's Email *

Is Mother's address the same as the student's address listed above? *

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PROOF OF CUSTODY

For all two-household families (divorced, separated, or single parents) and guardianship situations, Incarnation School requires a copy of the most current CUSTODY AGREEMENT AND COURT ORDER to be kept in the student’s confidential file. Due at the time of application for admission, this paperwork is required to confirm the enrolling adult’s legal right to enroll the student in school. Custody information portion only is required; NO financial information is requested. Enrollment cannot be completed without proof of custody. Please complete the information below for guardianship situations.

Is this child part of a two-household family (divorced, separated, or single parents) or have any other guardianship situation? *

Are planning to apply for a new Ohio EdChoice scholarship or transfer an existing EdChoice scholarship *

STUDENT PHOTO & PUBLICATION PARTICIPATION *

I GIVE PERMISSION
I DO NOT GIVE PERMISSION

Siblings Names And Ages *

Incarnation School Alumni *

WHERE DID YOU LEARN ABOUT INCARNATION SCHOOL *

PARISH BULLETIN
FRIENDS or FAMILY
SOCIAL MEDIA
WEBSITE
OTHER

ADDITIONAL INFORMATION *

I would like to pay my registration fee: *

Online

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IMPORTANT NOTE FROM THE ARCHDIOCESE OF CINCINNATI

Refusing to provide requested information to the school, or providing false, incomplete, or inaccurate information to the school, may result in the denial or revocation of admission and/or disciplinary action, up to and including suspension and expulsion.

Incarnation School abides by the teachings and rules of the Catholic Church, and Faith is integrated into all aspects of the school's activities. According to the Catholic Faith, a person's sexual identity is rooted in one's biological identity as male or female. Incarnation School considers the gender of all students as being consistent with their biological sex, including participation in school athletics and teams, school-sponsored dances, dress and uniform policies, the use of changing facilities, showers, locker rooms, sleeping accommodations on trips, titles, names and pronouns, and school records.

Incarnation Application For Admission