Application for Admissions School Year: Class of 2020

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For Office Use Only: Date Received: Administration Fr. Tom Schrader, President Ms. Karen Hopson, Principal Mr. Michael Beaven, Vice Principal/ Dean of Students 708 N. 18th Street Kansas City, KS 66102 Admissions Kathleen Powell Moreno, Admissions Application for Admissions 2016-2017 School Year: Class of 2020 Student Information Student Name First Middle Last Home Address City State Zip Code Student Phone Number Birthdate Month/Date/Year 2015-2016 Grade Student email School Currently Attending Student lives with (please check appropriate box): Both parents Mother Father Other: Religion (for statistical purposes) Parish Can student speak and/or read Spanish? Yes No Students who have marked YES will be given a written Spanish test to determine appropriate class placement. Why would you like to attend Bishop Ward High School? What is your current Grade Point Average (GPA)? Please list the activities in which you have participated?

For Office Use Only: Date Received: Administración Fr. Tom Schrader, President Ms. Karen Hopson, Principal Mr. Michael Beaven Ass t Principal 708 N. 18th Street Kansas City, KS 66102 Admisión Fax: 913-371-2145 Email: kpowellmoreno@wardhigh.org Aplicación para Admisión Año Académico 2016-2017 : Clase del 2020 Información del estudiante Nombre del estudiante: Primer nombre Segundo nombre Apellido(s) Dirección: Calle Ciudad Estado Código Postal Teléfono del estudiante Fecha de nacimiento mes/día/año Grado en el 2015-2016 E-mail del estudiante Escuela que atiende actualmente El estudiante vive con: (Por favor marque correctamente): Ambos padres Madre Padre Otros: Religión (para procesos estadísticoa) Parroquia a la que asiste Puede el estudiante hablar y/o leer español? Sí No Estudiantes que marcan SI deberan tomar un examen de español para determinar su nivel apropiado Por que le gustaría attender Bishop Ward High School? Cuál es su promedio actúal en sus grados (GPA)? Por favor escribe las actividades en las que participa?

Parent/Guardian Information Father/Guardian: Father/Guardian Name First Middle Last Home Address City State Zip Code Home Phone Cell Phone Work Phone Place of Employment Position/Title Father/Guardian Email Mother/Guardian: Mother/Guardian Name First Middle Last Home Address City State Zip Code Home Phone Cell Phone Work Phone Place of Employment Position/Title Mother/Guardian Email Who should receive general information? (please check appropriate box): Both parents Mother Father Other: How do you prefer to receive information? Spanish English Sibling Names and Schools Attending Name Grade School Name Name Grade School Name Name Grade School Name

Informacion de los padres /tutores Nombres del Padre ó Tutor: Primer nombre Segundo nombre Apellidos Dirección de la residencia Ciudad Estado Código postal Teléfono de casa Teléfono celular Teléfono del trabajo Lugar de empleo Posición-título E mail del padre o tutor Nombres de la madre ó tutora Primer nombre Segundo nombre Apellidos Dirección de la residencia Ciudad Estado Código postal Teléfono de casa Teléfono celular Teléfono del trabajo Lugar de empleo Posición-título E mail del padre o tutor Quien debería recibir la información general? (Por favor maque el cuadro respectivo): Ambos padres Madre Padre Otros: En que idioma prefiere recibir la información Español Inglés Nombres de hermanos y las escuelas a las que atienden: Nombre Grado Nombre de la escuela Nombre Grado Nombre de la escuela

708 N. 18th Street Kansas City, KS High School Placement Test Registration (for Incoming Freshman Only) The High School Placement Test is a requirement for Admissions to Bishop Ward High School. Date: Saturday, January 23, 2016 Time: 8:30 am-1:00 pm Cost: FREE IF completed Application is received in the BWHS Office by December 11, 2015 Cost: $13.00 After December 11, 2015 Application Requirements: Completed Application by December 11, 2015 High School Placement Test Score Review of Middle School behavior and attendance I understand that my child needs to take the High School Placement Test to be considered for admissions to Bishop Ward High School. Parent Signature: Date:

708 N. 18th Street Kansas City, KS Nombre Grado Nombre de la escuela REGISTRACIÓN PARA EL EXAMEN DE UBICACIÓN DE NIVEL DE LA ESCUELA (para los estudiantes del primer año solamente) EL EXAMEN DE UBICACIÓN DE NIVEL ES UN REQUISITO PARA LA ADMISIÓN A BISHOP WARD HIGH SCHOOL Día: Sábado, 23 de enero del 2016 Hora: 8:30 am-1:00 pm Libre de costo: Solo SI se recibe la Aplicación completa en las oficinas de BWHS hasta el 11 de diciembre del 2015 Costo: $13.00 Después del 11 de diciembre del 2015 Requerimientos para la aplicación: Aplicación completa para el 11 de diciembre del 2015 Resultado del Examen de ubicación de nivel Revisión de comportamiento y asistencia de la Escuela Intermedia Entiendo que mi hijo(a) necesita tomar el Examen de ubicación de nivel para poder ser considerado admitido en la Escuela Secundaria Bishop Ward. Firma del padre ó madre: Fecha:

708 N. 18th Street Kansas City, KS Student Records Request FOR OFFICE USE ONLY: Student First Middle Last Birthdate Current Grade School Name Phone/Fax # Instructions for School Office: Please send the requested records by mail or fax to: Office of Admissions Bishop Ward High School 708 N. 18th Street Kansas City, Kansas 66102 FAX # 913-371-2145 Bishop Ward High School hereby requests all of the following school records: Attendance Discipline Standardized Test Scores Grades Parent/Guardian Signature Date BWHS Admissions Date Parental permission is no longer required when authorized school personnel request records. FAMILY EDUCATIONAL AND PRIVACY ACT, FINAL RULE on EDUCATIONAL RECORDS, REDERAL REGISTRAR, JUNE 17, 1976. Vol. 41, No. 188, page 2467

708 N. 18th Street Kansas City, KS Student Records Request Solicitud de Registros del Estudiante FOR OFFICE USE ONLY: Instructions for School Office: Please send the requested records by mail or fax to: (Por favor envíar la solicitud de registros por correo ó fax a:) Office of Admissions Bishop Ward High School 708 N. 18th Street Kansas City, Kansas 66102 FAX # 913-371-2145 Bishop Ward High School hereby requests all of the following school records: Bishop Ward High School sublimente require los siguientes archivos : Attendance. Atendencia Discipline Disciplina Standardized Test Scores Examenes estandarizados Grades Parent/Guardian Signature Firma del padre ó tutor BWHS Admissions / Admisiones Date / Fecha Date / Fecha Parental permission is no longer required when authorized school personnel request records. FAMILY EDUCATIONAL AND PRIVACY ACT, FINAL RULE on EDUCATIONAL RECORDS, REDERAL REGISTRAR, JUNE 17, 1976. Vol. 41, No. 188, page 2467