St. Valentine Entrance Inquiry
Student Information
Legal Name (First, Last)
Preferred Name/Nickname
Mailing Address
Phone number
Date of Birth
Gender
Male
Female
Grade applying to enter
Current school
Faith Affiliation
Parish/Church
Siblings who have attended
St. Valentine School
Parent/Guardian Information
Father's Name
Father's Mailing Address
Father's Phone
Father's E-Mail Address
Mother's Name
Mother's Mailing Address
Mother's Phone
Mother's E-Mail Address
Guardian's Name(s)
Guardian's Mailing Address
Guardian's Phone
Guardian's E-Mail Address
How did you hear about St. Valentine School?
Please check all that apply
Newspaper
(Which?
)
Magazine
(Which?
)
Radio station
(Which station?
)
Billboard
(Where?
)
Referral
(Who?
)
Other
(Please specify
)
What are you most interested in learning about St. Valentine School?
Please check all that apply
Academics
Gifted/Talented Programs
Accreditation
Special Needs Programs
After/Before School Programs
Teacher Qualifications
Athletics
Technology
Curriculum
Test scores
Extracurricular Activities
Transportation
Tuition Assistance
What additional information do you need about St. Valentine School before you can make a decision about enrolling?
What is the best day/time and method (phone, e-mail or regular mail) to follow up with you?
Day(s):
Time(s):
Phone
E-Mail
Regular Mail
What other educational options are you considering in addition to St. Valentine School?
Public school
Charter School
Private School
Other Catholic school
Homeschool
Would you like us to provide you with scholarship and other financial aid options available at St. Valentine School?
Yes
No
Thank you for your interest in St. Valentine School