St. Valentine Entrance Inquiry

Student Information

Legal Name (First, Last)
Preferred Name/Nickname
Mailing Address
Phone number
Date of Birth
GenderMale Female
Grade applying to enter
Current school
Faith Affiliation
Parish/Church
Siblings who have attended
St. Valentine School

Parent/Guardian Information

FatherName
Mailing Address
Phone
E-Mail Address
MotherName
Mailing Address
Phone
E-Mail Address
GuardianName(s)
Mailing Address
Phone
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 Tuition Assistance Deadlines
Accreditation Special Needs Programs
After/Before School Programs Teacher Qualifications
Athletics Technology
Curriculum Test scores
Extracurricular Activities
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

Thank you for your interest in St. Valentine School