To the Parents, Guardians, and Future Students of Father Judge High School:

DIRECTIONS Please type or print all information, except signature, and complete all portions of this form. The non-refundable Registration Fee is due with this application. Payment of this fee does not imply admission.

Each year we present the following information regarding the financial operation of Father Judge High School. Our operating budget consists of three major categories. Information pertinent to each is listed below.

EXTERNAL BUDGET Consists of all tuition money that is received in the tuition office. This total sum is for-warded to the Office of Catholic Education. These funds are used to pay the salaries of all teachers and staff, to pay utilities, and to cover major building improvements.

INTERNAL BUDGET Consists of registration and activities fees that are received in the tuition office. This sum and the monies collected from fund raising activities are the major source of revenue used to operate the school for the following fiscal school year. The Registration fee is collected now so that we may be able to pay vendors for equipment, materials and services received by the school before classes begin in September.

PARISH PORTION Archdiocesan parishes also pay an assessment to help maintain the secondary schools. Parents must pay a supplemental tuition fee if the student is not Catholic, or if the student is a Catholic of another rite, or if the family is not registered in any parish, or if in the judgment of the pastor, the family is not practicing the faith or contributing to the Church according to their means.

Grade Applying For _______

Name _________________________________

Student # ______________________________

APPLICATION FOR ADMISSION 2014-2015

3301 SOLLY AVENUE, PHILADELPHIA, PA 19136-2396 • 215-338-9494WWW.FATHERJUDGE.COM

The non-refundable Registration Fee is $170.00, and is due with this Application.

The School Fee is $370, due in June 2014. The School Fee includes:

FEES FOR 2014-2015

• Laboratory fees• Library fees• Diocesan and PSAT testing fees• School calendar• Audio/Video materials

If, after applying for admission you decide to send your son to another school, then notify Father Judge High School, in writing, so that we can forward his records to that school.

• Student IDs• Entrance to the Fall Show, Winter Concert, and all home athletic games (excluding playoffs & Thanksgiving Day Game)• Workbooks

A Chance Drive fee will be charged only if a student chooses not to participate inselling the required number of chances for the Crusader Club.

Schedule a school tour or “shadow” a current student. Call ext. 1132. You can register on-line, too.

FATHERJudge HIGH SCHOOL

60 YEARS OF CRUSADER TRADITIONS1954-2014

Student Name _______________________________________________________________________________ (last) (first) (middle initial)

Student Social Security # ____________________________________ Home Phone _____________________

Street Address _____________________________________________________________ Apt. # ___________

City ________________________________________ State _____ Zip ___________- ________

Student Religion: o Catholic registered at ____________________________________________ Parish

o Non-Catholic ___________________________________________ Church/School

Date of Birth ______ /______ /______ Country of Citizenship _____________________________

Language(s) spoken at home ___________________________________________________________________

Ethnic background (for statistical purposes only)

o American Indian o Asian o African American o Hispanic o White o Other ___________

Applying for Grade o 9 o 10 o 11 o 12 Resides in School District _____________________

Present and Previous School(s) Location Grades attended

_______________________________________ _________________________ ______________

_______________________________________ _________________________ ______________

last 4 digits asfound on aUtility Bill

Mother’s Name _____________________________________________________________________________ (last) (first) (middle initial)

Father’s Name ______________________________________________________________________________ (last) (first) (middle initial)

MARITAL STATUS OF PARENTSo Married o Separated o Divorcedo Mother only living o Father only living o Both parents deceasedo Remarried (1 step-parent) o Other (explain) ___________________________________________________

Court order in place? o yes o no Judgement for tuition? o yes o no

If yes to either question, please submit copy of court order.

STUDENT INFORMATION

Has your student ever been expelled or suspended or left school for an extended period of time?

o no o yes (if yes please enclose an explanation)

Parents with a son who has special needs or concerns are encouraged to share that information with the Office of Academic Affairs, the Guidance Office or directly with your son’s teachers at the start of school.

(list all in the last four years)

FAMILY INFORMATION

PRIMARY PARENT INFORMATION (student lives with)

Name (Mr/Mrs/etc) ________________________________________ Relationship to student______________

Cell Phone # ( _________ ) - _________ - ____________ for information for our Out-Reach Program

E-Mail Address(es) ___________________________________________________________________________ This refers to the PRIMARY E-MAIL, where school related information should be sent.

Occupation _________________________________ Employer _______________________________________

Work phone # ( _________ ) - _________ - ____________ ext. ____________ o Full time o Part Time

Name of High School ___________________________________________ Year of Graduation _____________

ADDITIONAL PARENT INFORMATION (If Divorced-Separated-Remarried)

Name (Mr/Mrs/etc) ________________________________________ Relationship to student______________

Street Address _____________________________________________________________ Apt. # ___________

City ________________________________________ State _____ Zip ___________- ________

Telephone # ( _________ ) - _________ - ____________

E-Mail Address(es) ___________________________________________________________________________

Occupation _________________________________ Employer _______________________________________

Work phone # ( _________ ) - _________ - ____________ ext. ____________ o Full time o Part Time

Name of High School ___________________________________________ Year of Graduation _____________

o Yes, I would like to receive report cards and newsletters through the mail

Please list other students your family will have in School during the 2014-2015 school year. Please contact the Tuition Office for a family rate form if you will have three children in Archdiocesan high schools.

Name ___________________________________ School _____________________________ Grade _______

Name ___________________________________ School _____________________________ Grade _______

Name ___________________________________ School _____________________________ Grade _______

Name ___________________________________ School _____________________________ Grade _______

FINANCIAL AIDI will apply for financial aid based on a demonstrated need. o yes o no

I plan to apply for additional scholarships/awards. o yes o no

PARENT INFORMATION

Please indicate with a #1 for your first choice AND a #2 for your second choice

For the 2014-2015 school year, I wish my son to study:

_________ French _________ Spanish

Track 1 Honor Students will be given the option to study LATIN or GREEK in addition to another World Language

o I do not wish my son to be rostered for a language in 9th grade I would prefer concentration be placed on my son’s development of basic skills (i.e. Reading, English)

WORLD LANGUAGE COURSE SELECTION

This section must be completed for all students.

Student Name _______________________________________________________________________________ (last) (first) (middle)

Street Address _____________________________________________________________ Apt. # ___________

City ________________________________________ State _____ Zip ___________- ________

REQUEST FOR LOAN OF TEXTBOOKS FROM THE STATE

CERTIFICATE OF INDIVIDUAL REQUEST FOR LOAN TEXTBOOKSI hereby request the Secretary of Education of the Commonwealth of Pennsylvania, the loan of textbooks and instructional materials in accordance with Act 195 (1972), Act 88 (1975), and Act 90 (1975) for my child attend-ing Father Judge High School in Philadelphia, Philadelphia County, Pennsylvania.

Date _____/_____/_____ X Parent/Guardian Signature __________________________________________

PLEASE NOTE: Father Judge High School usually considers for admission only students who have demonstrated good academic, discipline, and attendance performance.

Father Judge will NOT consider for admission students with failures on their report at the time of application. Father Judge will NOT consider for admission students with a poor discipline history or who have been charged with a crime or who have charges pending at the time of admission.

Please sign below to indicate an understanding and acceptance of these policies and conditions.

X Parent/Guardian Signature _________________________________________

X Student Signature ________________________________________________

Please list church, and community volunteer activities; attach additional sheets if necessary _______________

_________________________________________________________________________________________

Please describe any scholastic distinctions and/or honors held and achieved ____________________________

_________________________________________________________________________________________

EXTRA CURRICULAR & SERVICE ACTIVITIES