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CURRENT SIBLING IN SCHOOL

Siblings First Name

Siblings Last Name

Grade

Birth Date

GenderMaleFemale

STUDENT

Student's First Name

Student's Last Name

Grade Entering

Religion of Applicant

Home Phone *

MOTHER

Mother's First Name *

Mother's Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Cell Phone *

Occupation

Business Phone

Mother's Employer First Name

Mother's Employer Last Name

Religion of Mother

Email Address *

FATHER

Father's First Name

Father's Last Name

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Cell Phone *

Occupation

Business Phone

Father's Employer First Name

Father's Employer Last Name

Religion of Father

Email Address *

If parents do not reside together, with whom does the applicant reside?MotherFatherOther Legal Guardian

If “Other Legal Guardian”, please provide name and address

Who pays child’s tuition?

How do you plan to pay child’s tuition?Annual payment4 Quarterly payments10 Monthly payments

PREVIOUS SCHOOL ATTENDED BY APPLICANT

Name of School

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Has the applicant been tested by a school psychologist or child study team, or by an independent educational consultant?YESNO

If yes, please describe the nature of the testing

Does the applicant have any of the following?IEPISPIIP

Why do you want your child to attend Hoboken Catholic Academy?

Do you plan to have your child attend HCA through Grade 8?YESNO

FOR CATHOLICS

Which sacraments has the applicant received?

BaptismYESNO

Date

Church

City

State/Province

First PenanceYESNO

Date

Church

City

State/Province

First CommunionYESNO

Date

Church

City

State/Province

ConfirmationYESNO

Date

Church

City

State/Province

An Application Fee of $50 is Required

2026-2027 Application

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