Application For Admission

Payment of the $175.00 Application, Registration and Assesment Fees must accompany this application. You can call our office at 631-242-5359 ext.351 to arrange payment.

Please indicate N/A or Unknown for required fields if information is not known or does not apply to your situation. This online application is one of four pages and starts your application process immediately. You can print out and complete the remaining documents from our website and bring them with you to you first interview with our principal.

* Note: racial data is required by the NYS Ed. Dept. for reporting purposes. It has no bearing on admissions decisions.

 

Application For Admission Page 1
Application Date
School Year
Grade Entering
Student's Last Name
Student's First Name
Student's Middle Name
Student's Home Address
City
State
Zip Code
Home Telephone Number
Student's Home Public School District
Student's Place of Birth
Student's Date of Birth
Age
Gender Male
Female
Race
Father's Full Name
Father's Employment
Father's Work Phone
Father's Cell Phone
Mother's Full Name
Mother's Employment
Mother's Work Phone
Mother's Cell Phone
Parental Status Parents Living Together
Father Deceased
Mother Deceased
Parents Separated
Parents Divorced
Name of Parent(s) or Guardian(s) with Whom Child Lives
Preferred Family E-Mail Address
Names and Ages of All Other Children Living at Home
Church Attending
Address of the Church
City
State
Zip Code
Pastor's Name
Church Phone Number
Is Father a Christian? Yes
No
Is Mother a Christian? Yes
No
Has Stdent Made a Profession of Faith? Yes
No