Online Application

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Candidate requests admission for:

Grade: *

Semester: *

Year *

First Name: *

Middle Name:

Last Name: *

Gender *

Date Of Birth: (MM/DD/YYYY) *

Current Age *

Street: *

City: *

State/Province:

Zip Code:

Email *

Phone: *

Social Security Number:

Birth Place: *

Country of Citizenship *

Present School

School Name:

Street:

City:

State/Province:

Zip Code:

Country

Principal

Phone:

Years Attended:

Previous School

Have you ever attended another Kansas school: *

Month and Year First Attended (If Answered 'Yes' to Previous Question)

School Name:

Street:

City:

State/Province:

Zip Code:

Country

Principal

Phone

Years Attended:

School Name:

Ethnic/Religious Background

Ethnicity

Religion: (Please specify)

Parish/Church Name (If applicable)

Parish/Church City (If applicable)

Parish/Church State (If applicable)

Father's Information

Father's Name:

Home Address

City:

State/Province:

Home Phone:

Email:

Employer:

Occupation:

Work Address:

City:

State/Province:

Zip Code:

Work Phone:

Email Address:

Mother's Information

Mothers's Name:

Home Address

City:

State/Province:

Home Phone:

Email:

Employer:

Occupation:

Work Address:

City:

State/Province:

Zip Code:

Work Phone:

Email Address:

Other:

Other Children in the Family

Are there other children in the applicant's family?

Name:

Age:

School:

Name:

Age:

School:

Name:

Age:

School:

Name:

Age:

School:

Name:

Age:

School:

Thomas More Prep-Marian Alumni in the Family

Name:

Relationship:

Year Graduated:

Name:

Relationship:

Year Graduated:

Name:

Relationship:

Year Graduated:

Primary Correspondence

Last Name:

First Name:

Middle Name:

Street:

City:

State/Providence:

Zip Code:

Country

Secondary Correspondence

Last Name:

First Name:

Middle Name:

Street:

City:

State/Providence:

Zip Code:

Country

Additional Information (optional)

Please let us know any additional information you feel is important