Application for Admission

Parents please note, applications are not considered complete until we receive copies of the documents listed below.  These can be brought or mailed to the school office, or attached at the end of this application.
  • Birth Certificate
  • Baptism Certificate
  • Immunization Record
  • Standardized Tests (from previous year)
  • Report Cards (from previous and current year)
  • Social Security Card
 
Click here to complete the online application


First Name
Middle Name
Last Name
Goes By
School Year Applying For
Other Year:
Grade Level Applying For
Current Address
City
State
Zip Code
Home Phone
Parent`s e-mail address
Include in directory?
Social Security Number
Gender
Birthdate
Race
Child number
of how many children?
Is a sibling currently enrolled at St. Jean Vianney School?
Please list any sibling(s) and grade(s) or other relatives enrolled at SJV in 2011-2012 school year.
Name(s) and Grade level(s)
Religious Affiliation
Registered Church Parish
Geographical Parish (in which child lives)
Subdivision (in which child lives)
Father`s Name
Mother`s Name
Parents are
Student resides with
Are you considering Extended Care?
If yes, in the:
Person(s) responsible for tuition payment
Current Address
City, State and Zip Code
Please list any brothers and/or sisters under the age of 13.
Name; Date of Birth; School and grade in 2011-12
Have any siblings graduated from St. Jean Vianney School?  If so, please list name(s) and year(s) graduated.
Name(s); Year(s) graduated
Are you [Applicant's parent(s)] at St. Jean Vianney alumnus?  If so, please list year graduated.
Year of graduation
Sacraments :
 
Place indicate which sacraments your child has received, then foward a copy of all sacrament certificates, especially Baptismal certificate, to the school office.
Baptism
Date of Baptism
Baptismal Church
City, State
Reconciliation
Date of Reconciliation
Reconciliation Church
City, State
First Communion
Date of First Communion
First Communion Church
City, State
Please list any schools, with addresses, in which the applicant previously attended (including pre-school).
Previous Educational Information
Parish Life:
 
As a parent(s) or guardian(s), I participate in the financial stewardship of St. Jean Vianney, St. Parick, or Immaculate Conception church parishes as an identified contributor as determined by the regular use of church envelopes in the Sunday collection. To be an identified contributor, a family must have contributed $250 or more throughout the fiscal year ending 12/31/11.
Parish Life
Other Parishes
Comments
As parent(s) or guardian(s), I am actively involved in the ministries of my church parish.
Church Ministry
Please list your current church ministry activities.
Ministry Activities
As a Catholic parent(s) or guardian(s), I participate in the stewardship of prayer in my church parish by the weekly celebration of the Eucharist. Such participation is part of my obligation and privilege promised at my child's baptism to see that he/she practices the Catholic faith.
Weekly celebration of the Eucharist
Comments
If your child is currently in public school, has he/she attended the Parish School of Religion?
Parish School of Religion
If yes, for how many years?
Please briefly explain why you want your child to attend St. Jean Vianney
Medical Information:
Has your child had an educational evaluation done?
If yes, please forward a copy of the evaluation to the school office.
Applicant`s Doctor
Doctor`s phone number
Allergies
Is child taking any medication?
If yes, please explain:
In case of illness or emergency during school hours, please list names and local phone numbers of three people the school office can contact if parents cannot be reached. 
Emergency Contact 1: Name/Relationship; Phone number
Emergency Contact 2: Name/Relationship; Phone number
Emergency Contact 3: Name/Relationship; Phone number
Family Contact Information
 
Father`s Last Name
Father`s Middle Initial
Father`s First Name
Please complete if different from student's information.
Father`s Current Address
Father`s Home phone
Father`s E-Mail Address
Father`s Work Number
Father`s Cell Phone Number
Father`s Occupation
Father`s Employer
Father`s Registered Church Parish
Father`s Religious Affiliation
Can we include this information in the school directory?
Is Father identified as a Stewardship Giver?
Student`s Paternal Grandparents` Names
Paternal Grandparents` Address
Paternal Grandparents` Home Phone
Paternal Grandparents` E-Mail
Mother`s Last Name
Mother`s Middle Initial
Mother`s First Name
Complete if different from student's.
Mother`s Address
Mother`s Home Number
Mother`s E-Mail Address
Mother`s Work Number
Mother`s Cell phone number
Mother`s Occupation
Mother`s Employer
Mother`s Registered Church Parish
Mother`s Religious Affiliation
Can we include this information in the school directory?
Is mother an identified Stewardship giver?
Student`s Maternal Grandparents` Names
Maternal Grandparents` Address
Maternal Grandparents` Phone
Maternal Grandparents` E-Mail
Stepfather`s Last Name
Stepfather`s Middle Initial
Stepfather`s First Name
Stepfather`s Current Address
Stepfather`s Home phone number
Stepfather`s E-mail address
Stepfather`s Work number
Stepfather`s Cell number
Stepfather`s Occupation
Stepfather`s Employer
Stepfather`s Registered Church Parish
Stepfather`s Religious Affiliation
Is stepfather an identified Stewardship giver?
Stepmother`s Last Name
Stepmother`s Middle Initial
Stepmother`s First Name
Stepmother`s address
Stepmother`s Home phone number
Stepmother`s e-mail address
Stepmother`s Work phone number
Stepmother`s Cell phone number
Stepmother`s occupation
Stepmother`s Employer
Stepmother`s Registered Church Parish
Stepmother`s Religious Affiliation
Is stepmother an identified Stewardship giver?
I agree that any photographs, audio, video, artwork, or writings of or by my child may be used by St. Jean Vianney School and/or the Catholic Schools Office for the Diocese of Baton Rouge.  I understand that the above medias may be used for instruction, teaching, advertising, public relations, published in newsletters and/or newspapers, and may appear on local television stations for our school or the Diocese of Baton Rouge.
Consent Release
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