Application

Student Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Date of Birth REQUIRED Please fill out this field. Please enter a date.

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Current Elementary or Middle School REQUIRED Please fill out this field. Please enter valid data.

Current Grade Please enter valid data.

Has anyone in your family ever attended Cathedral High School? REQUIRED Yes No Please fill out this field.

If yes, please tell us their name, relation and graduation year. Please enter valid data.

Areas of Interest - Check all that apply Medical Gateways Law AP Classes Sports STEM (Science, Technology, Engineering, Math) Buddy Day Extracurricular Activities Band

Other: Please enter valid data.