St. Peter Faber Academy Application

Academic Year
Date of School Tour mm/dd/yyyy Date of School Tour mm/dd/yyyy / MM / DD YYYY
Please indicate which program your student is applying to for enrollment.
Your child must be three years of age before October 1st of the enrolled academic year.

Your child must be three years of age before October 1st of the enrolled academic year. Age 3 Age 4 Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Lower Elementary (6-9 YRS.)

Lower Elementary (6-9 YRS.) Grade 1 Grade 2 Grade 3
Upper Elementary ( 9-12 YRS.)

Upper Elementary ( 9-12 YRS.) Grade 4 Grade 5 Grade 6
Middle School (12-14 YRS.)

Middle School (12-14 YRS.) Grade 7 Grade 8
Applicant Information
Child's First Name
Child's Middle Name
Child's Last Name
Nickname
Birth Date Birth Date / MM / DD YYYY
Gender

Gender Male Female
Does child have a sibling (s) who is also applying?

Does child have a sibling (s) who is also applying? Yes No
If child has a sibling(s) also applying list name(s) here:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Contact Phone
Ethnicity

Ethnicity African American Asian/ Pacific Islander Caucasian Hispanic American Indian/Alaskan Other Prefer not to respond
Other Ethnicity
Current school attending
How many years?
Child currently lives with?
Name, Age, and School Attending of Sibling #1
Name, Age, and School Attending of Sibling #2
Family Information

Parent /Guardian
Name Name First Last
Home Address of Parent/Guardian, if different than applicant Home Address of Parent/Guardian, if different than applicant
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Profession
Phone
Email
Are you a member of Bellarmine Parish?

Are you a member of Bellarmine Parish? Yes No
Does your child currently attend the Xavier University Montessori Lab School?

Does your child currently attend the Xavier University Montessori Lab School? Yes No
What school/school district does your child attend?
Parent /Guardian
Name Name First Last
Home Address, if different than applicant Home Address, if different than applicant
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Profession
Cell Phone
Email
St. Peter Faber Academy is dedicated to creating a balanced age group in each classroom, where each student feels a sense of belonging. We are also dedicated to ensuring we can support children in their educational journey and to become life-long scholars. Please provide additional information as requested.
Why do you want your child to attend St. Peter Faber Academy?
What are your child’s strengths and interests?
What are your child’s challenges or difficulties?
Does your child have any emotional, behavioral or physical needs that the school should be aware of?
Has your child received or in need of any of the following:

Has your child received or in need of any of the following: IEP Speech/ Hearing theraphy Occupational therapy Physical therapy Other None
Please explain if you selected "Other":
If your child is accepted into St. Faber, please indicate below your intention for continuous enrollment:

If your child is accepted into St. Faber, please indicate below your intention for continuous enrollment: Age 3 Age 4 Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
How did you hear about St. Peter Faber Academy?

How did you hear about St. Peter Faber Academy? Friends Family Current Sibling Attendance XU student/ faculty/Staff Other
Please explain if you selected "Other":
Please use the space below to share information that would provide additional insight into your child.

St. Peter Faber Academy Application

Please indicate which program your student is applying to for enrollment.

Applicant Information

Family Information

Parent /Guardian