Student Last Name
Enrollment Application
Grade applying for in 2014-2015:
○ 3 Year Old Preschool – 3 half days
○ 4 Year Old Preschool – 3 half days
○ 3 Year Old Preschool – 5 half days
○ 4 Year Old Preschool – 5 half days
○ Young Fives, Formally Jump Start ○ Kindergarten ○ 1st ○ 2nd ○ 3rd ○ 4th ○ 5th ○ 6th ○ 7th ○ 8th
Student Legal Name (Last, First, Middle)
Gender
Street Address
City
State
Home Phone
Date of Birth
Zip Code
Child lives with
Public school district where student resides:
Religion of Child:
Church or Parish Family Attends:____________________________________ City of Church/Parish: ____________
Sacraments Received:
○ Baptism (Church/Date) ________________
○ First Communion (Church/Date) _______________
Ethnic Origin:
○ American Indian/Alaskan Native
○ Hispanic
○ Native Hawaiian
○ First Reconciliation (Church/Date) ________________
○ Confirmation (Church/Date) _______________
○ Asian/Pacific Islander
○ Multi-Racial
To be included in the School Directory please check the appropriate box:
Parent 1
Name
Street Address
○ African American
○ White/Non-Hispanic
○ Yes
○ No
Religion
City
State
Zip Code
Please mark the circles below if you DO NOT want these numbers or email address used for the School Reach notification system.
○Home Phone #
○ Email
○ Cell #
○ Work #
Spouse’s Name
Marital Status
Occupation
Place of Employment
______ Yes, I have attended a Protecting God’s Children Workshop in _________(year).
Parent 2
Name
Street Address
Religion
City
State
Zip Code
Please mark the circles below if you DO NOT want these numbers or email address used for the School Reach notification system.
○Home Phone #
○ Email
Occupation
○ Cell #
Marital Status
○ Work #
Spouse’s Name
Place of Employment
______ Yes, I have attended a Protecting God’s Children Workshop in _________(year).
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Names of other children living in the home:
Name
Gender
Date of Birth
Name
Gender
Date of Birth
Name
Gender
Date of Birth
Non Discrimination Policy: In accordance with Christian principles, the Monroe Catholic Elementary Schools admit students of any
gender, race, color, or ethnic origin to all the rights, privileges, programs, and activities. In addition, the school will not discriminate on
the basis of gender, race, color, or ethnic origin in administration of its educational policies, scholarships, athletics, fee waivers, and
extracurricular activities. In addition, the school is not intended to be an alternative to court administrative agency ordered, or public
school district initiated desegregation.
The philosophy of Monroe Catholic Elementary Schools concerning admission is based on the belief that children have diverse
capabilities and individual patterns of growth and learning. Because resources for special educational services are limited, we cannot
always meet the special needs of some students. In this situation, every effort will be made to assist the family with enrollment in
another Catholic school, or public school, offering specialized programs to meet individual needs.
A Parent Handbook, containing MCES policies, guidelines, and procedures, and a School Directory, listing addresses, phone numbers,
and class lists, will be revised yearly and available to all school families. Your signature on the school enrollment application indicates
that you have received, read, and agree to abide by MCES policies, procedures, and guidelines.
Please sign below to indicate that you have read this form. Each parent, as a natural guardian of his/her child, is presumed to have
full authority regarding tuition, record release and enrollment, unless a court order restricts their authority. If custody is given by the
courts to one parent, that parent has responsibility for communication and financial obligation. The Buckley Amendment requires that
non-custodial parents be given information about the student’s progress in school as well as unofficial copies of report cards unless
there is a court order to the contrary.
For New students to be considered officially enrolled at MCES the following documents must be included with
this application:



Copies of the NEW student’s most recent report card and standardized test scores
Copies of the Baptismal certificate
Copies of the Birth certificate
For all students, Michigan law requires that proof of up-to-date vaccinations be on file prior to the start of school.
Students new to the school are accepted on probation to make sure that educational placement at MCES meets
academic/behavioral needs.
Print Mother’s Name
Mother’s Signature
Date
Print Father’s Name
Father’s Signature
Date
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