Admission Form

1

Student Information

2

Parents/Guardians Information

3

Additional Income in the Household

4

Student Academic History

5

Finish

E-mail Address

Please provide an e-mail address we can reach out at throughout the application process. This should be an e-mail address that you check regularly.

Student First Name*

Student Last Name*

Student Middle Name

Applying for Grade*

Gender*

Female
Male
Prefer to Self-Describe

Optional Gender Description

Race/Ethnicity*

Religion*

We describe ourselves at Cristo Rey Philadelphia High School as “… a Catholic school for students of all faiths." Our faith is invigorated by working together - with and for people of different faiths - in the hope of creating a better world for all. We encourage and welcome families of all faiths to apply. This information is used to gain a better understanding of our student body so that we can better serve our students and families.*

Student Religion Details

Birth Date (Student)*

City of Birth*

Do you have another student (sibling) currently enrolled at Cristo Rey?

Yes
No

Provide sibling name, if applicable*

Target Graduation Year

Street Address*

City

Zip Code

State

Did the student receive the COVID-19 Vaccine?

*Cristo Rey Philadelphia High School does require every student to receive the COVID-19 vaccine upon enrolling

Yes
No
Received First Shot