Personal Information

Applying for Grade:*

9 10 11 12

School Yearrequired

Student Legal First Namerequired

Student Legal Last Namerequired

Preferred Name

Date of Birthrequired (mm/dd/yyyy)

Gender*

M F

Country of Birthrequired

Country of Citizenshiprequired

Religionrequired

Does this student speak and understand English well?*

Yes No

Student U.S. Addressrequired

Address 2

Cityrequired

Staterequired

Ziprequired

Family Information & Living Arrangements

Father's First and Last Namerequired

Father's Email Addressrequired

Place of Employment and Occupation

Mother's First and Last Namerequired

Mother's Email Address required

Place of Employment and Occupation

With whom will the applicant live? First and Last Namerequired

What is the relation to student?

Cell Phone:

Email Address

Place of Employment and Occupation

Is address different from student?*

Yes No

Address 1

Address 2

City

State

Zip

Country

Please list all languages spoken in the home:required

MSM Alumni Relatives

Have any members of this student's family attended MSM? If so, please provide name(s):

Student Response Questions

In paragraph form tell us about yourself, special interests, hobbies, church activities, and summer or part-time jobs.required

What academic areas are of interest to you? Why?required

List your top 3-5 favorite activities and explain why they are important to you.required

Have you failed any classes in the past 3 years?*

Yes No

If yes, please explain the difficulties you had and how you overcame those obstacles.

Teacher Recommendation

Please list the contact information of the student's English Language Instructor from your current school to receive a recommendation form that will be completed and sent to Mount St. Mary Catholic High School.

Name: required

Title or Position:required

Email Address:required

Important Documents

Please upload the following information. If items cannot be uploaded, please send them by email to our Director of Admissions, Diane Wilson at dwilson@mountstmary.org.

Copy of Transcripts - translated to English
TOEFL or IELTS test scores
Birth Certificate
Immunization Records

School Transcript translated to English

Max file size: 10 MB

TOEFL or IELTS test scores

Max file size: 10 MB

Birth Certificate

Max file size: 10 MB

Immunization Records

Max file size: 10 MB