Admission Application

Application for the 2021-2022 School Year

Part 1 – Application
In order for your application to be processed, we must receive the following items.

Application for Admission
Proof of Income
The following information from your student’s current school. Turn in the Request for Records/Teacher Recommendation packet to your school office:
- Completed Recommendation Form from English Teacher
- Completed Recommendation Form from Math Teacher
- Completed Recommendation Form from School Leader
- Copy of report cards, discipline records, and attendance records from current and previous grades
- Copy of standardized test scores from current and previous grades
- IEP/ISP records, if applicable

Part 2 – Interview
Applicants who complete their applications may move into the second phase of the admissions process. Applicants who have the potential to meet the criteria to be a Cristo Rey Columbus student will be invited, along with a parent/guardian, to interview with the Director of Admissions or other school representative.

For Accepted Students only:
Part 3 – Registration
Students will receive notification of admission to Cristo Rey Columbus High School via mail. Students who are accepted and plan to attend Cristo Rey Columbus must register to secure their placement in the class.

Step 1 of 5

Section E: Income Verification
To be completed by parent or guardian. All families must complete the income verification form below and submit proof of income (see below) with their application. Please list all members of your household (including minors) along with their individual income. If a family member does not receive income enter “none”.

Household Members

First and Last Name	Relationship to Student	Source of Income (check all that apply)	Please specify Other:	Gross Amount Before Taxes (Employment)	How Often Received (Employment)	Gross Amount Before Taxes (Social Security Income)	How Often Received (Social Security Income)	Gross Amount Before Taxes (TANF)	How Often Received (TANF)	Gross Amount Before Taxes (Unemployment)	How Often Received (Unemployment)	Gross Amount Before Taxes (Child Support)	How Often Received (Child Support)	Gross Amount Before Taxes (Alimony)	How Often Received (Alimony)	Gross Amount Before Taxes (Worker's Compensation)	How Often Received (Worker's Compensation)	Gross Amount Before Taxes (Other)	How Often Received (Other)	Actions
																				Edit Delete
There are no Household Members.

Maximum number of household members reached.

Proof of Income
1. 1. For all household members filing taxes:
  1. a) Provide most recent tax return (1040 forms).
2. 2. If adult household members do not file taxes OR have additional cash income:
  1. a) Provide signed letter from employer indicating income, OR
  2. b) Bank statements (2 consecutive months), OR
  3. c) Paystubs (2 consecutive payments)
3. 3. Provide proof of all other forms of income including Social Security, TANF, unemployment, Child Support, Alimony, Worker’s Compensation, or other.
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Max. file size: 250 MB.
Certification
I understand that Cristo Rey Columbus High School is an academically challenging, Catholic school with a code of mandatory attendance, dress, and conduct. The hallmark of the school is its Professional Work-Study Program in which the students work one full day each week and a fifth day approximately every four weeks of the school year, excluding holidays and days when school is closed. I understand the student’s earnings will be used to fund a portion of the cost of their high school education. I further understand that full participation of parents and guardians is necessary in order to fulfill requirements of the school. Admission to Cristo Rey Columbus High School is subject to our receipt of an official transcript demonstrating successful completion of the applicant’s current grade and satisfactory completion of our mandatory summer business training program. Admission and enrollment decisions are made at the sole discretion of Cristo Rey Columbus administration. I certify that the information furnished in this application is complete and accurate. Furthermore, I understand that if I knowingly provide false information, my child’s admissions may be jeopardized. Cristo Rey Columbus High School does not discriminate on the basis of race, color, national or ethnic origin. My signature indicates my permission for the release of my child’s school records to Cristo Rey Columbus High School.
Parent/Guardian Signature*
Student Signature*
Date*
MM slash DD slash YYYY

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Admission Application

Application for the 2021-2022 School Year

Step 1 of 5

Section A: Student's Personal Data

Section B: Student Questionnaire

Section C: Family Information

Personal Data of Parent or Guardian 1

Personal Data of Parent or Guardian 2

Section D: Parent Questionnaire

Learning and Medical Profile

Section E: Income Verification

Certification

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