St. John's Episcopal School

Application Form


STUDENT INFORMATION


 Yes No

 Full Day (M-Th, 9am - 3pm and Fri, 9am - 1pm) Half Day (M-F, 9am - 1pm)


FAMILY INFORMATION






 Married Separated Divorced Single Parent


ADDITIONAL INFORMATION




Referral Verification: If you were referred and introduced to St. John's by a specific family, please share their name:


If the applicant has ever been evaluated for educational, learning, or developmental challenges - i.e. speech, language, attention, we request that you share the written evaluation with St. John’s Episcopal School.




Other children in applicant's family:


































If applicant's father, mother or other family members are St. John's alumni, please list below:





























Please give the following information regarding the person to whom bills for tuition/fees should be sent:



Check here if address / phone is same as the first Parent/Guardian above: 


Check here if address / phone is same as the second Parent/Guardian above: 



IMPORTANT NOTE: A $75 non-refundable application fee must be submitted to the school in order to process an application for admission. After submitting this form, you will be directed to a secure on-line payment form, if you wish to pay your fee on-line.


Please select the method of payment you wish to use:

 Secure On-Line Payment
 Personal Check or Money Order (mailed or in-person at the school)


Please enter the security characters from the image below:

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I certify that information contained in this application is true and complete. I understand that false information may be grounds for not accepting the applicant or for immediate termination of matriculation at any point in the future if the applicant is accepted. I authorize the verification of any or all information listed above.



St. John's Episcopal School does not discriminate on the basis of race, color, national or ethnic origin, religion, gender, or handicap in the recruitment and admission of its students.