SHMS Application

Welcome to the SHMS online application page! Please make sure your internet browser is up to date, as outdated software can contribute to occasional glitches. Note: Internet Explorer will sometimes not support this form.

A non-refundable application/testing fee of $100.00 is required to complete an application. Applicants may opt to pay online with a credit or debit card, or the application fee can be mailed or delivered to SHMS. Your application is not complete until payment has been received.

Families seeking to enroll multiple children must complete a separate online application for each child.

Should you experience any technical difficulties during the application process, please contact Remy Noble, SHMS Director of Admissions, at 502.736.6448 or [email protected].

Application for Grade*

Answer Required

Applicant's First Name*

Answer Required

Middle Name

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Preferred Name

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Last Name*

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Suffix

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Street Address*

Answer Required

City*

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Zip/Postal*

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Date of Birth*

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Birthplace

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Home Phone

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Race/Ethnicity*

Please indicate race/ethnicity. This information is used for statistical purposes only.

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Language Primarily Spoken in the Home

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Religion

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Church/Parish

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Is Applicant Catholic?

Answer Required

Yes

Date of Baptism

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Church, City and State of Baptism

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Date of Reconciliation

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Church, City and State of Reconciliation

Answer Required

Date of First Eucharist

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Church, City and State of First Eucharist

Answer Required

Please list all schools, preschools and daycare facilities applicant has attended below.

School, Address, Grades Attended and Reason for Leaving*

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Please list siblings and other relatives who are or have been enrolled at Sacred Heart Model School.

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Mother's/Guardian Full Name

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Mother's Maiden Name

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Father's/Guardian Full Name

Answer Required

Parent Marital Status

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Parents Married

Divorced

Separated

Remarried

Mother Deceased

Father Deceased

Stepfather's Name

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Stepmother's Name

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Father's Street Address

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City

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Zip/Postal

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Home Phone

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Mother's Address

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Same as Father's

Mother's Street Address

Answer Required

City

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Zip/Postal

Answer Required

Home Phone

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Father's Employer

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Father's Occupation

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Father's Job Title

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Father's Email

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Father's Cell Phone

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Father's Work Phone

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Mother's Employer

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Mother's Occupation

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Mother's Job Title

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Mother's Email

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Mother's Cell Phone

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Mother's Work Phone

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Applicant lives with

Answer Required

both parents

mother

father

Other:

If "Other," please explain

Answer Required

Please list student's siblings and include their age and current school

Answer Required

Number of other children in family:

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Are one or both parents an employee of Sacred Heart Schools?

Answer Required

Yes

Does the applicant have any physical or emotional condition of which the school should be aware? (Hearing, vision, diet, allergy, etc.) Please explain.

Answer Required

Who referred you to Sacred Heart Model School?

Answer Required

Why would you like your child enrolled here?

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Legacy Information

Siblings attend or have attended

Answer Required

SHA

SHMS

SHP

SHSA

Parent(s) attended

Answer Required

SHA

SHMS

SHP (formerly Ursuline Montessori and UCDC)

SHSA

Grandparent(s) attended

Answer Required

SHA

SHMS

SHP (formerly Ursuline Montessori and UCDC)

SHSA

There is a non-refundable application/testing fee of $100.00 to complete this application.*

Price: $100.00

Please fix the highlighted areas below before submitting.

SHMS Application