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Page 1: Application for Admissions

Be a Spartan!

rogerbacon.org | 513.641.1300 | 4320 Vine St., Cincinnati, OH 45217

Page 2: Application for Admissions

1

The Choice between high schools boils

down to the answer of one question: “what will

you be?” If you want the opportunity to get

involved in every facet of school, if you want to

feel a part of a family, if you want to be challenged

and if you want to grow in your faith – then you

will Be a Spartan.

The Difference you will see at

Roger Bacon is a coeducational environment with

a truly diverse student body. This allows you to

learn in an environment that you will experience

at your university and in your career. The size of

Roger Bacon is purposefully maintained so you

can flourish in the classroom, extracurriculars

and athletics. You will not focus on one aspect

of student life, but many.

The Commitment to

Franciscan education makes Roger Bacon

unique. You will be a part of the only Franciscan

high school in Cincinnati. As a Franciscan you

will be an instrument of change and herald of

peace, reaching out to all people through service.

Our faculty, staff and students will engage your

faith on a personal level.

The Benefit of a Roger Bacon

education is getting in to the college of your

choice. 96% percent of our students further

their education in colleges and universities

around the country and enter with the academic

and moral foundation to succeed. As a student

at Roger Bacon you will be guided in one of

our rigorous academic tracks and have the

opportunity to travel the world with our

Assisi Scholars Program.

The Family you will join has a rich

tradition and legacy. As soon as you walk

through the iconic front doors you will feel at

home. Every teacher and every classmate will

know your name – you will not be just another

student in a crowded school. During sporting

events you will join the best student section

in the city, the Spartan Army, and cheer your

team to victory.

Page 3: Application for Admissions

1

The Choice between high schools boils

down to the answer of one question: “what will

you be?” If you want the opportunity to get

involved in every facet of school, if you want to

feel a part of a family, if you want to be challenged

and if you want to grow in your faith – then you

will Be a Spartan.

The Difference you will see at

Roger Bacon is a coeducational environment with

a truly diverse student body. This allows you to

learn in an environment that you will experience

at your university and in your career. The size of

Roger Bacon is purposefully maintained so you

can flourish in the classroom, extracurriculars

and athletics. You will not focus on one aspect

of student life, but many.

The Commitment to

Franciscan education makes Roger Bacon

unique. You will be a part of the only Franciscan

high school in Cincinnati. As a Franciscan you

will be an instrument of change and herald of

peace, reaching out to all people through service.

Our faculty, staff and students will engage your

faith on a personal level.

The Benefit of a Roger Bacon

education is getting in to the college of your

choice. 96% percent of our students further

their education in colleges and universities

around the country and enter with the academic

and moral foundation to succeed. As a student

at Roger Bacon you will be guided in one of

our rigorous academic tracks and have the

opportunity to travel the world with our

Assisi Scholars Program.

The Family you will join has a rich

tradition and legacy. As soon as you walk

through the iconic front doors you will feel at

home. Every teacher and every classmate will

know your name – you will not be just another

student in a crowded school. During sporting

events you will join the best student section

in the city, the Spartan Army, and cheer your

team to victory.

Page 4: Application for Admissions

32

STUDENT INFORMATION

First Name __________________ Middle ________ Last Name _____________________________ Preferred Name __________________

Current Grade ___________________ Birthdate ___________________ Gender ___________________ Ethnicity ___________________

Home Address ______________________________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Home Phone _____________________________ Student Email Address ____________________________________________________

Birthplace (City, State, Country) _____________________________________________________________________________________

Religion ____________________________________________ Parish Affiliation _____________________________________________

Applicant lives with: Mother Father Stepparent other ____________________________________________________

Is there a court order regarding custody of this student: yes no

(If a court order exists, Roger Bacon High School must have a copy of said order)

Who has legal custody of this student ________________________________________________________________________________

PARENT/GUARDIAN INFORMATION

Father: Last Name ________________________________________________ First Name _____________________________________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

Mother: Last Name ________________________________________________ First Name ____________________________________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

ADDITIONAL PARENT/GUARDIAN INFORMATION

Last Name __________________________________________ First Name ________________________ Relationship _______________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

Last Name __________________________________________ First Name ________________________ Relationship _______________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

step one. A P P L I C A T I O N

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STUDENT’S ACADEMIC HISTORY

Current School _______________________________ School Phone ___________________________ Grades Attended _______________

Previous School _______________________________ School Phone ___________________________ Grades Attended _______________

Does your child have a current Individualized Education Plan (IEP)? Yes No

Does your child have a current 504/Intervention Plan? Yes No

1. If YES to any of these, please attach copies of the documents.

2. Full disclosure of your child’s educational history is crucial to both the admissions process and registration for classes. You must provide

Roger Bacon High School with all relevant documents. If you have any other information regarding your child’s educational strengths/needs,

learning styles, and/or other areas of concern, please indicate this on a separate sheet of paper and return with this form.

SCHOLARSHIPS & GRANTS

• By completing the Personal Statement for Scholarship Consideration (See pg. 13) and completing this application you are eligible

for all scholarships offered at Roger Bacon High School.

• If you are interested in Roger Bacon High School's Financial Aid Program, please ensure that you complete the Private School Aid Services

application by the designated deadline.

I am currently a member of the Ohio EdChoice Scholarship Program.

I am currently a member of the CISE Scholarship Program.

PLEASE LIST ALL SIBLINGS LIVING IN THE STUDENT’S HOME

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

ROGER BACON/ OLA FAMILY – GRANDPARENTS, PARENTS, SIBLINGS

Name Relationship Grad Year

Name Relationship Grad Year

Name Relationship Grad Year

Name Relationship Grad Year

APPLICATION VERIFICATION & AUTHORIZATION OF RELEASE

• I affirm that the information contained in this application is true and accurate. I understand that misrepresentation, falsification or omission

of facts on this application may result in refusal of admission and/or prompt withdrawal of any previous admission.

• I do hereby give my permission for the school academic and behavior records, including speech, psychological, IEP, 504 Plans,

or Intervention Plans of to be released to Roger Bacon High School.

Parent/Guardian Signature ____________________________________________________________________ Date _______________

Parent/Guardian Signature ____________________________________________________________________ Date _______________

Applicant Signature ________________________________________________________________________ Date _______________

Page 5: Application for Admissions

32

STUDENT INFORMATION

First Name __________________ Middle ________ Last Name _____________________________ Preferred Name __________________

Current Grade ___________________ Birthdate ___________________ Gender ___________________ Ethnicity ___________________

Home Address ______________________________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Home Phone _____________________________ Student Email Address ____________________________________________________

Birthplace (City, State, Country) _____________________________________________________________________________________

Religion ____________________________________________ Parish Affiliation _____________________________________________

Applicant lives with: Mother Father Stepparent other ____________________________________________________

Is there a court order regarding custody of this student: yes no

(If a court order exists, Roger Bacon High School must have a copy of said order)

Who has legal custody of this student ________________________________________________________________________________

PARENT/GUARDIAN INFORMATION

Father: Last Name ________________________________________________ First Name _____________________________________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

Mother: Last Name ________________________________________________ First Name ____________________________________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

ADDITIONAL PARENT/GUARDIAN INFORMATION

Last Name __________________________________________ First Name ________________________ Relationship _______________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

Last Name __________________________________________ First Name ________________________ Relationship _______________

Street Address (if different than student) __________________________________________________________________ Apt. # ______

City ____________________________________________________ State ______________________ Zip ______________________

Occupation _________________________________ Employer _________________________________ Business phone ______________

Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________

step one. A P P L I C A T I O N

ST

EP

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NE

AP

PL

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N

FO

R

AD

MI

SS

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STUDENT’S ACADEMIC HISTORY

Current School _______________________________ School Phone ___________________________ Grades Attended _______________

Previous School _______________________________ School Phone ___________________________ Grades Attended _______________

Does your child have a current Individualized Education Plan (IEP)? Yes No

Does your child have a current 504/Intervention Plan? Yes No

1. If YES to any of these, please attach copies of the documents.

2. Full disclosure of your child’s educational history is crucial to both the admissions process and registration for classes. You must provide

Roger Bacon High School with all relevant documents. If you have any other information regarding your child’s educational strengths/needs,

learning styles, and/or other areas of concern, please indicate this on a separate sheet of paper and return with this form.

SCHOLARSHIPS & GRANTS

• By completing the Personal Statement for Scholarship Consideration (See pg. 13) and completing this application you are eligible

for all scholarships offered at Roger Bacon High School.

• If you are interested in Roger Bacon High School's Financial Aid Program, please ensure that you complete the Private School Aid Services

application by the designated deadline.

I am currently a member of the Ohio EdChoice Scholarship Program.

I am currently a member of the CISE Scholarship Program.

PLEASE LIST ALL SIBLINGS LIVING IN THE STUDENT’S HOME

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

Name Date of Birth Current School Grade Gender

ROGER BACON/ OLA FAMILY – GRANDPARENTS, PARENTS, SIBLINGS

Name Relationship Grad Year

Name Relationship Grad Year

Name Relationship Grad Year

Name Relationship Grad Year

APPLICATION VERIFICATION & AUTHORIZATION OF RELEASE

• I affirm that the information contained in this application is true and accurate. I understand that misrepresentation, falsification or omission

of facts on this application may result in refusal of admission and/or prompt withdrawal of any previous admission.

• I do hereby give my permission for the school academic and behavior records, including speech, psychological, IEP, 504 Plans,

or Intervention Plans of to be released to Roger Bacon High School.

Parent/Guardian Signature ____________________________________________________________________ Date _______________

Parent/Guardian Signature ____________________________________________________________________ Date _______________

Applicant Signature ________________________________________________________________________ Date _______________

Page 6: Application for Admissions

step two. R E C O R D S

54

RELEASE OF RECORDS FORM

1. This form is to be mailed to your son/daughter’s CURRENT SCHOOL.

2. This form gives permission for the school to release your son/daughter’s academic

transcript/records for admission consideration to Roger Bacon High School.

To (Current School): _________________________________________________________________

As Parent and/or Guardian of:

Name of Student ___________________________________________________________________

Date of Birth _______________________________________________________________________

Grade in School _____________________________________________________________________

I hereby authorize the release of all academic and behavior records of the

aforementioned student to Roger Bacon High School including, but not limited to,

the student’s permanent record card, a complete copy of the first quarter 8th grade

report card, two teacher recommendation forms (included), aptitude and academic

testing and intelligence tests to:

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

My signature authorizes the release of all such information as specified above. I understand

this information will be held in the strictest of confidence and will be used solely for the

purpose of evaluating the candidate for admission to the Roger Bacon High School.

Date ________________________________________________________________________________

Parent/Guardian Name (please print) ___________________________________________________

Parent/Guardian Name (signature) ______________________________________________________

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Page 7: Application for Admissions

step two. R E C O R D S

54

RELEASE OF RECORDS FORM

1. This form is to be mailed to your son/daughter’s CURRENT SCHOOL.

2. This form gives permission for the school to release your son/daughter’s academic

transcript/records for admission consideration to Roger Bacon High School.

To (Current School): _________________________________________________________________

As Parent and/or Guardian of:

Name of Student ___________________________________________________________________

Date of Birth _______________________________________________________________________

Grade in School _____________________________________________________________________

I hereby authorize the release of all academic and behavior records of the

aforementioned student to Roger Bacon High School including, but not limited to,

the student’s permanent record card, a complete copy of the first quarter 8th grade

report card, two teacher recommendation forms (included), aptitude and academic

testing and intelligence tests to:

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

My signature authorizes the release of all such information as specified above. I understand

this information will be held in the strictest of confidence and will be used solely for the

purpose of evaluating the candidate for admission to the Roger Bacon High School.

Date ________________________________________________________________________________

Parent/Guardian Name (please print) ___________________________________________________

Parent/Guardian Name (signature) ______________________________________________________

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Page 8: Application for Admissions

step three (part a). R E C O M M E N D A T I O N

76

TEACHER RECOMMENDATION FORM

Applicant Legal Name _______________________________________________________________

Teacher Name (please print) _________________________________ Grade Level ______________

Teacher Signature _______________________________ School _____________________________

Phone # __________________________ Email ___________________________________________

ACADEMIC RATINGS

Study Skills Poor Average Good Excellent

Critical Thinking Skills Poor Average Good Excellent

Academic Potential Poor Average Good Excellent

Academic Achievement Poor Average Good Excellent

NON – ACADEMIC RATINGS

Honesty/Integrity Poor Average Good Excellent

Classroom Behavior Poor Average Good Excellent

Respect of Peers Poor Average Good Excellent

Initiative/Drive Poor Average Good Excellent

OVERALL RECOMMENDATION

I recommend this candidate for admission to Roger Bacon High School

I recommend this candidate with some reservation for admission to Roger Bacon High School

I do not recommend this candidate for admission to Roger Bacon High School

FOREIGN LANGUAGE RECOMMENDATION

I recommend this candidate to study a foreign language next year

I recommend this candidate delay the study of a foreign language until sophomore year

PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION

To allow a completely candid evaluation I waive my right to examine this

recommendation and understand that the comments of the evaluator will

be held in the strictest of confidence throughout the selection process.

Parent/Guardian (signature) ______________________________________________ Date ________

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

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Page 9: Application for Admissions

step three (part a). R E C O M M E N D A T I O N

76

TEACHER RECOMMENDATION FORM

Applicant Legal Name _______________________________________________________________

Teacher Name (please print) _________________________________ Grade Level ______________

Teacher Signature _______________________________ School _____________________________

Phone # __________________________ Email ___________________________________________

ACADEMIC RATINGS

Study Skills Poor Average Good Excellent

Critical Thinking Skills Poor Average Good Excellent

Academic Potential Poor Average Good Excellent

Academic Achievement Poor Average Good Excellent

NON – ACADEMIC RATINGS

Honesty/Integrity Poor Average Good Excellent

Classroom Behavior Poor Average Good Excellent

Respect of Peers Poor Average Good Excellent

Initiative/Drive Poor Average Good Excellent

OVERALL RECOMMENDATION

I recommend this candidate for admission to Roger Bacon High School

I recommend this candidate with some reservation for admission to Roger Bacon High School

I do not recommend this candidate for admission to Roger Bacon High School

FOREIGN LANGUAGE RECOMMENDATION

I recommend this candidate to study a foreign language next year

I recommend this candidate delay the study of a foreign language until sophomore year

PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION

To allow a completely candid evaluation I waive my right to examine this

recommendation and understand that the comments of the evaluator will

be held in the strictest of confidence throughout the selection process.

Parent/Guardian (signature) ______________________________________________ Date ________

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

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Page 10: Application for Admissions

step three (part b). R E C O M M E N D A T I O N

98

TEACHER RECOMMENDATION FORM

Applicant Legal Name _______________________________________________________________

Teacher Name (please print) _________________________________ Grade Level ______________

Teacher Signature _______________________________ School _____________________________

Phone # __________________________ Email ___________________________________________

ACADEMIC RATINGS

Study Skills Poor Average Good Excellent

Critical Thinking Skills Poor Average Good Excellent

Academic Potential Poor Average Good Excellent

Academic Achievement Poor Average Good Excellent

NON – ACADEMIC RATINGS

Honesty/Integrity Poor Average Good Excellent

Classroom Behavior Poor Average Good Excellent

Respect of Peers Poor Average Good Excellent

Initiative/Drive Poor Average Good Excellent

OVERALL RECOMMENDATION

I recommend this candidate for admission to Roger Bacon High School

I recommend this candidate with some reservation for admission to Roger Bacon High School

I do not recommend this candidate for admission to Roger Bacon High School

FOREIGN LANGUAGE RECOMMENDATION

I recommend this candidate to study a foreign language next year

I recommend this candidate delay the study of a foreign language until sophomore year

PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION

To allow a completely candid evaluation I waive my right to examine this

recommendation and understand that the comments of the evaluator will

be held in the strictest of confidence throughout the selection process.

Parent/Guardian (signature) ______________________________________________ Date ________

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

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Page 11: Application for Admissions

step three (part b). R E C O M M E N D A T I O N

98

TEACHER RECOMMENDATION FORM

Applicant Legal Name _______________________________________________________________

Teacher Name (please print) _________________________________ Grade Level ______________

Teacher Signature _______________________________ School _____________________________

Phone # __________________________ Email ___________________________________________

ACADEMIC RATINGS

Study Skills Poor Average Good Excellent

Critical Thinking Skills Poor Average Good Excellent

Academic Potential Poor Average Good Excellent

Academic Achievement Poor Average Good Excellent

NON – ACADEMIC RATINGS

Honesty/Integrity Poor Average Good Excellent

Classroom Behavior Poor Average Good Excellent

Respect of Peers Poor Average Good Excellent

Initiative/Drive Poor Average Good Excellent

OVERALL RECOMMENDATION

I recommend this candidate for admission to Roger Bacon High School

I recommend this candidate with some reservation for admission to Roger Bacon High School

I do not recommend this candidate for admission to Roger Bacon High School

FOREIGN LANGUAGE RECOMMENDATION

I recommend this candidate to study a foreign language next year

I recommend this candidate delay the study of a foreign language until sophomore year

PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION

To allow a completely candid evaluation I waive my right to examine this

recommendation and understand that the comments of the evaluator will

be held in the strictest of confidence throughout the selection process.

Parent/Guardian (signature) ______________________________________________ Date ________

Roger Bacon High School

Attention: Office of Admissions

4320 Vine Street

Cincinnati, Ohio 45217

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Page 12: Application for Admissions

1110

Page 13: Application for Admissions

1110

Page 14: Application for Admissions

step four. S T A T E M E N T

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PERSONAL STATEMENT FOR SCHOLARSHIP

Roger Bacon High School awards scholarships for academic merit based on the admissions

test results and grades in elementary school. In addition, scholarships are also given to

students who have a track record of proven leadership through involvement in their

elementary schools, parishes and communities.

To be eligible for consideration of all scholarships to Roger Bacon High School, please

submit a statement in response to the questions below and attach it with your application

for admission.

1. What lessons have you learned through your involvement in your elementary

school, parish or community?

2. How will you apply what you have learned when you are a student

at Roger Bacon High School?

Application Checklist

1. Schedule a Shadow Visit

2. Complete Application for Admission and Personal Statement

for Scholarship Consideration

3. Submit Release of Records Form to your current school

4. Submit two (2) Teacher Recommendation Forms to your current school

5. Take the High School Placement Test and select Roger Bacon

to receive your results

6. Complete Private School Aid Services Application if you are interested

in financial aid

7. Register to Be a Spartan

Page 15: Application for Admissions

step four. S T A T E M E N T

1312

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PERSONAL STATEMENT FOR SCHOLARSHIP

Roger Bacon High School awards scholarships for academic merit based on the admissions

test results and grades in elementary school. In addition, scholarships are also given to

students who have a track record of proven leadership through involvement in their

elementary schools, parishes and communities.

To be eligible for consideration of all scholarships to Roger Bacon High School, please

submit a statement in response to the questions below and attach it with your application

for admission.

1. What lessons have you learned through your involvement in your elementary

school, parish or community?

2. How will you apply what you have learned when you are a student

at Roger Bacon High School?

Application Checklist

1. Schedule a Shadow Visit

2. Complete Application for Admission and Personal Statement

for Scholarship Consideration

3. Submit Release of Records Form to your current school

4. Submit two (2) Teacher Recommendation Forms to your current school

5. Take the High School Placement Test and select Roger Bacon

to receive your results

6. Complete Private School Aid Services Application if you are interested

in financial aid

7. Register to Be a Spartan

Page 16: Application for Admissions

Be a Spartan!

rogerbacon.org | 513.641.1300 | 4320 Vine St., Cincinnati, OH 45217


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