Saint Joseph Regional High School

Founded 1962

Application for Admission for

_________________________________________________________________________ Last Name of Applicant First Name Middle Initial

40 Chestnut Ridge Road • Montvale, NJ 07645201-391-3300

www.saintjosephregional.org

WRITING SAMPLEDirections: We want to hear directly from you in the form of a personalized essay. Please write a thoughtful, well-organized composition of approximately 250 words. We ask that the essay be submi�ed in your own handwriting. Limit your essay to the space provided on this sheet. Please choose one (1) of the following topics: 1. Discuss a person who has been a significant role model to you and how that person has impacted your life. 2. Explain why you would like to a�end Saint Joseph Regional High School and why you are an excellent

candidate for admission (discussing your skills, interests and talents).

Today’s date: ____________________ Applicant’s Signature: _________________________________________

Parent’s/Guardian’s Signature: ______________________________________________

DUE: DECEMBER 1st

Check one: _______ Grade 9 Applicant _______ Transfer into Grade (Circle one): 10 11 12

Directions: This application must be completely filled out by all applicants and returned by mail to Saint Joseph Regional High School, Office of Admissions, 40 Chestnut Ridge Road, Montvale, NJ 07645. Please neatly type or print all responses. Applications for ninth grade admission are due by December 1st.

All freshman applicants must take the Cooperative Admission Examination (the COOP) and submit 6th, 7th and 8th grade records. Transfer applicants must submit all high school records and standardized testing.

PERSONAL INFORMATION

APPLICANT’S NAME:

First Middle Last

HOME ADDRESS:

Street City State Zip

HOME TELEPHONE: ( ) ___________________________ E-MAIL:_________________________________

DATE OF BIRTH: __________________ PLACE OF BIRTH: __________________________ State: ____________

SOCIAL SECURITY NUMBER: _________________________________

RELIGION: _________________________________________

PARISH/CHURCH NAME: ________________________________________________________________________

ADDRESS: ________________________________________________________________________________________ Street City State Zip

NEW YORK RESIDENTS (Public School District Name): _______________________________________________

FATHER’S NAME: ________________________________________________________________

Work Phone: ___________________________ e-mail: ___________________________

MOTHER’S NAME: ______________________________________________________________

Work Phone: ___________________________ e-mail: ____________________________

If you have a legal guardian, please give

Name: _________________________________________________ Phone Number: _____________________

Address____________________________________________________________________________________

LIST YOUR BROTHERS AND SISTERS: NAME: AGE: SCHOOL/TOWN:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

If you are the son or brother of a Saint Joe’s graduate or current student, please give his/their name (s) and graduation year(s).

Name Relationship to Applicant Year of SJR Graduation

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

EDUCATION

Name of Present School: ________________________________________________________________________

Address: __________________________________________________________________________________________ Street City State Zip

Principal’s Name: _______________________________________________________________________________

Favorite Subjects: _______________________________________________________________________________

Awards/Achievements: _____________________________________________________________________________

___________________________________________________________________________________________________

Former Schools (list in order, beginning with most recent)School Address Dates A�ended

__________________________________________________________________________________________________________

___________________________________________________________________________________________________

Do you have any diagnosed learning disabilities which require a special program of studies?

______ Yes _______ No If yes, please explain: ___________________________________________

________________________________________________________________________________________________

Saint Joe’s has a Learning Center program, provided by Bergen Special Services, for New Jersey students with mild learning disabilities. However, limited spaces have been allocated for the program. Saint Joe’s must receive a copy of the student’s service plan (IEP/ISP) in order to be considered for admission. Questions regarding this program should be directed to the Admissions Office.

We would welcome any additional comments you believe would help us evaluate your application. These could include any special talents or achievements, either in or outside of school, etc. Please include separate sheets (with your name) as needed.

CHECKLIST

All freshman applicants are reminded to complete the following:___ Register for and take the COOP entrance exam and list Saint Joe’s as a choice. Please call Saint Joe’s if you need information on how to register for this test. ___ Submit an official transcript from your current school that includes your grades and standardized testing from Grades 6, 7, and 8. Please use the enclosed form.___ Submit this application (including essay).___ A�endance at a Saint Joe’s Open House and participation in the Green Knight for a Day Program are highly recommended for consideration for admission. Call the Admissions Office or log on to our website for the dates and times of these events.___ Application forms for grants based on demonstrated financial need will be available for pick-up on Registration Day in February. Consideration for an academic scholarship requires the submission of all of the material listed above.

Check one: _______ Grade 9 Applicant _______ Transfer into Grade (Circle one): 10 11 12

Directions: This application must be completely filled out by all applicants and returned by mail to Saint Joseph Regional High School, Office of Admissions, 40 Chestnut Ridge Road, Montvale, NJ 07645. Please neatly type or print all responses. Applications for ninth grade admission are due by December 1st.

All freshman applicants must take the Cooperative Admission Examination (the COOP) and submit 6th, 7th and 8th grade records. Transfer applicants must submit all high school records and standardized testing.

PERSONAL INFORMATION

APPLICANT’S NAME:

First Middle Last

HOME ADDRESS:

Street City State Zip

HOME TELEPHONE: ( ) ___________________________ E-MAIL:_________________________________

DATE OF BIRTH: __________________ PLACE OF BIRTH: __________________________ State: ____________

SOCIAL SECURITY NUMBER: _________________________________

RELIGION: _________________________________________

PARISH/CHURCH NAME: ________________________________________________________________________

ADDRESS: ________________________________________________________________________________________ Street City State Zip

NEW YORK RESIDENTS (Public School District Name): _______________________________________________

FATHER’S NAME: ________________________________________________________________

Work Phone: ___________________________ e-mail: ___________________________

MOTHER’S NAME: ______________________________________________________________

Work Phone: ___________________________ e-mail: ____________________________

If you have a legal guardian, please give

Name: _________________________________________________ Phone Number: _____________________

Address____________________________________________________________________________________

LIST YOUR BROTHERS AND SISTERS: NAME: AGE: SCHOOL/TOWN:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

If you are the son or brother of a Saint Joe’s graduate or current student, please give his/their name (s) and graduation year(s).

Name Relationship to Applicant Year of SJR Graduation

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

EDUCATION

Name of Present School: ________________________________________________________________________

Address: __________________________________________________________________________________________ Street City State Zip

Principal’s Name: _______________________________________________________________________________

Favorite Subjects: _______________________________________________________________________________

Awards/Achievements: _____________________________________________________________________________

___________________________________________________________________________________________________

Former Schools (list in order, beginning with most recent)School Address Dates A�ended

__________________________________________________________________________________________________________

___________________________________________________________________________________________________

Do you have any diagnosed learning disabilities which require a special program of studies?

______ Yes _______ No If yes, please explain: ___________________________________________

________________________________________________________________________________________________

Saint Joe’s has a Learning Center program, provided by Bergen Special Services, for New Jersey students with mild learning disabilities. However, limited spaces have been allocated for the program. Saint Joe’s must receive a copy of the student’s service plan (IEP/ISP) in order to be considered for admission. Questions regarding this program should be directed to the Admissions Office.

We would welcome any additional comments you believe would help us evaluate your application. These could include any special talents or achievements, either in or outside of school, etc. Please include separate sheets (with your name) as needed.

CHECKLIST

All freshman applicants are reminded to complete the following:___ Register for and take the COOP entrance exam and list Saint Joe’s as a choice. Please call Saint Joe’s if you need information on how to register for this test. ___ Submit an official transcript from your current school that includes your grades and standardized testing from Grades 6, 7, and 8. Please use the enclosed form.___ Submit this application (including essay).___ A�endance at a Saint Joe’s Open House and participation in the Green Knight for a Day Program are highly recommended for consideration for admission. Call the Admissions Office or log on to our website for the dates and times of these events.___ Application forms for grants based on demonstrated financial need will be available for pick-up on Registration Day in February. Consideration for an academic scholarship requires the submission of all of the material listed above.

Saint Joseph Regional High School

Founded 1962

Application for Admission for

_________________________________________________________________________ Last Name of Applicant First Name Middle Initial

40 Chestnut Ridge Road • Montvale, NJ 07645201-391-3300

www.saintjosephregional.org

WRITING SAMPLEDirections: We want to hear directly from you in the form of a personalized essay. Please write a thoughtful, well-organized composition of approximately 250 words. We ask that the essay be submi�ed in your own handwriting. Limit your essay to the space provided on this sheet. Please choose one (1) of the following topics: 1. Discuss a person who has been a significant role model to you and how that person has impacted your life. 2. Explain why you would like to a�end Saint Joseph Regional High School and why you are an excellent

candidate for admission (discussing your skills, interests and talents).

Today’s date: ____________________ Applicant’s Signature: _________________________________________

Parent’s/Guardian’s Signature: ______________________________________________

DUE: DECEMBER 1st