Roncalli Prep Application

STUDENT INFORMATION

Choose One:

   

   
   
   
   

   

Have you every been suspended (in school or out of school, asked to withdraw, dismissed, or placed on a disciplinary contract by any school?
Choose one:

Has your academic history included any type of learning accommodations including such provisions as a Service Plan, 504 Plan, an Individualized Education Program (IEP), or any similar plan?
Choose one:
If yes, Please provide any supporting documentation

FAMILY INFORMATION

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STUDENT INTEREST





PERSONAL INTERESTS

(Check the one that best describes you in each group)
FriendlyResponsibleSpontaneousOptimisticReservedAdaptableInsecureIndependent
PatientActiveSeriousNeatCalmShyOpenPoliteSensitiveOutgoingQuick-tempered

   
   

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