new student

STUDENT INFORMATION

first name

last name

date

Birthdate

Student Personal Email

Country of Citizenship

Native Language

Present Grade

Applying For Grade

In the School Year

Present School

School Phone

School Address

select

FAMILY INFORMATION

Parent/Guardian #1

first name

last name

Select One

Living Deceased

adress

phone(h)

phone(c)

phone(w)

Employer

Title/Position

Business Address

Parent/Guardian #2

first name

last name

Select One

Living Deceased

adress

phone(h)

phone(c)

phone(w)

Employer

Title/Position

Business Address

Applicant lives with:

Both Parents Mother Father Guardian

Are there other children in the family?

yes no

Person responsible for the financial obligation:

Will you be applying for financial assistance?

yes no

Education: Disciplinary Actions

Please list schools attended by the applicant in the last three years.

nAME

grade

adress

nAME

grade

adress

Has your child ever:

Withdrawn from another school Repeated a grade Been suspended Been expelled Been referred and/or evaluated by a child study team None of the above

Check all that apply. I certify that the information provided in this application is true, accurate and complete and that I have not misled or omitted any information relevant to the assessment of my child's application for admission.

I I understand that admission decisions are solely and exclusively determined by members of the admission committee. understand that submission of an application does not guarantee admission.

STUDENT QUESTIONNAIRE

1. Please tell us about two courses that you have enjoyed in the last two years:

2. Please tell us about a book that you read this year that you found interesting:

3. Please list your extracurricular activities in order of interest

4. What hobbies and activities do you participate in outside of school?

5. Use three words to describe yourself as well as what makes you unique:(Required)

6. Why do you want to go to The Patrick School?

Please submit an original essay (about 200 words). Possible topics are listed below, or you may write on a topic of your choosing.

- Describe an important experience that has happened in your life

- Describe a place that you have traveled to.

- Discuss a historical figure you admire

TRANSCRIPT REQUEST

Parents/Guardians: Please submit this form to request that an official transcript from your child's present school be mailed directly to The Patrick School.

First name

last name

School:

Address:

Telephone:

The following academic information will be requested:

- Current academic year report card with at least one marking period grades reported

- Previous years' full transcript

- All standardized testing results

- Health Records

- Discipline Reports

- Attendance Record

- A copy of any IEP, 504, Title I special services received

Please send materials to:

The Patrick School
Attn: Admissions
397 Columbia Avenue
Hillside, New Jersey 07205

To All International Student Applicants,

We appreciate your interest in applying to The Patrick School. Our college preparatory curriculum includes 21st century learning, honors and Advanced Placement courses and a college bridge program. Additionally, The Patrick School offers a variety of seasonal varsity sports as well as academic and cultural clubs (e.g. history, National Honor Society, chess, home economics, science, etc.). The Patrick School seeks to inspire and support students to strive for academic and personal excellence within an ethical framework by placing the highest value on honor, while consistently reinforcing progressive thought. While The Patrick School continues to build upon the traditions, values and pride of its namesake, it is expanding its horizons to meet and welcome the needs of our ever-evolving society. Above all, the school and its staff are committed to the holistic, healthy development and success of each student.

International Students interested in applying to The Patrick School for the 2020-2021 school year should contact the Admissions Office [email protected] for seat availability prior to completing the application.

International Students Admissions Process:

Complete the International Student Application. Submit the student's English Language Proficiency Test results, such as the TOEFL, TOEFL Jr., SLEP, or the iTEP, along with an explanation of scores. Provide a copy of the student's academic records and translation to English along with an explanation of the grading system. Records must be submitted for each year in high school. For students applying to grade 9, records must be from the previous two academic years. The official school transcripts must be on school letterhead or must carry the official school stamp or seal. Provide a copy of the student's passport or birth certificate. Submit the student's official immunization record. Have your physician enter the exact dates of all immunizations and attach official seal. The record must then be translated into English. Students must be in compliance with immunization requirements for the state of New Jersey in order to attend class. Upon receipt of the student application and supporting documentation, the student will be contacted to be interviewed via phone, in person, or through Skype. The Patrick School Admissions Department will notify the student via official letter of the admissions decision.

All required documentation can be emailed to Ms. Odalys Foncesa, Director of Guidance, at [email protected]. Thank you again for your interest in applying to The Patrick School. For additional information please don’t hesitate to contact me.

Chris Chavannes

Principal, The Patrick School

[email protected]

397 Columbia Avenue, Hillside, NJ 07205

Phone: (908) 352-5220

IADDITIONAL INFORMATION REQUIRED

Foreign Home Address (Street Address)

City / State (Province or District) / Country/Zip (Postal) Code:

Country of Birth:

Country of Citizenship:

LIVING ARRANGEMENTS

International students, not residing with a parent, are required to be under the care of a U.S. agency or guardian. This person is expected to take care of the student in any emergency, and to help with any academic or behavior issues that arise. Students, regardless of age, may not live on their own. The school may contact the person listed below as part of the admissions process. The following person/agency has permission as a United States guardian to approve a home stay for my child:

Name of Guardian or Agency:

Relationship to student:

phone:

Address:

Host families must be arranged by a local U.S. agency or a guardian in close proximity to the school. The Patrick School does not locate, coordinate, oversee, supervise, or place students in host families. It is the responsibility of the agency or U.S. guardian to visit the host family and give approval to The Patrick School for the student to reside with a host family. The Patrick School must then receive the name of the host parent(s), address, and contact information. The agency or U.S. guardian is responsible for providing support to the host family and the school. Please check one of the following:

The agency listed above is arranging a home stay for my child in the area. The guardian listed above has permission as a United States guardian to approve a home stay for my child. My child will be residing with the guardian listed above. One or both parents will be residing in the United States and the child will be residing with the parent(s).

STUDENT QUESTIONNAIRE

Is this your first time studying in the United States?

Yes No

What do you hope to get out of your experience studying in the United States?

next step

new student

STUDENT INFORMATION

about us

contact us

phone

(908) 545-1073

email

[email protected]

ADDRESS

501 Green Lane Union, NJ 07083

have questions?