Application

Complete an Application

Prospective families for all grades, seventh through twelfth, can apply to Geibel Catholic Junior-Senior High School online using the form below. You may also download a paper application.

Please view the School and Technology Forms page to find additional applications and beginning-of-the-year forms.

If you have questions at any time, please don’t hesitate to contact the school office at 724-628-5600.

Geibel Catholic Junior-Senior High School

Application for Admission

ADMISSIONS PROCESS

Applying to Geibel Catholic Junior-Senior High School is a simple, straightforward process, and the following will help guide you through the steps.

CAMPUS VISIT

Arrange for a campus visit by calling the school office at 724-628-5600. A visit may be scheduled prior to submitting an application or at any time during the admissions process.

Complete the application, the parent questionnaire, and the student questionnaire for students entering grades seven through twelve.
Click the Submit button at the bottom of the application to submit it online, or you can print and send your completed application to the school office along with the questionnaire(s). If printing, please send application to:

Geibel Catholic Junior-Senior High School
611 East Crawford Avenue
Connellsville, PA 15425

New Application For Admission

APPLICANT INFORMATION

First Name(Required)

Middle Name(Required)

Last Name(Required)

Nickname

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone

Date of Birth(Required)

Applying for Grade(Required)

Beginning September of (provide year)(Required)

Age as of September 1 of the specified year(Required)

Gender(Required)

Public School District (where you live)(Required)

Religion(Required)

Name and address of Catholic parish in which student is registered (if none or unsure, type N/A)(Required)

Has the applicant ever attended another Catholic School?(Required)

If yes, please list school and address

Race(Required)

Ethnicity(Required)

Does applicant have any special educational or medical needs?(Required)

If yes, please explain

PARENT/GUARDIAN INFORMATION

Parent/Guardian (1)

First Name(Required)

Middle Name

Last Name(Required)

Relation to Applicant(Required)

Religion(Required)

If Catholic, parish name and address where registered

Home Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Cell Phone

Email(Required)

Employer

Job Title

Work Address

Work Phone

Work Phone Extension (if applicable)

Parent/Guardian (2)

First Name

Middle Name

Last Name

Relation to Applicant

Religion

If Catholic, parish name and address where registered

Home Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Cell Phone

Employer

Job Title

Work Address

Work Phone

Work Phone Extension (if applicable)

Student resides with(Required)

If Guardian, please specify

Check all those that apply(Required)

Parents Married

Parents Not Married

Parents Separated

Parents Divorced

Father Remarried

Mother Remarried

Father Deceased

Mother Deceased

Single Parent Family

Are there any special custody circumstances?

CURRENT SCHOOL

Current School Name

Current School Phone

Current School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date Entered

Current Grade Level

TUITION INFORMATION

Name of Individual Responsible for Tuition

Individual's Relation to Applicant

Individual's Address (if not a parent)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Individual's Phone

SACRAMENTAL INFORMATION

Baptism Date

Baptism Parish Name and Address

Reconciliation Date

Reconciliation Parish Name and Address

First Holy Communion Date

First Holy Communion Parish Name and Address

Confirmation Date

Confirmation Parish Name and Address

SIBLINGS

Sibling Name, Age, and School Attending:

RELATIVES

PLEASE LIST ANY RELATIVES WHO HAVE ATTENDED OR ARE NOW ATTENDING GEIBEL CATHOLIC JUNIOR-SENIOR HIGH SCHOOL.

Relative Name, Relationship, and Graduation Year:

Statement of Nondiscriminatory Acceptance Policy:

Geibel Catholic Junior-Senior High School will not discriminate on the basis of race, color, sex, disability, or national and/or ethnic origin. Students seeking acceptance and enrollment to the school will be considered based on religion, academic performance, learning needs, attendance, character, morality and conduct consistent with Catholic doctrine, and applicable payment history within a Catholic or private/nonpublic school. While the school does not discriminate against students with disabilities, a full range of services may not always be available to them. Decisions concerning the accommodation of a student are based upon the student’s emotional, academic, and physical abilities and the resources available to the school in meeting the student’s needs. The school maintains the right to give preferential acceptance and enrollment to Catholic students. The student is not permitted to attend this school if she or he has an outstanding payment balance at another Catholic School within the Diocese of Greensburg. Your signature below indicates that you understand and accept the content and provisions of this application.

Parent/Guardian (1) Signature(Required)

Parent/Guardian (1) Date Signed(Required)

Parent/Guardian (2) Signature

Parent/Guardian (2) Date Signed

PARENT QUESTIONNAIRE – ALL APPLICANTS

Parents or Guardians, The success of your child is important to us. Please complete the following questionnaire so that we may learn more about your child.

First name of person(s) completing this form:(Required)

Last name of person(s) completing this form:(Required)

Parent First Name(Required)

Parent Last Name(Required)

Parent's Relationship to Applicant(Required)

What factors contributed to the decision to apply to Geibel Catholic Junior-Senior High School?(Required)

How did you hear about us?(Required)

What words or phrases come to mind when describing your child?(Required)

Please comment on what you consider to be your child’s greatest strengths.(Required)

What do you hope your child will gain by attending Geibel Catholic Junior-Senior High School?(Required)

Please indicate any special circumstances that may have affected the educational progress of your child.(Required)

Parent Signature(Required)

Date Signed(Required)

STUDENT QUESTIONNAIRE – APPLICANTS ENTERING GRADES 7-12

STUDENT INSTRUCTIONS (students entering grades 7-12 only). Please take a moment to complete this questionnaire so we may learn more about you.

Student First Name

Student Middle Name

Student Last Name

Student Applying for Grade

What is your favorite subject or activity in school? Explain.

Tell us about some of your extracurricular activities.

Describe an accomplishment of which you are particularly proud.

Is there anything else you would like the Admissions Committee to know about you?

Complete an Application

Application for Admission

ADMISSIONS PROCESS

CAMPUS VISIT

APPLICATION

New Application For Admission

APPLICANT INFORMATION

PARENT/GUARDIAN INFORMATION

Parent/Guardian (1)

Parent/Guardian (2)

CURRENT SCHOOL

TUITION INFORMATION

SACRAMENTAL INFORMATION

SIBLINGS

RELATIVES

Statement of Nondiscriminatory Acceptance Policy:

PARENT QUESTIONNAIRE – ALL APPLICANTS

STUDENT QUESTIONNAIRE – APPLICANTS ENTERING GRADES 7-12

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