Institute of Notre Dame

Friday, May 09, 2008

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Deadline January 10, 2008

Application Fee $30

Please mail to:

Institute of Notre Dame
901 Aisquith St.
Baltimore, MD 21202
Attn: Admissions

Applying for grade:

9th

10th

11th

Student Information:
First Name
Middle Name/Initial
Last Name
Street Address

City
State
Zip/Postal Code
County
Home Phone
FAX Number
E-Mail
Date of Birth
Place of Birth
Current School
Current Grade
High School Choices:
First Choice
Second Choice
Third Choice
Have you taken the Catholic School Entrance Exam?
Yes No
Parish
Religion

Mother's Information:
First Name
Middle Name/Initial
Last Name
Street Address

City
State
Zip/Postal Code
County
Home Phone
Work Phone
Employed By
Type of Work
FAX Number
E-Mail

Father's Information:
First Name
Middle Name/Initial
Last Name
Street Address

City
State
Zip/Postal Code
County
Home Phone
Work Phone
Employed By
Type of Work
FAX Number
E-Mail

My parents are:
	Married Separated Divorced Mother Deceased Father Deceased

I live with: (check all the apply)
	Mother Father Step-Mother Step-Father Guardian

Person responsible for payment of tuition:
First Name
Middle Name/Initial
Last Name
Street Address

City
State
Zip/Postal Code
Home Phone
Would you like to receive Financial Aid information?
Yes No

List sisters who currently attend IND: (name, year of graduation)

List relatives who have graduated from IND: (name, relationship, year of graduation)

List any activities, sports, or service in which you are involved. Check the last column if you would like to continue in high school.
Activity	Position Held; Honors/Awards received	Do you plan to participate at IND?
		Yes No Maybe
		Yes No Maybe
		Yes No Maybe
		Yes No Maybe

Check any sports in which you are interested:
Fall	Winter	Spring
Cross Country Soccer Volleyball Crew	Cheerleading Swimming Basketball	Lacrosse Softball Track Crew

How did you find out about IND?
	School Visit/Poster Alumnae Friend Open House Billboard Newspaper Current Student Brochure Other

ESSAY FOR ADMISSION:
How have your middle school education and activities prepared you for the IND experience?

The following information is for statistical purposes only:

Combined Family Income:
less than $20,000
$20 - 39,999
$40 - 59,999
$60 - 79,000
$80 - 99,999
$100,000+

Race/Ethnic Origin:
African-American Caucasian
Asian
Native-American
Hispanic
Other