archbishop rummel high school application for admission

INFORMATION FOR PARENT NOT LIVING WITH STUDENT (if applicable)
Name: (Circle) Mr. Ms. Dr. Relationship to student:
Street Address: City: State Zip
Home Phone:
( )
Work Phone:
( )
E-mail:
If non-resident spouse is a Rummel graduate, what year?
Names of Brothers, Sisters Date of Birth Grade Level School Now Attending
If the applicant’s father is an alumnus of Archbishop Rummel High School, indicate his year of graduation. _______________
Are there other immediate relatives of the applicant who are alumni of Archbishop Rummel High School?
If yes, indicate name(s) and year(s) of graduation.____________________________________________________________________
Has the applicant ever been in a remedial or resource program? Yes No
Has the applicant ever had an educational evaluation? Yes No
Has the applicant ever had a psychological evaluation? Yes No
Has the applicant ever been suspended from any school? Yes No
Has the applicant ever been placed on probation from any school? Yes No
Has the applicant ever been dismissed from any school? Yes No
(If either a psychological or educational evaluation has been made, this would be a valuable resource in the placement process and a
copy of it should accompany this form.)
If answered YES to any above, please explain ______________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
A NON-REFUNDABLE $20.00 TESTING FEE IS REQUIRED WITH THIS APPLICATION FOR STUDENTS APPLYING
FOR EIGHTH AND NINTH GRADES.
PLEASE SEND THIS COMPLETED FORM TO:
Office of Admissions
Archbishop Rummel High School
1901 Severn Avenue
Metairie, LA 70001
ATTACH CURRENT
PHOTO
Archbishop Rummel High School admits students of any race, color, national and ethnic origin to all the
rights, programs, and activities generally accorded or made available to students of the school. It does
not discriminate on the basis of race, color, national and ethnic origin or disability in violation of state and
federal law or regulation in administration of its educational policies or programs.
Application Incomplete
Without Photo
Parent or Guardian Signature:___________________________________________________
Print Name: _________________________________________________________________