Application for Admissions
-
Upload
roger-bacon -
Category
Documents
-
view
213 -
download
0
description
Transcript of Application for Admissions
Be a Spartan!
rogerbacon.org | 513.641.1300 | 4320 Vine St., Cincinnati, OH 45217
1
The Choice between high schools boils
down to the answer of one question: “what will
you be?” If you want the opportunity to get
involved in every facet of school, if you want to
feel a part of a family, if you want to be challenged
and if you want to grow in your faith – then you
will Be a Spartan.
The Difference you will see at
Roger Bacon is a coeducational environment with
a truly diverse student body. This allows you to
learn in an environment that you will experience
at your university and in your career. The size of
Roger Bacon is purposefully maintained so you
can flourish in the classroom, extracurriculars
and athletics. You will not focus on one aspect
of student life, but many.
The Commitment to
Franciscan education makes Roger Bacon
unique. You will be a part of the only Franciscan
high school in Cincinnati. As a Franciscan you
will be an instrument of change and herald of
peace, reaching out to all people through service.
Our faculty, staff and students will engage your
faith on a personal level.
The Benefit of a Roger Bacon
education is getting in to the college of your
choice. 96% percent of our students further
their education in colleges and universities
around the country and enter with the academic
and moral foundation to succeed. As a student
at Roger Bacon you will be guided in one of
our rigorous academic tracks and have the
opportunity to travel the world with our
Assisi Scholars Program.
The Family you will join has a rich
tradition and legacy. As soon as you walk
through the iconic front doors you will feel at
home. Every teacher and every classmate will
know your name – you will not be just another
student in a crowded school. During sporting
events you will join the best student section
in the city, the Spartan Army, and cheer your
team to victory.
1
The Choice between high schools boils
down to the answer of one question: “what will
you be?” If you want the opportunity to get
involved in every facet of school, if you want to
feel a part of a family, if you want to be challenged
and if you want to grow in your faith – then you
will Be a Spartan.
The Difference you will see at
Roger Bacon is a coeducational environment with
a truly diverse student body. This allows you to
learn in an environment that you will experience
at your university and in your career. The size of
Roger Bacon is purposefully maintained so you
can flourish in the classroom, extracurriculars
and athletics. You will not focus on one aspect
of student life, but many.
The Commitment to
Franciscan education makes Roger Bacon
unique. You will be a part of the only Franciscan
high school in Cincinnati. As a Franciscan you
will be an instrument of change and herald of
peace, reaching out to all people through service.
Our faculty, staff and students will engage your
faith on a personal level.
The Benefit of a Roger Bacon
education is getting in to the college of your
choice. 96% percent of our students further
their education in colleges and universities
around the country and enter with the academic
and moral foundation to succeed. As a student
at Roger Bacon you will be guided in one of
our rigorous academic tracks and have the
opportunity to travel the world with our
Assisi Scholars Program.
The Family you will join has a rich
tradition and legacy. As soon as you walk
through the iconic front doors you will feel at
home. Every teacher and every classmate will
know your name – you will not be just another
student in a crowded school. During sporting
events you will join the best student section
in the city, the Spartan Army, and cheer your
team to victory.
32
STUDENT INFORMATION
First Name __________________ Middle ________ Last Name _____________________________ Preferred Name __________________
Current Grade ___________________ Birthdate ___________________ Gender ___________________ Ethnicity ___________________
Home Address ______________________________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Home Phone _____________________________ Student Email Address ____________________________________________________
Birthplace (City, State, Country) _____________________________________________________________________________________
Religion ____________________________________________ Parish Affiliation _____________________________________________
Applicant lives with: Mother Father Stepparent other ____________________________________________________
Is there a court order regarding custody of this student: yes no
(If a court order exists, Roger Bacon High School must have a copy of said order)
Who has legal custody of this student ________________________________________________________________________________
PARENT/GUARDIAN INFORMATION
Father: Last Name ________________________________________________ First Name _____________________________________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
Mother: Last Name ________________________________________________ First Name ____________________________________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
ADDITIONAL PARENT/GUARDIAN INFORMATION
Last Name __________________________________________ First Name ________________________ Relationship _______________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
Last Name __________________________________________ First Name ________________________ Relationship _______________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
step one. A P P L I C A T I O N
ST
EP
O
NE
AP
PL
IC
AT
IO
N
FO
R
AD
MI
SS
IO
N
STUDENT’S ACADEMIC HISTORY
Current School _______________________________ School Phone ___________________________ Grades Attended _______________
Previous School _______________________________ School Phone ___________________________ Grades Attended _______________
Does your child have a current Individualized Education Plan (IEP)? Yes No
Does your child have a current 504/Intervention Plan? Yes No
1. If YES to any of these, please attach copies of the documents.
2. Full disclosure of your child’s educational history is crucial to both the admissions process and registration for classes. You must provide
Roger Bacon High School with all relevant documents. If you have any other information regarding your child’s educational strengths/needs,
learning styles, and/or other areas of concern, please indicate this on a separate sheet of paper and return with this form.
SCHOLARSHIPS & GRANTS
• By completing the Personal Statement for Scholarship Consideration (See pg. 13) and completing this application you are eligible
for all scholarships offered at Roger Bacon High School.
• If you are interested in Roger Bacon High School's Financial Aid Program, please ensure that you complete the Private School Aid Services
application by the designated deadline.
I am currently a member of the Ohio EdChoice Scholarship Program.
I am currently a member of the CISE Scholarship Program.
PLEASE LIST ALL SIBLINGS LIVING IN THE STUDENT’S HOME
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
ROGER BACON/ OLA FAMILY – GRANDPARENTS, PARENTS, SIBLINGS
Name Relationship Grad Year
Name Relationship Grad Year
Name Relationship Grad Year
Name Relationship Grad Year
APPLICATION VERIFICATION & AUTHORIZATION OF RELEASE
• I affirm that the information contained in this application is true and accurate. I understand that misrepresentation, falsification or omission
of facts on this application may result in refusal of admission and/or prompt withdrawal of any previous admission.
• I do hereby give my permission for the school academic and behavior records, including speech, psychological, IEP, 504 Plans,
or Intervention Plans of to be released to Roger Bacon High School.
Parent/Guardian Signature ____________________________________________________________________ Date _______________
Parent/Guardian Signature ____________________________________________________________________ Date _______________
Applicant Signature ________________________________________________________________________ Date _______________
32
STUDENT INFORMATION
First Name __________________ Middle ________ Last Name _____________________________ Preferred Name __________________
Current Grade ___________________ Birthdate ___________________ Gender ___________________ Ethnicity ___________________
Home Address ______________________________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Home Phone _____________________________ Student Email Address ____________________________________________________
Birthplace (City, State, Country) _____________________________________________________________________________________
Religion ____________________________________________ Parish Affiliation _____________________________________________
Applicant lives with: Mother Father Stepparent other ____________________________________________________
Is there a court order regarding custody of this student: yes no
(If a court order exists, Roger Bacon High School must have a copy of said order)
Who has legal custody of this student ________________________________________________________________________________
PARENT/GUARDIAN INFORMATION
Father: Last Name ________________________________________________ First Name _____________________________________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
Mother: Last Name ________________________________________________ First Name ____________________________________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
ADDITIONAL PARENT/GUARDIAN INFORMATION
Last Name __________________________________________ First Name ________________________ Relationship _______________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
Last Name __________________________________________ First Name ________________________ Relationship _______________
Street Address (if different than student) __________________________________________________________________ Apt. # ______
City ____________________________________________________ State ______________________ Zip ______________________
Occupation _________________________________ Employer _________________________________ Business phone ______________
Home Ph. ______________________ Cell Ph. _____________________ Email Address ________________________________________
step one. A P P L I C A T I O N
ST
EP
O
NE
AP
PL
IC
AT
IO
N
FO
R
AD
MI
SS
IO
N
STUDENT’S ACADEMIC HISTORY
Current School _______________________________ School Phone ___________________________ Grades Attended _______________
Previous School _______________________________ School Phone ___________________________ Grades Attended _______________
Does your child have a current Individualized Education Plan (IEP)? Yes No
Does your child have a current 504/Intervention Plan? Yes No
1. If YES to any of these, please attach copies of the documents.
2. Full disclosure of your child’s educational history is crucial to both the admissions process and registration for classes. You must provide
Roger Bacon High School with all relevant documents. If you have any other information regarding your child’s educational strengths/needs,
learning styles, and/or other areas of concern, please indicate this on a separate sheet of paper and return with this form.
SCHOLARSHIPS & GRANTS
• By completing the Personal Statement for Scholarship Consideration (See pg. 13) and completing this application you are eligible
for all scholarships offered at Roger Bacon High School.
• If you are interested in Roger Bacon High School's Financial Aid Program, please ensure that you complete the Private School Aid Services
application by the designated deadline.
I am currently a member of the Ohio EdChoice Scholarship Program.
I am currently a member of the CISE Scholarship Program.
PLEASE LIST ALL SIBLINGS LIVING IN THE STUDENT’S HOME
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
Name Date of Birth Current School Grade Gender
ROGER BACON/ OLA FAMILY – GRANDPARENTS, PARENTS, SIBLINGS
Name Relationship Grad Year
Name Relationship Grad Year
Name Relationship Grad Year
Name Relationship Grad Year
APPLICATION VERIFICATION & AUTHORIZATION OF RELEASE
• I affirm that the information contained in this application is true and accurate. I understand that misrepresentation, falsification or omission
of facts on this application may result in refusal of admission and/or prompt withdrawal of any previous admission.
• I do hereby give my permission for the school academic and behavior records, including speech, psychological, IEP, 504 Plans,
or Intervention Plans of to be released to Roger Bacon High School.
Parent/Guardian Signature ____________________________________________________________________ Date _______________
Parent/Guardian Signature ____________________________________________________________________ Date _______________
Applicant Signature ________________________________________________________________________ Date _______________
step two. R E C O R D S
54
RELEASE OF RECORDS FORM
1. This form is to be mailed to your son/daughter’s CURRENT SCHOOL.
2. This form gives permission for the school to release your son/daughter’s academic
transcript/records for admission consideration to Roger Bacon High School.
To (Current School): _________________________________________________________________
As Parent and/or Guardian of:
Name of Student ___________________________________________________________________
Date of Birth _______________________________________________________________________
Grade in School _____________________________________________________________________
I hereby authorize the release of all academic and behavior records of the
aforementioned student to Roger Bacon High School including, but not limited to,
the student’s permanent record card, a complete copy of the first quarter 8th grade
report card, two teacher recommendation forms (included), aptitude and academic
testing and intelligence tests to:
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
My signature authorizes the release of all such information as specified above. I understand
this information will be held in the strictest of confidence and will be used solely for the
purpose of evaluating the candidate for admission to the Roger Bacon High School.
Date ________________________________________________________________________________
Parent/Guardian Name (please print) ___________________________________________________
Parent/Guardian Name (signature) ______________________________________________________
ST
EP
T
WO
RE
LE
AS
E
OF
R
EC
OR
DS
F
OR
M
step two. R E C O R D S
54
RELEASE OF RECORDS FORM
1. This form is to be mailed to your son/daughter’s CURRENT SCHOOL.
2. This form gives permission for the school to release your son/daughter’s academic
transcript/records for admission consideration to Roger Bacon High School.
To (Current School): _________________________________________________________________
As Parent and/or Guardian of:
Name of Student ___________________________________________________________________
Date of Birth _______________________________________________________________________
Grade in School _____________________________________________________________________
I hereby authorize the release of all academic and behavior records of the
aforementioned student to Roger Bacon High School including, but not limited to,
the student’s permanent record card, a complete copy of the first quarter 8th grade
report card, two teacher recommendation forms (included), aptitude and academic
testing and intelligence tests to:
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
My signature authorizes the release of all such information as specified above. I understand
this information will be held in the strictest of confidence and will be used solely for the
purpose of evaluating the candidate for admission to the Roger Bacon High School.
Date ________________________________________________________________________________
Parent/Guardian Name (please print) ___________________________________________________
Parent/Guardian Name (signature) ______________________________________________________
ST
EP
T
WO
RE
LE
AS
E
OF
R
EC
OR
DS
F
OR
M
step three (part a). R E C O M M E N D A T I O N
76
TEACHER RECOMMENDATION FORM
Applicant Legal Name _______________________________________________________________
Teacher Name (please print) _________________________________ Grade Level ______________
Teacher Signature _______________________________ School _____________________________
Phone # __________________________ Email ___________________________________________
ACADEMIC RATINGS
Study Skills Poor Average Good Excellent
Critical Thinking Skills Poor Average Good Excellent
Academic Potential Poor Average Good Excellent
Academic Achievement Poor Average Good Excellent
NON – ACADEMIC RATINGS
Honesty/Integrity Poor Average Good Excellent
Classroom Behavior Poor Average Good Excellent
Respect of Peers Poor Average Good Excellent
Initiative/Drive Poor Average Good Excellent
OVERALL RECOMMENDATION
I recommend this candidate for admission to Roger Bacon High School
I recommend this candidate with some reservation for admission to Roger Bacon High School
I do not recommend this candidate for admission to Roger Bacon High School
FOREIGN LANGUAGE RECOMMENDATION
I recommend this candidate to study a foreign language next year
I recommend this candidate delay the study of a foreign language until sophomore year
PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION
To allow a completely candid evaluation I waive my right to examine this
recommendation and understand that the comments of the evaluator will
be held in the strictest of confidence throughout the selection process.
Parent/Guardian (signature) ______________________________________________ Date ________
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
ST
EP
T
HR
EE
A
T
EA
CH
ER
R
EC
OM
ME
ND
AT
IO
N
FO
RM
step three (part a). R E C O M M E N D A T I O N
76
TEACHER RECOMMENDATION FORM
Applicant Legal Name _______________________________________________________________
Teacher Name (please print) _________________________________ Grade Level ______________
Teacher Signature _______________________________ School _____________________________
Phone # __________________________ Email ___________________________________________
ACADEMIC RATINGS
Study Skills Poor Average Good Excellent
Critical Thinking Skills Poor Average Good Excellent
Academic Potential Poor Average Good Excellent
Academic Achievement Poor Average Good Excellent
NON – ACADEMIC RATINGS
Honesty/Integrity Poor Average Good Excellent
Classroom Behavior Poor Average Good Excellent
Respect of Peers Poor Average Good Excellent
Initiative/Drive Poor Average Good Excellent
OVERALL RECOMMENDATION
I recommend this candidate for admission to Roger Bacon High School
I recommend this candidate with some reservation for admission to Roger Bacon High School
I do not recommend this candidate for admission to Roger Bacon High School
FOREIGN LANGUAGE RECOMMENDATION
I recommend this candidate to study a foreign language next year
I recommend this candidate delay the study of a foreign language until sophomore year
PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION
To allow a completely candid evaluation I waive my right to examine this
recommendation and understand that the comments of the evaluator will
be held in the strictest of confidence throughout the selection process.
Parent/Guardian (signature) ______________________________________________ Date ________
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
ST
EP
T
HR
EE
A
T
EA
CH
ER
R
EC
OM
ME
ND
AT
IO
N
FO
RM
step three (part b). R E C O M M E N D A T I O N
98
TEACHER RECOMMENDATION FORM
Applicant Legal Name _______________________________________________________________
Teacher Name (please print) _________________________________ Grade Level ______________
Teacher Signature _______________________________ School _____________________________
Phone # __________________________ Email ___________________________________________
ACADEMIC RATINGS
Study Skills Poor Average Good Excellent
Critical Thinking Skills Poor Average Good Excellent
Academic Potential Poor Average Good Excellent
Academic Achievement Poor Average Good Excellent
NON – ACADEMIC RATINGS
Honesty/Integrity Poor Average Good Excellent
Classroom Behavior Poor Average Good Excellent
Respect of Peers Poor Average Good Excellent
Initiative/Drive Poor Average Good Excellent
OVERALL RECOMMENDATION
I recommend this candidate for admission to Roger Bacon High School
I recommend this candidate with some reservation for admission to Roger Bacon High School
I do not recommend this candidate for admission to Roger Bacon High School
FOREIGN LANGUAGE RECOMMENDATION
I recommend this candidate to study a foreign language next year
I recommend this candidate delay the study of a foreign language until sophomore year
PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION
To allow a completely candid evaluation I waive my right to examine this
recommendation and understand that the comments of the evaluator will
be held in the strictest of confidence throughout the selection process.
Parent/Guardian (signature) ______________________________________________ Date ________
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
ST
EP
T
HR
EE
B
T
EA
CH
ER
R
EC
OM
ME
ND
AT
IO
N
FO
RM
step three (part b). R E C O M M E N D A T I O N
98
TEACHER RECOMMENDATION FORM
Applicant Legal Name _______________________________________________________________
Teacher Name (please print) _________________________________ Grade Level ______________
Teacher Signature _______________________________ School _____________________________
Phone # __________________________ Email ___________________________________________
ACADEMIC RATINGS
Study Skills Poor Average Good Excellent
Critical Thinking Skills Poor Average Good Excellent
Academic Potential Poor Average Good Excellent
Academic Achievement Poor Average Good Excellent
NON – ACADEMIC RATINGS
Honesty/Integrity Poor Average Good Excellent
Classroom Behavior Poor Average Good Excellent
Respect of Peers Poor Average Good Excellent
Initiative/Drive Poor Average Good Excellent
OVERALL RECOMMENDATION
I recommend this candidate for admission to Roger Bacon High School
I recommend this candidate with some reservation for admission to Roger Bacon High School
I do not recommend this candidate for admission to Roger Bacon High School
FOREIGN LANGUAGE RECOMMENDATION
I recommend this candidate to study a foreign language next year
I recommend this candidate delay the study of a foreign language until sophomore year
PARENT/GUARDIAN CONSENT TO RELEASE INFORMATION
To allow a completely candid evaluation I waive my right to examine this
recommendation and understand that the comments of the evaluator will
be held in the strictest of confidence throughout the selection process.
Parent/Guardian (signature) ______________________________________________ Date ________
Roger Bacon High School
Attention: Office of Admissions
4320 Vine Street
Cincinnati, Ohio 45217
ST
EP
T
HR
EE
B
T
EA
CH
ER
R
EC
OM
ME
ND
AT
IO
N
FO
RM
1110
1110
step four. S T A T E M E N T
1312
ST
EP
F
OU
R
PE
RS
ON
AL
S
TA
TE
ME
NT
F
OR
S
CH
OL
AR
SH
IP
PERSONAL STATEMENT FOR SCHOLARSHIP
Roger Bacon High School awards scholarships for academic merit based on the admissions
test results and grades in elementary school. In addition, scholarships are also given to
students who have a track record of proven leadership through involvement in their
elementary schools, parishes and communities.
To be eligible for consideration of all scholarships to Roger Bacon High School, please
submit a statement in response to the questions below and attach it with your application
for admission.
1. What lessons have you learned through your involvement in your elementary
school, parish or community?
2. How will you apply what you have learned when you are a student
at Roger Bacon High School?
Application Checklist
1. Schedule a Shadow Visit
2. Complete Application for Admission and Personal Statement
for Scholarship Consideration
3. Submit Release of Records Form to your current school
4. Submit two (2) Teacher Recommendation Forms to your current school
5. Take the High School Placement Test and select Roger Bacon
to receive your results
6. Complete Private School Aid Services Application if you are interested
in financial aid
7. Register to Be a Spartan
step four. S T A T E M E N T
1312
ST
EP
F
OU
R
PE
RS
ON
AL
S
TA
TE
ME
NT
F
OR
S
CH
OL
AR
SH
IP
PERSONAL STATEMENT FOR SCHOLARSHIP
Roger Bacon High School awards scholarships for academic merit based on the admissions
test results and grades in elementary school. In addition, scholarships are also given to
students who have a track record of proven leadership through involvement in their
elementary schools, parishes and communities.
To be eligible for consideration of all scholarships to Roger Bacon High School, please
submit a statement in response to the questions below and attach it with your application
for admission.
1. What lessons have you learned through your involvement in your elementary
school, parish or community?
2. How will you apply what you have learned when you are a student
at Roger Bacon High School?
Application Checklist
1. Schedule a Shadow Visit
2. Complete Application for Admission and Personal Statement
for Scholarship Consideration
3. Submit Release of Records Form to your current school
4. Submit two (2) Teacher Recommendation Forms to your current school
5. Take the High School Placement Test and select Roger Bacon
to receive your results
6. Complete Private School Aid Services Application if you are interested
in financial aid
7. Register to Be a Spartan
Be a Spartan!
rogerbacon.org | 513.641.1300 | 4320 Vine St., Cincinnati, OH 45217