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Protected: Online Application

CHA Online Application

Application Date: November 19, 2017

STEP-1: Student Information

STEP-2: Parent Information

Father/Guardian

Yes No
Yes No

Mother/Guardian

Yes No
Yes No

STEP-3: Personal/Family Information

Parents Father Mother Other

Student has received the following sacraments (if yes, date and location information is helpful but not required)

Yes No
Yes No
Yes No
Yes No

Schools attended

Please list all schools attended, beginning with current school

Siblings

Please list Name/Age/School of all children in family:

STEP-4: Parent Questionnaire

Please answer each question completely.

STEP-5: Medical Information

Yes No
Yes No
Yes No

Preview Application

Please review your information before submitting the application.