Application Form 2023-2024

If a spot becomes available, our school office will call the phone number you provided on the application.
If the voicemail has not been set up or if the mailbox is full, we will immediately move on to the next wait
list applicant.

Name of Student *

First and last name

Gender *

Date of Birth *

Month

Day

Year

Grade Entering *

Religion of Applicant *

Home phone# *

Current Sibling at HCA

Name

Grade

Parent A's Information

Full name of Parent A

Parent A's street address

City

State

Zip Code

Cell#

Occupation

Business Phone#

Name of Employer

Religion of Parent A

Parent B's Information

Full name of Parent B

Parent B's street address

City

State

Zip Code

Cell#

Occupation

Business Phone#

Name of Employer

Religion of Parent B

If parents do not reside together, with whom does the applicant reside?

Parent A

Parent B

Other Legal Guardian

If “Other Legal Guardian”, please provide name and address

Guardian’s relationship to Applicant

Who pays child’s tuition *

How do you plan to pay child’s tuition? *

Annual payment

4 Quarterly payments

10 Monthly payments

How do you describe your child? (Response is optional)

Previous school attended by Applicant

Name *

Address *

Has the applicant been tested by a school psychologist or child study team, or by an independent educational consultant? *

Yes

If yes, please describe the nature of the testing

Does the applicant have (check all that apply)

IEP

ISP

IIP

Why do you want your child to attend Hoboken Catholic Academy? *

Do you plan to have your child attend HCA through Grade 8? *

Yes

For Catholics

	Yes/No	Date
Baptism	Yes No	Month Day Year
First Penance	Yes No	Month Day Year
First Communion	Yes No	Month Day Year
Confirmation	Yes No	Month Day Year

Application Payment $

Clicking Submit will take you off the site to pay via PayPal.

Leave this field blank

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Application Form 2023-2024