Application New Students

1 Parent Information

2 Student Information

Father Name
First Last
Occupation
Father Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Phone
Mother Name
First Last
Occupation
Mother Address
Same as Father's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Phone
Marital Status
- Married
- Separated
- Divorced
- Father Deceased
- Mother Deceased
Divorce Decree
If parents are divorced, please attach a copy of the divorce decree relating to custody, financial responsibility & release of information.
Hispanic or Latino*
- Yes
- No
Ethnicity*
Please select the racial category or categories with which you most closely identify. Check as many as apply.
- American Indian or Alaska Native
- Asian
- Black or African Americn
- Native Hawaiian or Other Pacific Islander
- White
Parish Now Registered*
- St. Benedict
- Other
- Non-Catholic
Parish Name*
Please enter the name of the parish you currently registered with.
Register at St. Benedict?*
Do you intend to register at St. Benedict Parish?
- Yes
- No

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No. of Children*
Please select the number of children entering St. Benedict School.
Student Name*
First Middle Last
Grade*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
Preschool Options*
Please check one.
- M-F AM
- M/W/F AM
- T/Th AM
- M-F All Day
- M/W/F All Day
- T/Th All Day
Pre-K Options*
Please check one.
- M-F AM & PM
- M-F AM & M/W/F PM
- M-F AM & T/Th PM
- M-F PM Only
Baptism Date
Date Format: MM slash DD slash YYYY
Church
City/State
First Communion Date
Date Format: MM slash DD slash YYYY
Church
City/State
Student Support
Does student have or receive ...
- 504
- Individual Education Plan (IEP) Special Education
- Speech
Student Name*
First Middle Last
Grade*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
Preschool Options*
Please check one.
- M-F AM
- M/W/F AM
- T/Th AM
- M-F All Day
- M/W/F All Day
- T/Th All Day
Pre-K Options*
Please check one.
- M-F AM & PM
- M-F AM & M/W/F PM
- M-F AM & T/Th PM
- M-F PM Only
Baptism Date
Date Format: MM slash DD slash YYYY
Church
City/State
First Communion Date
Date Format: MM slash DD slash YYYY
Church
City/State
Student Support*
Does student have or receive ...
- 504
- Individual Education Plan (IEP) Special Education
- Speech
Student Name*
First Middle Last
Grade*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
Preschool Options*
Please check one.
- M-F AM
- M/W/F AM
- T/Th AM
- M-F All Day
- M/W/F All Day
- T/Th All Day
Pre-K Options*
Please check one.
- M-F AM & PM
- M-F AM & M/W/F PM
- M-F AM & T/Th PM
- M-F PM Only
Baptism Date
Date Format: MM slash DD slash YYYY
Church
City/State
First Communion Date
Date Format: MM slash DD slash YYYY
Church
City/State
Student Support*
Does student have or receive ...
- 504
- Individual Education Plan (IEP) Special Education
- Speech
Student Name*
First Middle Last
Grade*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
Preschool Options*
Please check one.
- M-F AM
- M/W/F AM
- T/Th AM
- M-F All Day
- M/W/F All Day
- T/Th All Day
Pre-K Options*
Please check one.
- M-F AM & PM
- M-F AM & M/W/F PM
- M-F AM & T/Th PM
- M-F PM Only
Baptism Date
Date Format: MM slash DD slash YYYY
Church
City/State
First Communion Date
Date Format: MM slash DD slash YYYY
Church
City/State
Student Support*
Does student have or receive ...
- 504
- Individual Education Plan (IEP) Special Education
- Speech
Student(s) Lives With*
- Both Parents
- Father Only
- Mother Only
- Father - Stepmother
- Mother - Stepfather
- Grandparents
- Legal Guardian
- Other
Grandparent/Guardian/Other Name*
First Last
Student Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous Schools
How many previous schools do you need to enter?
Previous School
Previous School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous School
Previous School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous School
Previous School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous School
Previous School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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The Mission of St. Benedict Cathedral School

To form Christian disciples who proclaim the Catholic faith, achieve academic excellence, and serve others.

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Contact Us

St. Benedict Cathedral
1328 Lincoln Avenue
Evansville, IN 47714

(812) 425-3369
(812) 425-3378 Fax
cathedral@evdio.org

Parish Office Hours
Monday - Thursday
8:00-11:30, 12:30 4:00
Friday 8:00-Noon

Also Visit

St. Benedict Cathedral School: Reaching Minds. Touching Hearts. Shaping Souls.

Catholic Diocese of Evansville:
The Catholic Diocese of Southwest Indiana

Saint Meinrad Archabbey:
A community of Roman Catholic Benedictine Monks

Sisters of
St. Benedict:
A community of Roman Catholic Benedictine Sisters in Ferdinand

The Message Online:
SW Indiana's Catholic Community Newsletter

Sycamore Education:
A communicaction tool for school families - More Details