Application for Admission

Instructions

We're excited that you've decided to apply for admission to Jesuit Academy!

The online application for admission is broken down into several small pages. Please complete the information on each page, review your information at the end, then submit your application.

Keep in mind that:

All fields marked with an asterisk (*) on the application are required.
You must have scripting enabled on your browser in order for the application to function properly.
You must click the 'Submit' button at the end to send your application to our Office of Admission.
Review your application at the end before you submit it.

At this time, you have to finish the application in one sitting. If you leave the form idle for more than 20 minutes, your session will expire, and you will have to start over!

Select Term

In order to start your application, please tell us when you plan to enroll.

Enrollment into Jesuit Academy is for young men in grades 4-8.

Student is applying for admission into which grade during the 2025-2026 school year?

Student Information

First Name

Middle Name

Last Name

Last Name Suffix

Address

City

State

Zip Code

Home Phone

Current Grade

Age

Current School

Date of Birth

Place of Birth

Family Information

Email

Mother's Information

First Name

Last Name

Last Name Suffix

Address

City

State

Zip Code

Occupation

Employer

Position

Work Phone

Cell Phone

Father's Information

First Name

Last Name

Last Name Suffix

Address

City

State

Zip Code

Occupation

Employer

Position

Work Phone

Cell Phone

Academic Information

Schools Attended:

School

Dates Attended

Grades

School

Dates Attended

Grades

School

Dates Attended

Grades

School

Dates Attended

Grades

Has the student ever been evaluated for or received services under Title I in any grade?

YesNo

If yes, what grade(s)?

Is there any illness or disability which my interfere with the student's studies or participation in extracurricular activities?

YesNo

If yes, please indicate what they are and explain (asthma, dyslexia, etc.)?

Is the student presently enrolled in any type of special education program at the school he attends?

YesNo

If yes, please explain.

Parent's Statement of Intent

Why are you interested in your child becoming a student at Jesuit Academy?

Agreement

It is my understanding that Jesuit Academy is an academically challenging school with a rigorous code of conduct designed to prepare my son/ward for acceptance into a college preparatory curriculum. I also understand that full participation of parents or guardians, including attending classes, faculty/parent meetings, field trips, and other parent and family activities is necessary to meet the requirements of the program.

By typing your name(s) in the box below, you are authorizing your agreement with the above statement.

Parent or Guardian Name

Date

Parent or Guardian Name

Date

Jesuit Academy admits students of any race, color, nationality, or ethnic origin to its program. The school firmly adheres to a policy of administering all of its educational programs and related services in a manner that does not discriminate because of a student's race, color, nationality, or ethnic origin.