Cristo Rey Philadelphia High School Application

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Student Information
Optional gender details
Is the Student of Hispanic, Latino or Spanish origin?
Which of the following best describes the student?
Do you or have you ever had another student (sibling) enrolled at Cristo Rey?
Please provide sibling name/names
Did the student receive the COVID-19 Vaccine? *Cristo Rey Philadelphia High School does require every student to receive the COVID-19 vaccine upon enrolling.
Address Where Student Resides
Parent/Guardian #1 Information
Please describe relationship to student.
Is Parent/Guardian 1 an Emergency Contact for the student?
What is Parent/Guardian 1's email address?
Preferred Language of Correspondence for Parent/Guardian 1.
Who does Parent/Guardian 1 work for?
Describe Parent/Guardian 1's work / role.
Is Parent/Guardian 1's address the same as the student's?
If your address is different than the student's, please explain.
Is Parent/Guardian 1 interested in volunteering in our Parent-Teacher Organization (PTO)?
Parent/Guardian #1 Tax Information
Does Parent/Guardian 1 file taxes?
*Families that earn $50,000 or more annually should contact the Admissions Office before applying to determine if they are financially eligible. Please call 215-219-3943 or email admissions@crphs.org*
For the tax year you are submitting, please provide the amount of Parent/Guardian 1's Total Income?
For the tax year you are submitting, please provide the total number of exemptions claimed by Parent/Guardian 1.
For the tax year you are submitting, did Parent/Guardian 1 file for unemployment?
Does Parent/Guardian 1 own your own business / fill out a Schedule C IRS Form?
Is there a second Parent/Guardian in the household?
Parent/Guardian #2 Information
Please describe Parent/Guardian 2's relationship to student.
Is Parent/Guardian 2 an Emergency Contact for the student?
Preferred Language of Correspondence for Parent/Guardian 2
Please describe Parent/Guardian 2's work position / role.
Is Parent/Guardian 2 interested in volunteering in our Parent-Teacher Organization (PTO)?
Parent/Guardian #2 Tax Information
Does Parent/Guardian #2 file taxes?
For the tax year you are submitting, please provide the amount of Total Income for Parent/Guardian 2.
For the tax year you are submitting, please provide the total number of exemptions claimed by Parent/Guardian 2.
For the tax year you are submitting, did Parent/Guardian 2 file for unemployment?
Does Parent/Guardian 2 own a business / fill out a Schedule C IRS Form?
Household Information
Parents/Guardians Marital Status - Please check all that apply
Please provide number of adults living in the household.
Please provide number of children living in the household.
What is the primary language used in the home?
What is the primary language used in the home?
Do you rent or own your home?
Please provide your monthly rent or mortgage payment.
If your child (or children) attends a Catholic or private school, what is the current total MONTHLY tuition that you pay?
Additional Income in the Household
SNAP benefits (food stamps) MONTHLY amount.
Temporary Assistance for Needy Families (TANF) MONTHLY amount.
Supplemental Security Income (SSI) for any adults in the household - Total MONTHLY amount
Supplemental Security Income (SSI) for any children in the household - Total MONTHLY amount
Social Security/Disability Benefits (SSDI) for any adults in the household - Total MONTHLY amount
Social Security/Disability Benefits (SSDI) for any children in the household - Total MONTHLY amount
Unemployment Compensation MONTHLY amount
Worker's Compensation MONTHLY amount
Child Support Received MONTHLY amount
Other Income MONTHLY amount (ex: Regular help from family members)
Change of Income
Do you anticipate a decrease OR an increase in your annual household income?
Please select all that apply
Please provide the (estimated) MONTHLY amount you expect to increase/decrease.
Student Academic History
If Other school selected, please provide the name of student's current school
How many years has the student attended this school?
If Other school selected, please provide the name of student's previous school
How many years did student attended previous school?
Has the student ever been in trouble for poor behavior in school?
Does the applicant suffer from any serious illness, physical or emotional limitation, depression or other mental illness?
Has the applicant ever had a psycho-educational evaluation?
Has the applicant been diagnosed with a learning disability?
Has the applicant been diagnosed with ADD or ADHD?
Has the applicant now or ever been enrolled in special education classes?
Families of students who would benefit from continuing to receive related services (occupational therapy, speech, deaf and hard of hearing services, etc.) listed in their IEP should consider enrolling the student in a public or charter school so that they may continue to receive these services. IU 26, the Intermediate Unit for students who reside within the School District of Philadelphia, does not currently provide direct Equitable Participation (EP) services to individual students. Children who are enrolled by their parent/guardians in private schools, including religious institutions, do not have an individual entitlement to services they would receive if they were enrolled in a public school. This means that there is no entitlement to direct Equitable Participation (EP) services for individual private school students.
Individualized Education Plan (IEP): An IEP provides special education supports and services. Students who have an IEP receive specially designed instruction. This means the student may receive related services (counseling, special education classes, speech therapy, occupational therapy, etc.) and or participate in a modified curriculum. Students who have an IEP would have gone through an evaluation of some sort, often called a psychoeducational evaluation.
Does the applicant currently have, or ever had, an Individual Education Plan (IEP)?
504 Plan: A 504 plan provides students with physical or mental impairments accommodations so that they can access the general education curriculum. Students who are eligible for 504 plans must have a condition that substantially limits one or more major life activities. Students who have a 504 may not have undergone an evaluation but have some sort of document that substantiates the need for accommodations. 
Does the applicant currently have, or ever had, a 504 Plan?
If your child has ever had an IEP or 504 Plan, please make sure to submit the following paperwork before registration in order for us to be able to offer support or accommodations to your student at Cristo Rey:

(1) Student's IEP or 504 plan AND (2) Evaluation report or other formal documentation of student's needs

This information will not be used for admission purposes. It will only be used to help us determine how to support your student at Cristo Rey. We will do our best to support your student's needs based on what we have available here, but please note that some services that your student received at their middle school may not be available at Cristo Rey.
Please list any honors or awards the student has received (student of the month, perfect attendance, etc.)
Please list any clubs, activities, youth groups, etc., inside or outside of school, that the student is regularly involved in.
Please list any sports the student plays, inside or outside of school.
Please list any leadership roles the student holds inside or outside of school?
Supplemental Questions
Did a current student or parent/guardian at Cristo Rey refer you to our school?
Please provide the first and last name of the person that referred you.
If Other selected above, please describe how you heard about CRPHS
Have seen or heard the following from Cristo Rey Philadelphia High School? Select all that apply.
Have you attended the following? Select all that apply.

All registered students must complete a mandatory, 2-week, academic Summer Bridge Program prior to their start at Cristo Rey.  Summer Bridge will have a mandatory drop in day on July 8th between 10am and 1pm to pick up essential materials for the program. Summer Bridge will then run from July 9th to July 19th.
Applicant Agreement
Completion of 8th grade (or 9th grade for transfers): The applicant will be considered for enrollment in Cristo Rey Philadelphia High School for the 2024-2025 school year only upon successful completion of the 8th or 9th grade.

Work-Study Requirement: The applicant is required to participate in the Work-Study Program in order to be enrolled and registered as a student at Cristo Rey Philadelphia High School.
By entering the student's name here, you agree to the terms listed above.
File Uploads
Once you submit your application, you will receive a confirmation email detailing all of the documents you must submit. If you have the documents below available, please attach here. All documents must be submitted before scheduling an interview.
If you file taxes, please submit tax return information from 2021
If applicable
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