SSL Certificate

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Student Information


Father/Male Guardian

(Dr., Mr., Rev.)​​
(Father, Grandfather, Uncle, etc.)​​​​

Mother/Female Guardian

(Dr., Mrs., Ms., Rev.)​​​​​​
(Mother, Grandmother, Aunt, etc.)​​​

Student Interests

Please select your top three choices of academic interest in order of importance:

Please select your first, second, and third choice of extracurricular activity in order of interest:


Additional Information

Would you like to receive an information packet from Mount Saint Joseph?​​
How did you get referred to fill out this form? Check all that apply below:
Teacher/Staff/Coach​
Are you interested in scheduling a student visit day during the 2016-2017 school year?​​​​​
By selecting yes in the drop down, you are giving Mount Saint Joseph High School permission to take your sons photo during his visit day. These photos are used to promote our shadow days and we also like to send these photos to the parents. ​​​

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