Pallotti High School

To apply for the 2008-2009 school year at St. Vincent Pallotti High School, please fill in your information below. Required fields are marked with an asterick (*). Upon completing your application and clicking Submit, you will be redirected to a payment page for your application processing payment of $50.00. If you have any questions, please call our Admissions Office at 301-725-3228 ext. 202. You may also:

Download our application form to print out and mail in with payment
Download our Teacher Recommendation form to present to a teacher
Apply to the Learning Center separately by clicking here or downloading the Learning Center Application Form

Applicant Information
*Last Name:	*First Name: MI:
*Email:	*Gender:
*Address:
*City:	*State:
*Zip:
*Home Phone:	*Date of Birth:
Ethnicity:	Citizenship:
*Current Grade:	*Grade Applying For:

*Current School:	*Date Entered:
*Current School Address:
*City:	*State:
*Zip:

Other Schools Attended:	Year(s):
	Year(s):

Family Information
Applicant Lives With:	Both Parents Mother Father Stepparents Guardian(s)
Parent1/ Guardian:
Relationship to Applicant:
Home Address:
City:	State:
Zip:
Employer:	Occupation:
Business Phone:	Cell Phone:
Email:	Level of Education:
Religion:	Parish:

Parent2/ Guardian:
Relationship to Applicant:
Home Address:
City:	State:
Zip:
Employer:	Occupation:
Business Phone:	Cell Phone:
Email:	Level of Education:
Religion:	Parish:

Applicant Questionnaire
Name:
Preferred Name:
Why are you interested in attending Pallotti?
What academic subjects do you enjoy the most?
What are your primary interests at school, outside of class? (i.e. clubs, school activities, etc.)
List any positions or responsibilities you have held or any awards you have won at your school:
What are your hobbies and interests at home?
What kind of reading do you enjoy? List examples of books, magazines, newspapers, etc.:
List any organized activities in which you participate outside of school (i.e. boy scouts, sports, etc.)
What activities do you hope to pursue at Pallotti?
What else would you like the Admissions Committee to know about you?

Pallotti Information
Name & relation of any relatives attending or who have attended Pallotti:
Name & grade of any relatives currently applying to Pallotti:

* I verify that all information stated above is accurate to my knowledge. By hitting submit, I understand: • If I give false information knowingly, I could be denied enrollment. • Filling out this application does not guarantee acceptance into St. Vincent Pallotti High School. I • My application will not be processed until I pay the application processing fee of $50.00 by credit card.