STEP 1 - Application for Admission

Thank you for your interest in St. Theresa Catholic School!
•Please complete all fields of the Application for Admission below. Use NA in fields that are Not Applicable to you but require an answer.
•Please submit your application and supporting documentation** in your designated enrollment phase. Your application will be checked for the correct phase. If it is submitted ahead of the correct phase, it will not be able to be considered and the application fee will be refunded.
•Applications will be considered after receipt of all forms and fee payment.
 
**Supporting documentation and application fee may be mailed, emailed, or dropped off at the school office during school office hours (Monday - Friday, 8:30 AM -  3:30 PM, unless noted otherwise on the school calendar).
 
Phase 1:  December 30, 2019 - January 13, 2020
Currently enrolled St. Theresa Catholic School students in good standing. This includes siblings of currently enrolled St. Theresa Catholic School students who are re-enrolling for 2020-2021.
 
Phase 2:  January 13, 2020 - January 23, 2020
Parish families not currently enrolled at St. Theresa Catholic School. Families must be officially registered with St. Theresa Catholic Parish. If you are unsure if you are registered, please contact the parish secretary at 703-729-2287. In order to register with the parish, you must live within the Saint Theresa Parish boundaries and complete a yellow parish registration form. Your parish registration will be verified prior to acceptance confirmation.
 
Phase 3:  January 27, 2020 - February 6, 2020
Families of other Catholic parishes without a school.
 
Phase 4:  February 3, 2020 - ...
General Community
 
 
 
BEGIN online application:
School Year: *

STUDENT DATA

Only child at this school? *
Oldest child at this school? *

PREVIOUS SCHOOLS ATTENDED

Has your child attended any previous schools? *
Please complete the following information for any previous schools your child has attended. (Use "NA" for "not applicable" when necessary.) *
 Name of SchoolDatesGradesCity/StateTelephone
School #1:
School #2:
School #3:

RELIGIOUS INFORMATION

Baptized? *
If Catholic, are you registered with St. Theresa Church? *
For Catholic applicants, please complete the following information. (Use "NA" when necessary.) *
 Date (mm/dd/yyyy)ChurchCity and State
Baptism:
Reconciliation:
First Eucharist:
Confirmation:

FAMILY BACKGROUND INFORMATION

Please complete the following information for both Mother and Father.  *
 MotherFather
Full Name
Maiden Name
Country of Birth
Home Address
Home City
Home State
Home Zip
Home Phone
Cell Phone
Work Phone
Work Email
Occupation
Employer
Religion
Parish
Primary Language Spoken in Home
If the child lives with a Guardian, complete the Guardian's information as well.
Legal Documentation must accompany the application paperwork when submitted. (Use NA as necessary.)
 *
 Guardian
Full Name
Maiden Name
Country of Birth
Home Address
Home City
Home State
Home Zip
Home Phone
Cell Phone
Work Phone
Work Email
Occupation
Employer
Religion
Parish
Primary Language Spoken in Home
Martial Status (check all that apply): (NOTE: In the event of a divorce, decree of custody must be filed in the school office, as well as any specific instructions regarding release of the child to a parent. *
Name and Address of person responsible for tuition/fees payment:
Grandparent Information:
 Paternal GrandparentMaternal Grandparent
Full Name
Home Address
Home City
Home State
Home Zip
Home Phone
Cell Phone

ADDITIONAL INFORMATION

Has your student ever been suspended, dismissed, expelled, or not permitted to re-enroll in a school? *
Has your student ever been tested or evaluated for any disability (i.e. Learning Disabilities, Attention Deficit (Hyperactivity) Disorder, Emotional Disabilities, etc.), English as a Second Language, or medical condition? *
To be considered for admission, the following documents and a non-refundable application fee must be delivered to the school office:
 
1.  Copy of original Birth Certificate
2.  Copy of Baptismal Certificate (Catholics only)
3.  Immunization Record
4.  Scholastic Form completed by present teacher (see checklist for details)
5.  Current Report Card including comments and previous report cards (see checklist for details)
6.  Current Standardized Test scores and previous (see checklist for details)
7.  A non-refundable application fee of $150
8.  If applicable: Copy of Custody Decree 
 

CERTIFICATION

I certify that all information provided and all statements made in all sections of this Application are true and correct to the best of my knowledge.

I understand that if I provide false information or withhold relevant information and it is discovered after my child has been registered at St. Theresa Catholic School, the offer of admission may be revoked.

St. Theresa Catholic School does not discriminate on the basis of race, national, or ethnic origin in the administration of our educational policies, admission policies, athletic or other school administered programs. All students have the rights, privileges, programs, and activities generally accorded or made available to all students formally accepted into the school. Students in grades 1-8 are not formally accepted until completing a ninety day probationary period. Children who are not Catholic are expected to participate in religion classes and to respectifully attend all religious functions of the school.

I agree and understand that my typed electronic signature below shall have the same legal effect as my original signature and is being accepted as my signature pursuant to the Virginia Uniform Electronic Transactions Act, Code of Virginia, 59.1-479 et seq.