Overview History of ICSJ Board of Specified Jurisdiction ICSJ Quick Facts Visiting ICSJ Principal's Welcome Leadership Facilities Career Opportunities About ICSJ Admissions Welcome Tuition & Financial Assistance Tot Program FAQ's Admissions Process Extended Day Program Experience ICSJ/Coffee Tours Apply Now Admissions Academics Overview Elementary School Our Educators Technology High School Matriculation Early Childhood Middle School Faculty & Staff Directory Assessments Academics Student Life Overview Athletics Traditions Alumni Extracurricular Activities Student Services/Support Summer Camp News Student Life Faith Life Overview Service Monthly Children’s Liturgy Sacrament Preparation Monthly Family Mass Weekend Mass Faith Life Support ICSJ Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Welcome Tuition & Financial Assistance Tot Program FAQ's Admissions Process Extended Day Program Experience ICSJ/Coffee Tours Apply Now Admissions Academics Overview Elementary School Our Educators Technology High School Matriculation Early Childhood Middle School Faculty & Staff Directory Assessments Academics Student Life Overview Athletics Traditions Alumni Extracurricular Activities Student Services/Support Summer Camp News Student Life Faith Life Overview Service Monthly Children’s Liturgy Sacrament Preparation Monthly Family Mass Weekend Mass Faith Life Support ICSJ Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Overview Elementary School Our Educators Technology High School Matriculation Early Childhood Middle School Faculty & Staff Directory Assessments Academics Student Life Overview Athletics Traditions Alumni Extracurricular Activities Student Services/Support Summer Camp News Student Life Faith Life Overview Service Monthly Children’s Liturgy Sacrament Preparation Monthly Family Mass Weekend Mass Faith Life Support ICSJ Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Overview Athletics Traditions Alumni Extracurricular Activities Student Services/Support Summer Camp News Student Life Faith Life Overview Service Monthly Children’s Liturgy Sacrament Preparation Monthly Family Mass Weekend Mass Faith Life Support ICSJ Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Overview Service Monthly Children’s Liturgy Sacrament Preparation Monthly Family Mass Weekend Mass Faith Life Support ICSJ Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Overview Sparkle ICSJ Merchandise Community Support Annual Fund Booster Club Faculty Christmas Fund Support ICSJ Alumni Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions
Alumni Events Alumni Spotlight 23/24 School Year ICSJ Tot Program Application Stay in Touch College Spotlight Alumni Please Create A Marquee Contact Us Parish Site Login Facebook Twitter Instagram Search Loading... Editing previous response: Please fix the highlighted areas below before submitting. ICSJ 2018-2019 Application for Admission ICSJ 2018-2019 Application for Admission Thank you for your interest in Immaculate Conception-St. Joseph School. Please complete the form below no later than December 1, 2017. Upon submission, you will be directed to a link to pay your $100 Application Fee. Families applying for multiple children - please complete a separate application for each child. If you have any questions, please contact Corey Jacobson at [email protected]. Required fields marked * Please note: At this time, our system does not allow you to save your application and return to complete the form at a later time. We suggest having all documents ready to upload before you begin. Immaculate Conception - St. Joseph School admits students of any race, gender, national and ethnic origin to all the rights, privileges, porgrams, and activities generally accorded or made available to students in this school. Immaculate Conception - St. Joseph School does not discriminate on the basis of gender, race, color, or national origin in administration of educational policies, athletic or other school administered programs. CANDIDATE INFORMATION Student's Last Name* Answer Required Student's First Name* Answer Required Student's Middle Name Answer Required Student's Nickname (if applicable) Answer Required Student's Date of Birth (Month/Day/Year)* Answer Required Student's Gender* Answer Required Male Female Date of Application (Month/Day/Year)* Answer Required Application Year* Answer Required 2018-2019 2017-2018 (current academic year) Grade Applying For* Answer Required Please Select PreK3 PreK4 Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade If PreK-3 or PreK-4, are you applying for Answer Required Full Day Half Day PARENT/GUARDIAN INFORMATION Mother's First Name* Answer Required Mother's Last Name* Answer Required Mother's Home Street Address* Answer Required Mother's Home Address City/State/Zip* Answer Required Mother's Home Phone Answer Required Mother's Cell Phone Answer Required Mother's Email Address* Answer Required Mother's Employer Answer Required Mother's Work Position Answer Required Mother's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply.* Answer Required Home Phone Cell Phone Email Work Phone Father's First Name* Answer Required Father's Last Name* Answer Required Father's Home Street Address (if different from above) Answer Required Father's Home Address City/State/Zip (if different from above) Answer Required Father's Home Phone (if different from above) Answer Required Father's Cell Phone Answer Required Father's Email Address Answer Required Father's Employer Answer Required Father's Work Position Answer Required Father's Work Phone Answer Required What are your preferred methods of contact? Please check all that apply. Answer Required Home Phone Cell Phone Email Work Phone FAMILY INFORMATION If the child does not live with both parents, please indicate who has custody and where the child resides. Answer Required Sibling Information Full Names of Other Children / Date of Birth / Current School / Grade Answer Required PARISH/CHURCH AFFILIATION If you are Catholic and are a registered parishioner at a parish in the Archdiocese of Chicago, please provide the name of the parish and the month and year that you registered with the parish. Answer Required My child/ren was/were baptized at Answer Required on Answer Required EDUCATIONAL HISTORY Current School Name Answer Required Address Answer Required City/State/Zip Answer Required Phone Answer Required Please list other schools your child has attended in the last 2 years. School Name/Address/Dates of Attendance Answer Required Have you previously applied to Immaculate Conception-St. Joseph School for admission for your child?* Answer Required Yes No If yes, in what year did you apply and for what grade level? Answer Required Do you have any relatives who are or have attended Immaculate Conception-St. Joseph School?* Answer Required Yes No Name, relationship Answer Required Please complete the following questions about your child providing as much detail as possible. This information will be helpful in order to plan for your child's program and in order to better understand your child's strengths. Please tell us about your child's interests, skills or talents.* Answer Required What group activities has your child participated in outside of school?* Answer Required Please list any languages (other than English) spoken in the home and to what extent.* Answer Required Why do you want your child to attend Immaculate Conception-St. Joseph School? * Answer Required Has your child had educational support or therapy of any kind?* Answer Required Yes No If yes, please explain. Answer Required Has your child ever received an educational/psychological evaluation?* Answer Required Yes No If yes, please explain. Answer Required Does a specialist provide services for your child?* Answer Required Yes No If yes, please explain. Answer Required Are there any medical concerns that should be taken into account in planning your child's program?* Answer Required Yes No If yes, please explain. Answer Required Has your child been suspended or expelled from a school program for any reason?* Answer Required Yes No If yes, please explain. Answer Required SUPPLEMENTAL INFORMATION ALL APPLICANTS State law requires a certified birth certificate to be submitted for your child. Please mail a certified birth certificate to ICSJ School within 14 days of application submission. Immaculate Conception-St. Joseph School Attn: Corey Jacobson 1431 N North Park Avenue Chicago, IL 60610 Please indicate your understanding of birth certificate requirements.* Answer Required Yes, I will submit a certified birth certificate to the school office within 14 days. No, I am unable to submit a certified birth certificate. I will call ICSJ School at 312-944-0304 ext. 109 to make alternate arrangements. Please attach your child's baptismal certificate (if applicable). Answer Required Choose a file or drag it here. SUPPLEMENTAL INFORMATION APPLICANTS TO KINDERGARTEN THROUGH GRADE 8 Please upload your child's past 2 - 3 years of school transcripts. Answer Required Choose a file or drag it here. Please upload your child's past 2-3 years of standardized test scores. Answer Required Choose a file or drag it here. If your child is currently attending a school program, please provide the name, email and phone number for 1-2 teachers who ICSJ may contact for recommendations. Answer Required OPTIONAL QUESTIONS The following questions are for statistical purposes and have no bearing on admission. Please select the race that most accurately describes the applicant: Answer Required Please Select Black/African American Asian/Asian American Pacific Islander Hispanic/Latino White/Caucasian/European Descent Native American Bi-Racial Other Please list other schools to which you are applying.* Answer Required Do you plan to apply for tuition assistance?* Answer Required Yes (An application will be sent after your child has been enrolled.) No How did you learn about Immaculate Conception-St. Joseph School? Please check all that apply.* Answer Required NPN School Fair Internet Search Friend/Relative Other: Please provide more details if applicable (including names of referring families). Answer Required This signed application, a $100.00 non-refundable application fee, a copy of your child’s birth certificate and a copy of your child’s baptismal certificate (if your child was baptized Catholic) must be submitted to the school office by December 1, 2017 . A mandatory early childhood play date (students entering prek 3, prek 4, and kindergarten) will take place on Friday, January 19, 2018. Specific play date times will be available mid-December, 2017. You will be notified of admission decisions mid-February, 2018. Students seeking admission to grades 1 through 8 will attend a half or full-day shadow day scheduled at a mutually agreed upon date in January. Students applying for grades 1 through 8 will also submit standardized test scores and school transcripts. The undersigned have read and understand this application and certify that the information is complete and accurate to the best of your knowledge. The undersigned agree to communicate in writing any changes contained herein to the ICSJ School Office. The undersigned understand that upon discovery of inaccuracy or intentional omission of information requested herein, the School reserves the right to revoke admission the Immaculate Conception-St. Joseph School. Parent/Guardian Signature* Answer Required Confirmation Email Confirmation Email Email Required Calendar Directions