Application Form

We have detected that you have previously started filling out this form and for your convenience the information you entered is prefilled below. [reset form data]

Student Information

Please Choose Which Grade You Are Applying For:*Grade 7Grade 9Other

Please specify transfer grade*

First Name*

Middle Name

Last Name*

Please upload a recent photo of Applicant*

(gif, jpeg, jpg, png)

Home Address*

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Home Phone - -

Emergency Phone* - -

Cell Phone - -

Age*

Date of Birth*

Place of Birth*

Social Security Number*

###-##-####

Religion*

Please specify religion

Parish*

Ethnic Origin *

Please specify ethnic origin

Name of Present School*

Grades Attended*

Address of Present School*

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Phone* - -

Former Schools
(List in order, beginning with most recent)

School Name

School Address

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Grades Attended

School Name

School Address

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Grades Attended

Financial Aid

Person responsible for payment of tuition:*FatherMotherGuardianOther

Payment Person's Name*

Payment Person's Address*

Use Google Smart Search for Address

Address 1:

City:

Country:

State/Province:

Postal Code:

Payment Person's Social Security Number*

###-##-####

Will you be applying for financial aid?*

*If yes, the application can be completed on the Ravenna Solutions website. This information is completely confidential and in no way influences the admission decision. More information can be found under the "Affording Villa" portion of the website.

Would you like your daughter to be considered for a Villa Walsh Academy scholarship?*

*Students seeking scholarship consideration must complete all required scholarship components, including an in-person scholarship essay during the admissions interview.

Please select the scholarship opportunity(ies) for which your daughter would like to be considered:*

Additional Information

Is this student the first in her family to be attending Villa Walsh Academy?*

Please list all relatives who have attended Villa Walsh Academy:*

Please include names, graduation year, and relationship.

Please list all siblings (include name, age, grade, and school for each):*

Does the student have any restrictions due to illness or physical challenge?*

Please describe:

Has the applicant received any academic accommodations or support services at their previous school (e.g., IEP, 504 Plan, learning support services)? *

Please describe:

To help us understand how we can best support your child, has the applicant ever received educational support or accommodations in the past?*

Please describe the services received:

Has the applicant participated in any specialized educational programs or received learning support?*

Please provide details:

Does the applicant have any diagnosed learning differences, educational disabilities, or other educational needs that the school should be aware off?*

Please provide details: - Copy

Academic and Co-Curricular Information

(To be filled out by the Applicant)

Indicate scholastic honors and prizes you have received:*

List the books you have read during the past year. Star those which were required for class.*

Indicate significant school and community activities (e.g. dramatics, band, athletics, student government):*

Indicate special training you have received and length of time you have participated in that activity (e.g. piano - 4 years, ballet - 6 months)*

In which academic subjects are you particularly interested? Why?*

In which academic subjects are you least interested? Why?*

Why do you wish to attend Villa Walsh Academy?*

Please indicate which sports you have an interest in pursuing at Villa Walsh Academy*

Please indicate which extracurriculars you have an interest in pursuing at Villa Walsh Academy*

Application Form

Student Information

Parent/Guardian Information

Financial Aid

Additional Information

Academic and Co-Curricular Information

Nurturing the gifts that God gives to each student
who graces our halls.

Application Form

Student Information

Parent/Guardian Information

Financial Aid

Additional Information

Academic and Co-Curricular Information

Nurturing the gifts that God gives to each student who graces our halls.

Nurturing the gifts that God gives to each student
who graces our halls.