Admissions Application


Admission Application

              I am applying for my child to attend the Good Shepherd Catholic School at Mercy for the 2016-2017

Sacramental Information

Parent / Guardian Information

*If a parent is to be excluded, the custodial parent MUST provide court documentation

Father's Information

*If a parent is to be excluded, the custodial parent MUST provide court documentation

Mother's Information

  • Insurance Information

    Medical Insurance Information


    Please list the names of source(s) through which you heard about the Good Shepherd Catholic School.

    Additional Required Information

    Please answer the following questions about your child. In reviewing the application during the admissions process, the information given will be used to better understand your child's history and past performance. The information given is considered to be confidential information, and if accepted, this information will become part of the student's permanent record file. Additional sheets may be used if necessary.

    **If yes, please note: Diocesan policy dictates that your doctor must complete the Diocesan Medication Form mentioned in your Parent Handbook. The form must be forwarded to the school along with the original pharmacy label attached to the medication. Should your physician suggest administering an over the counter medication, a Medication Form signed by your physician and a pharmacy label must be attached to this medication as well. This form does not need to accompany the application, but must be turned in prior to the first day of school.

    Academic Information

    Please list all of the schools your child has attended.

    Testing History

    Please provide information on all professional assessments or evaluations that your child has received. For each assessment listed below, please submit a complete copy of the written report with this application.

    • If so, please attach a copy

      We/I confirm that the information in this application is accurate and complete. We/I grant permission to the Good Shepherd Catholic School to obtain any information deemed necessary to complete the application process. This includes, but is not limited to, information from previous schools, service providers or any other individuals that may have knowledge useful to the admissions process. We/I understand that false, misleading, or omitted information provided in this application may result in a denial of admission, or dismissal in the event of admission.

      Admissions Policy

      It is our intention to accept students who can be well served by our program. The Good Shepherd Catholic School applies all policies and procedures, including admissions, equally to all students and does not discriminate on the basis of race, religion, socio- economic status, sexual orientation, or national or ethnic origin. Application review will begin when the application is complete.

      Visits and Interview

      The Good Shepherd Catholic School requires a parent and student visit. If you have not already arranged for a parent visit, please call or e-mail us to schedule an appointment.