Cretin- Derham Hall Online Application

To apply to Cretin-Derham Hall please fill out the application form and the record release form.  The forms must be filled out entirely in one session.  Information can not be saved and updated at a later date.  Note:  In required fields use n/a where appropriate.

This application is for 9th grade only.  For transfer applications please contact the Admissions office. Please fill out the application completely and thoughtfully.

Firefox 6 is recommended for filling out this form. Download here.

Student Data

* Last Name (Legal):   * First Name (Legal):
  Middle Name: * Gender:
* Date Of Birth:
(eg. mm/dd/yyyy) 		* Birth City:
* Birth State:   * Birth Country:
Native American   African American   Caucasian
Latino/Hispanic   Asian/Pacific Islander    
* Religion:   * Church/Parish:
  Other:     Other:
Parents   Mother   Father
Mother and Stepfather   Father and Stepmother   Guardian
* Home Address:   * Home Phone:
* Home City:   * Home State:
* Home Zip:      
 625 St. Paul   1 Mpls   6   191   194   196   197   621 
 623   833  Other (district name, number) 
* 8th Grade School:   Other School:
* School Phone:   * School Address:
* School City:   * School State:
* School Zip:      
 Mailings   Past Parent   Website   Family   Friends 
Other 

Mother/Guardian


Check this box if mother's information is not available. These fields will not be required.
* First Name: * Last Name:
* Legal Custodial Parent?   Yes No
Married   Single   Divorced   Widowed
Separated   Other    
Same As Above:
* Address:   * Phone:
* City:   * State:
* Zip:     Email:
  Cell Phone:     Employer:
  Work Phone:     Job Title:
 
* Religion:   * Church/Parish:
  Other:     Other:
  High School graduated from:  
  To receive all school correspondence?   Yes No
  If remarried, spouse:  
  List on correspondence?   Yes No

Father/Guardian


Check this box if father's information is not available. These fields will not be required.
*First Name:  
*Last Name:  
* Legal Custodial Parent?    Yes   No 
Married   Single   Divorced   Widowed
Separated   Other    
Same As Above:
* Address:   * Phone:
* City:   * State:
* Zip:     Email:
  Cell Phone:     Employer:
  Work Phone:     Job Title:
 
* Religion:   * Church/Parish:
  Other:     Other:
  High School graduated from:  
  To receive all school correspondence?    Yes   No 
  If remarried, spouse:  
  List on correspondence?    Yes   No 

Siblings


Applicant currently has a sibling at Cretin-Derham Hall
Applicant has had a sibling graduate from Cretin-Derham Hall

Brothers/Sisters Age School Grade

Alumni/nae


Name (include maiden name if applicable) Relationship to Applicant Year of Graduation

Education


School Grade Level

Church/Program Grade Level

Parent Response

Mission Statement of Cretin-Derham Hall: "Cretin-Derham Hall is a Catholic high school, co-sponsored by the Brothers of the Christian Schools and the Sisters of St. Joseph of Carondelet, committed to Christian values and academic excellence in grades nine through twelve. We will educate young men and women of diverse abilities, cultures, and socio-economic backgrounds for opportunities in post-secondary education."




* Has the student ever been referred for educational or psychological evaluation in addition to
 standardized testing? No  Yes     If yes, please explain:

* Has the student had any remedial work or special tutoring or been enrolled in enrichment/honors
 classes in the last two years? No  Yes     If yes, please explain:

* Does your child have any special physical considerations (sight, hearing, speech,
  mobility, special medications, etc.)?  No  Yes    If yes, please explain:

* Is there anything else the school should know regarding this student which would help
  make the transition to Cretin-Derham Hall an easy one?

School Information Release


Transcript of 7th and 8th grade academic grades
Current year's report card to date
Standardized test scores
IEP or 504 (when applicable)
Attendance and Tardiness record
Behavior record (i.e. detentions, suspensions, etc.)
Confidential evaluation sheet

Participation in Religious Activities/Classes at CDH

Cretin-Derham Hall is a Catholic school which welcomes people of all faiths. As a Catholic school we expect all students, regardless of faith, to take religion classes every day, to participate in required service projects, to attend and participate in all required religious functions (i.e., mass, prayer service, retreats, etc.).


Cretin-Derham Hall
550 South Albert Street
Saint Paul, MN, 55116