Application for Admission and Registration for Entrance Exam

Completing this admissions application & exam registration form will automatically register the applicant for the Don Bosco Tech entrance exam. The exam will be held on Saturday, January 24, 2009.
A nonrefundable fee of $75 is due with this application/exam registration form.

Instructions:
Fill out application then press Submit Form.
Pay $75 fee by:
If paying by credit card (Visa or Master Charge)
Contact the Director of Admissions with credit card information at 626-940-2011
Or
Mail check or money order made out to
Don Bosco Tech
1151 San Gabriel Blvd.
Rosemead, CA 91770

GENERAL INFORMATION

(Please complete all parts with *.)

 

Applicant's Legal Name

*Last Name:

*First Name:

Middle Name:

 

Applicant's Address

*Number & Street:

*City:

*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip:

 

Parent's Information

Name:

*Home Phone (XXX-XXX-XXXX):

Work Phone (XXX-XXX-XXXX): ext.

Cell Phone (XXX-XXX-XXXX):

Email:

 

CULTURAL INFORMATION

 

Applicant's Ethnic Origin

Origin: American Indian or Alaska Native Armenian Asian Asian Filipino Asian Hispanic Asian or Pacific Islander Black Black (Non-Hispanic Origin) Black Filipino Black Hispanic Black White Caucasian Egyptian Filipino Filipino Hispanic Hispanic Hispanic Indian Indian Indian White Native American Other White White (Non-Hispanic Origin) White Asian White Filipino White Hispanic

 

Applicant's Citizenship

Country (If other than U.S, please specify.):

Type of Visa or Classification:

 

Applicant's Language

Primary language spoken at home:

 

Applicant's Religous Affiliation

Denomination:

Name of Parish, Church, Temple:

City:

EDUCATIONAL INFORMATION

 

Applicant's Current School

School Name:

Current Grade:

Date of Birth (YYYY-MM-DD):

 

School Address

Number & Street:

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:

Principal's Name:

School Phone (XXX-XXX-XXXX):

DON BOSCO AFFILIATION

 

Have you visited Don Bosco? Yes No

If so, when? (YYYY-MM)

Have other family members attended Don Bosco? Yes No

Name: Relationship:

Name: Relationship:

Would you like an application for need-based financial aid? Yes No