Select the academic year you are applying:
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2024-2025 School Year
2025-2026 School Year
Family Name
*
First Name
Last Name
Student #1
*
Name of Student
First Name
Last Name
Grade Entering:
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9th Grade
10th Grade
11th Grade
12th Grade
Birthday:
Student #2
Name of Student
First Name
Last Name
Grade Entering:
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9th Grade
10th Grade
11th Grade
12th Grade
Birthday:
Student #3
Name of Student
First Name
Last Name
Grade Entering:
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9th Grade
10th Grade
11th Grade
12th Grade
Birthday:
Home Address
*
Place of employment of family's primary income
*
Phone
*
(###)
###
####
Primary email address for where you'd like SBH newsletters and notifications to go:
*
Secondary email address for where you'd like SBH newsletters and notifications to go:
1. At the bottom of this form is a link to the SBH Statement of Faith. Do you agree to have your children taught in accordance with the SBH Statement of Faith?
Do you have any concerns with the Statement of Faith? If so please explain.
2. How did you hear about St. Benedict Hall?
3. Why do you want your child to attend St. Benedict Hall?
4a. Being a hybrid program, SBH partners with parents in the education of their children. This means that parents will need to commit to between 5-10 hours a week giving structure and direction for their children at home. Is this something you have any reservations about? Please explain.
4b. Participating in hybrid education requires the parents to have a comfort and familiarity with regularly going online to see assignments and communicating with teachers. Is this something you have any reservations about? Please explain.
5. What else do you plan to do to supplement with the St. Benedict curriculum?
6. Does your family attend Church?
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Yes
No
If so, which church and how often?
7. Please explain your family’s schooling experience. What kind of school methods, educational philosophy, or name of schools have worked well and not worked well for your children in the past?
8a. Has your child ever been diagnosed with a learning disability?
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Yes
No
8b. Has your child ever repeated a grade for any reason?
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Yes
No
8c. Has your child ever been suspended or expelled by a previous program?
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Yes
No
8d. Has your child ever seen a counselor/doctor/psychiatrist for any type of social, behavioral, or mental struggles? If so, would you be open down the road in sharing what you've learned from these sessions for the context of school?
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Yes
No
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Yes, happy to share.
Not at this time.
8e. Has your child ever been examined or treated by a counselor/doctor/psychiatrist for hyperactivity or attention deficit disorder (ADD or ADHD)?
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Yes
No
9. Do you know of families who are a part of St. Benedict Hall? If so, please list their names.
10. Having parents join our teaching team is needed for the sustainability and life of our program. Are you interested in joining us as a tutor in the program? If so, what age level and subject areas are you most comfortable with? If you are willing to teach, your family will be given priority in the selection process.
11. If you are interested in being a substitute tutor or a childcare volunteer, what are your times of availability?
12. As you see your child/children graduate from high school, what kind of person do you hope they will have become and what kind of relationship do you hope to have with them?
13. Which acadmic areas would you most like to see growth in your children this coming year?
14. Would you like to start receiving weekly email newsletters from SBH?
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Yes
No
16. Does your child have any food allergies or other medical conditions that we should be aware of?
17. Do you plan to have your child attend all 6 offered classes (History, Literature, Theology, Latin, Marine Biology, and Music) or just the Core Curriculum (History, Literature, and Theology)?
Please let us know anything else that you'd like us to consider.