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Applying For:
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Bishop McCort Catholic High School
The McCort Blended Academy
McCort Blended Academy/EXCEL Program
STUDENT INFORMATION:
Student's Name
(Required)
First
Last
Home Address
(Required)
Street Address
Address Line 2
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Northern Mariana Islands
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Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
(Required)
Student Cell Phone
(Required)
2026-27 Grade
12
11
10
9
8
7
Student Religion
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Parish
(Required)
Student Email
(Required)
Birth Date
(Required)
Birthplace
(Required)
Gender
(Required)
Please Select
Male
Female
Race/Ethnic Category
(Required)
Please Select
White
Hispanic
African American
Other
Student Resides with
(Required)
Please Select
Mother and Father
Mother
Father
Guardian
Legal & Educational Guardianship
Shared Parental Custody, Single Household
Joint Custody, Multiple Households
Sole Custody, Biological Mother
Sole Custody, Biological Father
Sole Custody, Legal Guardian
Other
If "Other" please specify:
Is there a Custody Order?
(Required)
Yes
No
If yes, please provide the most recent copy
Max. file size: 256 MB.
List names and ages of brothers and sisters
(Required)
SCHOOL DISTRICT INFORMATION:
Name of your current school
(Required)
Public School District
(Required)
Has the student/family previously inquired about admission to Bishop McCort?
(Required)
Please Select
No, this is my first contact
Yes, I attend Bishop McCort Elementary School
Yes, I spoke/met with Principal/Assistant Principal
Yes, I spoke/met with Business Office
Yes, I spoke/met with School Counselors
Yes, I spoke/met with other school staff
I have paid an admission deposit and have/will contact the Business Office regarding tuition and financial aid. BMCHS Business Office: 814-248-3884
(Required)
Please Select
Yes
No
Have the student's current school records - including discipline reports - been requested to be sent to Bishop McCort?
(Required)
PARENT/GUARDIAN INFORMATION:
Mother's Full Name
(Required)
First
Middle
Last
Mother's Address (If not same as your home address)
(Required)
Mother's Religion
(Required)
Home Phone
(Required)
Work Phone
Cell Phone
(Required)
Occupation
(Required)
Place of Employment
(Required)
Email Address
(Required)
BMCHS Alumnus?
(Required)
Please Select
Yes
No
Father's Full Name
(Required)
First
Middle
Last
Father's Address (If not same as your home address)
(Required)
Father's Religion
(Required)
Home Phone
(Required)
Work Phone
Cell Phone
(Required)
Occupation
(Required)
Place of Employment
(Required)
Email Address
(Required)
BMCHS Alumnus?
(Required)
Please Select
Yes
No
Guardian's Full Name
(Required)
First
Middle
Last
Guardian's Address (If not same as your home address)
(Required)
Guardian's Religion
(Required)
Home Phone
(Required)
Work Phone
Cell Phone
(Required)
Occupation
(Required)
Place of Employment
(Required)
Email Address
(Required)
EMERGENCY INFORMATION:
Who should be contacted in an emergency?
(Required)
Phone
(Required)
Address
(Required)
STUDENT SPORTS:
Student Sports Interest Survey (Boys Interest)
Baseball (Spring)
Basketball (Winter)
Cross Country (Fall)
Football (Fall)
Golf (Fall)
Hockey (Winter)
Soccer (Fall)
Tennis (Spring)
Track & Field (Spring)
Wrestling (Winter)
Student Sports Interest Survey (Girls Interest)
Basketball (Winter)
Cheerleading
Cross Country (Fall)
Golf (Fall)
Soccer (Fall)
Softball (Spring)
Tennis (Fall)
Track & Field (Spring)
Volleyball (Spring)
Music Questionnaire
Band
Marching Band
Color Guard
Orchestra
Confirmation Email
(Required)
Parent/Guardian
(Required)
I hereby certify that the provided information is true and accurate.
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