Application for Transfer Consideration 2017-18

Please complete each of the following important questions. We strive to know our prospective students and want to ensure we can provide for a student's and parents' needs and wishes.

A red asterisk (*) indicates required questions.

  1. Student Name*

  1. Parent Name*

  1. Home Address (including number & street, city, state, zip)*

  1. Parent e-mail address*

  1. Parent phone number*

  1. Check all that apply:*
    Student & family is Catholic
    Student & family is registered and active with a Johnson County Catholic Parish
    Student is not Catholic

  1. Provide the name of your parish, or place of worship:*

  1. Student's Current Grade:*

  1. What high school do you currently attend?*

  1. Ideally, when would you be interested in enrolling at St. James Academy?*
    Beginning of next semester
    Beginning next school year

  1. Why do you want to change high schools?*

  1. How did you hear about St. James Academy?*

  1. What appeals to you about being a student at St. James Academy?*

  1. List students you know who attend SJA currently.*

  1. What is your favorite subject in school?*

  1. What is your most difficult subject in school?*

  1. Check any of the following which apply to this student:*
    I have a special needs academic plan
    I have an adjustment plan
    I currently receive services from an IEP
    I currently have a 504 plan
    I receive resource support
    I have a CSSSP
    I have been in a Talented & Gifted program
    None of the above apply to me.

  1. If you checked any of the options in question 16, please describe services currently provided. A copy of the formal plan must be provided in advance of the interview for transfer; please send to the Admissions office at

  1. How much time do you spend on homework, per day?*
    less than 1 hour
    1-3 hours
    3 hours or more

  1. How many days have you been absent from school in the past 12 months?*
    less than 3 days
    3-6 days
    6-12 days
    more than 12 days

  1. In what high school activities do you currently participate? Include whether you've been on a varsity team roster in any of these activities.*

  1. What do you like about your current high school?*

  1. What would you like to change at your current high school?*