Jesuit High School 9000 SW Beaverton-Hillsdale Hwy. Portland, Oregon 97225 Admissions: 503-291-5423, Fax: 503-291-5485 2013-14 Admissions Application Please PRINT or TYPE Applying for Admission to Grade: 9 10 11 12 Current School: Legal Last Name: First: Middle: Preferred: Address : Home Phone: City : State: County: Zip: Date of Birth: Birthplace: Sex (M/F): Age: Primary Email: Language (primary): Language (second): Ethnic Background (circle one): Caucasian Native American African American Asian/Pacific Islander Hispanic Multi-Ethnic Student lives with (circle one): Mother and Father Mother and Stepfather Father and Stepmother Mother Father Relative Guardian (specify): Other (specify): Placement test taken on: Date: Location: Name of Current Parish or Worship Community: Name of Pastor/Minister/Main Religious Leader in Your Worship Community: Indicate the code number for each person s religious affiliation: Student: Mother: Father: Guardian: 11 Anglican 02 Baptist 12 Buddhist 01 Catholic 08 Jewish 04 Lutheran 05 Methodist 10 Orthodox 03 Episcopalian 06 Presbyterian 14 Hindu 07 Other Christian 13 Islamic 09 Other Non-Christian Have any other family members attended Jesuit High School or another Jesuit school? Name Relationship Name of School Graduation Year Student Information Religion JHS Tradition
Title: First: Middle: Last: Address (if different from applicant): Home phone: Cell phone: City : State: Zip: Father Occupation: Employer: Business phone: Title: First: Middle: Last: Address (if different from applicant): Home phone: Cell phone: City : State: Zip: Occupation: Employer: Business phone: Title: First: Middle: Last: Address: Home phone: Cell phone: City: State: Zip: Occupation: Employer: Business phone: Current Family Situation (circle any that apply): Father deceased Mother deceased Parents separated Parents divorced Mailings should be sent to (circle all that apply): Parents Father Mother Guardian Brothers & Sisters: Name Date of Birth Gender Current School Current Grade Does the student have sibling(s) currently enrolled at Jesuit High School? Mother Guardian Additional Family Info.
APPLICANT S PERSONAL STATEMENT: To be completed by the applicant in his or her own words. What books/magazines not assigned by a teacher have you read in the last year? (Answer is limited to 75 words or less.) List the activities in which you participated during the last two years in your school, church, and/or community. Activity Organization/Level Accomplishments/Awards (if applicable) Time Commitment In addition to academic courses, list the activities in which you would like to participate at Jesuit. If you are interested in athletics, please list the six most important to you (in order of importance). If you are interested in music, drama, the performing arts, or other activities, please choose the six most important to you (in order of importance). (continued on next page)
Why do you want to attend Jesuit? (Limit answer to 250 words or less.) Have you ever been suspended from middle school (grades 6-8 )? Yes No If yes, please provide an explanation: (continued on next page)
PARENT STATEMENT: Please write a letter of recommendation for your child for the Jesuit High School Admissions Committee. Tell us about your child s strengths and weaknesses and how your child can contribute to and/or benefit from a Jesuit education. (Limit answer to 150 words or less.) Faith and spiritual growth are integral to the Jesuit High School Community. Please describe your family s commitment to your faith and involvement in your worship community. (Limit answer to 150 words or less.) Jesuit High School is a college-preparatory school that does not have learning specialists on staff. We are able to accommodate some minor learning differences, but not all. Is your child able to fully participate in our college-prep academic program and our athletic programs without accommodation? If accommodation is required, please describe special needs below. Failure to disclose or accurately state any information in the application may affect admissions status. (Limit answer to 150 words or less). Has your child had any discipline problems or are there any pending discipline problems at school? If yes, please explain. (Limit answer to 150 words or less).
Is there anything else we should know about your family s relational history with Jesuit High School? (Limit answer to 25 words or less). TERMS To complete this step, please read the Mission Statement, Profile and Motto on the last sheet of this packet or visit Jesuit High School s website (http://www.jesuitportland.org) (under About Us ). STUDENT: The applicant must complete this section. By checking here, I attest to the fact that I have read the Jesuit High School Mission Statement, Profile and Motto, and that I support them. I also certify that all statements and information that I have provided in this application are accurate and true to the best of my knowledge. Signature of applicant: Date: PARENT: A parent/guardian must complete this section. By checking here, I attest to the fact that I have read the Jesuit High School Mission Statement, Profile and Motto, and that I support them. I also certify that all statements and information that I have provided in this application are accurate and true to the best of my knowledge. Complete name of parent agreeing to these terms (please print): Signature of parent/guardian: Date: STATEMENT OF NONDISCRIMINATION: Jesuit High School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to all schools. It does not discriminate on the basis of race, color, national and ethnic origin or disability which can be reasonably accommodated in administration of its educational policies, admissions policies, financial aid programs and athletic and other school-administered programs.
Mission Statement Jesuit High School is a Catholic, college-preparatory school in the Jesuit tradition. It serves students of all religious faiths. Jesuit education fosters the harmonious development of the adolescent's gifts: spiritual, religious, intellectual, physical, emotional, and aesthetic. Jesuit High School hopes to accomplish this development by demonstrating a personal concern for individuals, a special concern for the poor, an articulate wisdom, enthusiasm, and a sense of community. In so doing, the school hopes to graduate leaders who are committed to serve God and their fellow men and women. Our hope is that our students develop a profound sense of justice founded in love, i.e., leaders who are "men and women for others." School Motto Age Quod Agis - "Do Well Whatever You Do" Profile of the Jesuit High School Graduate Inspired by the four-century tradition of St. Ignatius, the school strives to instill five characteristics in its students: The goal is to educate students to be open to growth, intellectually competent, religious, loving, and committed to doing justice. As articulated by the faculty in the "Profile of the Jesuit Graduate at Graduation," these precepts guide curriculum development and teaching at Jesuit High School. OPEN TO GROWTH: Jesuit High School students at the time of graduation have matured emotionally, intellectually, physically, socially, and religiously to a level that reflects some intentional responsibility for their own growth. In the tradition of Jesuit High School s motto Age Quod Agis ( Do well whatever you do ), the graduate is beginning to reach out in his or her development, seeking opportunities to stretch one s mind, imagination, feelings, and religious consciousness. INTELLECTUALLY COMPETENT: The Jesuit High School graduate will exhibit both the academic aptitude for higher education and a variety of intellectual skills that go beyond college entrance requirements. The student is gaining an appreciation for learning in general and for one s aesthetic and academic accomplishments. The student is also developing habits of intellectual inquiry in quest of religious truth and an informed response to issues of social injustice. RELIGIOUS: The Jesuit High School graduate will have a basic knowledge of the major doctrines and practices of the Catholic Church. Having been introduced to Ignatian spirituality, the graduate will have examined his or her own religious feelings and beliefs with a view to choosing a fundamental orientation toward God and establishing a relationship with religious tradition and/or community. Respectful of the conscience and religious background of the individual, this also applies to the non-catholic graduate of a Jesuit high school. LOVING: The Jesuit High School graduate is continuing to form his or her own identity. He or she is moving beyond selfinterest or self-centeredness in close relationships. The graduate is beginning to be able to risk some deeper levels of relationship in which one can disclose self and accept the mystery of another person and cherish that person. COMMITTED TO DOING JUSTICE: The Jesuit High School student at graduation has acquired considerable knowledge of the many needs of local, national, and global communities and is preparing for the day when he or she will take a place in these communities as a competent, concerned and responsible member. The graduate has been inspired to develop the awareness and skills necessary to live in a global society as a person for and with others. The complete Profile of the Jesuit High School Graduate at Graduation with detailed descriptors can be found on our website at www.jesuitportland.org.