Student Information Religion JHS Tradition Jesuit High School 9000 SW Beaverton-Hillsdale Hwy. Portland, Oregon 97225 Admissions: 503-291-5423 Fax: 503-291-5485 2018-19 Admissions Application Please PRINT or TYPE Applying for Admission to Grade: 9 10 11 12 Current School: How long have you attended your 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: Secondary Email: Language (primary): Language (second): Ethnic Background (circle one) used for statistical purposes only: Caucasian Native American African American Asian/Pacific Islander Hispanic Multi-Racial* *If you chose Multi-Racial, please provide multi-racial details: 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: How long have you been at your current place of worship? Name of Pastor/Minister/Main Religious Leader in Your Worship Community: Pastor e-mail: 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 Catholic institution? Name Relationship Name of School Graduation Year
Father Mother Guardian Additional Family Info. Title: First: Middle: Last: Address (if different from applicant): Home phone: email: Cell phone: City : State: Zip: Occupation: Employer: Business phone: Title: First: Middle: Last: Address (if different from applicant): Home phone: email: Cell phone: City : State: Zip: Occupation: Employer: Business phone: Title: First: Middle: Last: Address: Home phone: email: 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?
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 If offered, do you plan to continue to participate at JHS? Why do you want to attend Jesuit? (Limit answer to 250 words or less.)
Have you ever been suspended from school in the last three years? Yes No If yes, please provide an explanation: 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.) If there are circumstances which have affected or may affect the applicant s academic performance, spiritual beliefs, participation in activities/athletics, and/or attendance in school (e.g., psychological/mental health issues, frequent moves/changes of school, separation/loss of a significant person in family, serious illness, etc.), please note the situation below. If you would feel more comfortable sending a letter, please send by the application deadline to: Erin DeKlotz, Director of Admissions, Jesuit High School, 9000 SW Beaverton Hillsdale Hwy, Portland, OR 97225). (Limit answer to 150 words or less).
Jesuit High School is a college-preparatory school. We strive to accept students we believe we can successfully serve, sometimes with the support of our partners at Edison High School. We do accept students with diverse learning needs and can offer reasonable accommodations to qualified students, but we cannot implement student IEPs, for example. Please describe in specific terms any academic, social, or physical accommodations your child has accessed in the past two years, and any accommodations s/he may need in high school. (Limit answer to 150 words or less). Has your child had any discipline problems or are there any pending discipline problems at the 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). If you re accepted to Jesuit High School, would you be interested in carpooling? Yes No
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. By checking here, 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. By checking here, 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 self-interest 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.