Office of Admissions
13555 Hillcrest Road
Dallas, TX 75240
972-490-7060 972-991-3424 (fax)
htaoffice@holytrinityacademy.com

APPLICATION FOR ADMISSION
2016-2017



2/3 Year Old Pre-School    2 Day (TTH) 3 Day (MWF) 5 Day (M-F)    
             
3/4 Year Old Pre-School   3 Day (MWF) 5 Day (M-F)      
             
4 Year Old Pre-K            
             
Kindergarten            
             
Before School Care            
             
After School Care            
             
















Date of Application: Date of Birth: Age as of Sept. 1, 2015:
     
Applicant’s Full Legal Name:    
Last: First: Middle:
     





Male: Female: Country of Citizenship: Social Security #:
       
Applicant’s Home Address:
Number and Street & Apt. # Home Phone Number:
City: State: Zip Code:
       
Student’s Religious Affiliation:  
       













Father Mother
Home Address Home Address
City  State Zip City  State Zip
E-Mail E-Mail
Home Telephone Home Telephone
Cell Phone Cell Phone
Business/Employer Business/Employer
Occupation/Position Occupation/Position
Business Telephone Business Telephone
Business Address Business Address
Stepfather’s Name Stepmother’s Name
           
           
Parents are living: Together Separated Divorced Mother Remarried Father Remarried
  Natural Father Deceased Natural Mother Deceased  
           
Applicant is living with: Parents Mother Father Other (specify)
           
Name of child’s paternal grandparents:
           
Name of child’s maternal grandparents:
           

Other children in family (give names, ages, schools if in school or college)

Name: Age: School:
Name: Age: School:
Name: Age: School:
           
Has applicant applied to Holy Trinity Academy prior to this year? Yes No If yes, what grade?
           
Has diagnostic testing been recommended? Yes No By whom?
       
If yes, was diagnostic testing completed? Yes No Date completed:
           

I understand that withholding or misrepresenting information requested in this application may
jeopardize admission or enrollment at Holy Trinity Academy



NOTICE OF NON-DISCRIMINATORY POLICY AS TO STUDENTS

Holy Trinity Academy, 13555 Hillcrest Road, Dallas, admits students of any race, color, national and ethnic origin to all the rights,
privileges, programs, and activities generally accorded or made available to students at Holy Trinity Academy.  Holy Trinity Academy
does not discriminate on the basis of race, color, and/or national and ethnic origin in the administration of its education policies, admissions
policies, scholarship, and loan programs, and athletic and other school-administered programs.






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