Application for Admission *Indicates required fields Step 1 of 5 - STUDENT PROFILE 20% Legal Name:* First Middle Last Preferred First Name:Gender:*FemaleMaleDate of Birth:* Date Format: MM slash DD slash YYYY Applying for enrollment in grade:*9101112Current School*Current School City, State, Zip:*Previous schools the applicant has attended:School NameDates of EnrollmentCity, State, Zip Student's Primary Address:*No Post Office Box numbers Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If Catholic, at what Parish are you registered?Ethnicity:*Required for state reportingHispanic/LatinoNon-Hispanic/LatinoRace:*Required for state reportingAmerican Indian or Alaskan NativeBlack or African AmericanAsianHispanicWhiteMulti-racialNative Hawaiian or Pacific Islander Check all that apply: Mother is deceased Father is deceased Parents are separated/divorced Student lives with:*Mother/FatherMotherFatherMother/StepfatherFather/StepmotherMother/Father SeparatelyGrandparentsLegal GuardiansFather/Guardian InformationFather's Name:* First Last Father's Email: Father's Phone Number:Father's Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country (If different from the student)Name of Step-Mother: First Last (if applicable)Mother/ Guardian InformationMother's Name:* First Last Mother's Email: Mother's Phone Number:Mother's Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (If different from the student)Name of Step-Father: First Last (if applicable)Please list any siblings of the applicant.NameGradeCurrent School Please list the names of any RMHS graduates in the applicant's family.NameClass YearRelationship Has the student received any tax credit scholarships (SGO) or School Choice funds in the form of a voucher from the State of Indiana?*YesNoUnsureDoes the student have any educational accommodations including an IEP (Individualized Education Plan), ISP (Individualized Service Plan) CSEP (Choice School Educational Plan), or 504 Plan?*YesNoUnsureHas the student ever been suspended, expelled, or asked to withdraw from any school?*YesNoCheck the extracurricular activities that the applicant might be interested in participating: Academic Superbowl Archery Art Club Baseball Basketball B.E.S.T.I.E.S. Bible Study Board Games Club Bowling Cheerleading Choir Color Guard Come Rest in Jesus Adoration Concert Band Cover-to-Cover Book Club Cross Country Drama Club Fall Play Football Golf Grandfriends History Club International Club Jazz Band Key Club Lacrosse Marching Band National Honor Society Orchestra Pep Band Riley Dance Marathon Sam Strong and E.B. Snowflake Soccer Softball Speech Spellbowl Spiritual Life Activities Spring Musical Stage Crew STEM Club (Engineering) Student Council Swimming and Diving Teenpower Teens for Life Tennis Tiger Ambassadors Tigerettes Dance Tiger Pride Track and Field Volleyball Winter Guard Wrestling Yearbook The following documents need to be uploaded and are required for admissions:Most Recent Report Card*This can simply be a picture or screenshot of the student’s most recent report card. This attachment can be acquired from the parent portal of a school information system (example: PowerSchool), or from a digital or physical copy that you have previously received. Drop files here or Attendance Record (if not included on report card) Drop files here or Disciplinary Record (if not from an eastside partner school) Drop files here or The following schools are considered eastside partner schools: Annunciation at Christ the King, Annunciation at Holy Spirit, Good Shepherd, Holy Rosary, St. Benedict, and St. John the Baptist.Most Recent IEP, ISP, CSEP, or 504 plan (if applicable) Drop files here or Immunization Records*State law requires that all students provide documentation of immunizations. The documentation must include the student’s name and date of birth, and the vaccine given and date (month/day/year) of each immunization. Drop files here or Birth Certificate (if not from an eastside partner school)The following schools are considered eastside partner schools: Annunciation at Christ the King, Annunciation at Holy Spirit, Good Shepherd, Holy Rosary, St. Benedict, and St. John the Baptist. Drop files here or Custody Agreement or Copy of Most Recent Court Order (if applicable) Drop files here or This application for admission has been completed in its entirety by a parent or legal guardian. I give permission for Reitz Memorial High School to contact my student's current school, or past schools, for the purpose of completing the admission process. This would include, but not limited to, information regarding attendance, academic progress, discipline, and tuition status.* I agree to the following: Application Submitted By:*