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Application for Our Lady of Mercy High School Placement Exam

  1. Our Lady of Mercy High School Application

    Please fill out the form below to apply, or you can download the application.

  2. Please indicate date daughter will take Entrance Exam*



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  3. Student's First Name*
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  4. Student's Middle Name
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  5. Student's Last Name*
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  6. Date of Birth*
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  7. Address*
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  9. City*
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  10. ZIP*
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  11. Home Phone
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  12. Mother's Work Phone
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  13. Father's Work Phone
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  14. Mother's Cell Phone
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  15. Father's Cell Phone
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  16. Parent's Email Address*
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  17. Present School Attending*
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  18. Present Grade*
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  19. Public School District
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  21. Name(s) of Parents/Guardians*
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  22. Indicate Address if different from above
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  23. NOTE: POOR 2ND SEMESTER GRADES MAY CAUSE CANCELLATION OF ACCEPTANCE OR CHANGES IN COURSE PLACEMENT

  24. * = Required Field


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