Apply – Hillside Program

Welcome! Thank you for your interest in the Hillside Program. This is a waiting list application to the Hillside Program for the 2023-2024 calendar year. Please be aware that your application to the Hillside Program does not guarantee enrollment for the 2023 – 2024 academic year.

The Hillside Program acts in accordance with and is faithful to the Magisterium of the Catholic Church.

Waiting list application for 2023 – 2024 Hillside Program year.

The Hillside Program operates in faithful conformity to the Magisterium of the Catholic Church. *

I understand

Parent Name *

First

Last

Is Parent 1 VIRTUS Trained and Certified? *

VIRTUS is required training and background check for all volunteers 18 and over. Start your certification at,, www.virtusonline.org

Parent Name (Optional)

First

Last

Is Parent 2 VIRTUS Trained and Certified? (Optional)

VIRTUS is required training and background check for all volunteers 18 and over. Start your certification at,, www.virtusonline.org

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Emergency Contact Name *

Name of your emergency contact .

Emergency Phone *

Alternate number to call in an emergency

Email *

Number of children with you who are not applying (Example, infants) *

The number of children you will have with you who are not formally enrolled in the program.

Number of children applying *

The number of children you are applying for enrollment.

First Student's Name *

First Student's Level *

Nursery (2-3 yr old's), Pre-K - Kindergarten (4-5 yr old's), Beginner Level (6-8 yr olds), Grammar (9-11 yr old's), Logic (12-14 yr old's), Rhetoric (15-18 yr old's)

Frist Student's Date of Birth *

Special Needs *

Do any of your students or family members who attend Hillside have special needs that Hillside should be made aware? Example, allergies, developmental.

Does your student(s) have any outstanding subject requirements to complete? *

To help Hillside provide relevant classes for its members, do any of your students have outstanding subject requirements to complete? (This is not a guarantee of courses offered)

Parent Skills of Note

Please list any skills or talents that you would like to offer the Hillside community. Example, Literature, Logic, Chemistry, History, Art, Music, Chant, Athletics...