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Memorial High School
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Student Information
Student's Name
*
First
Last
Gender
*
Female
Male
Date of Birth
*
MM slash DD slash YYYY
Student's Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
TACHS ID Number
Parent Contact Information
Name
*
First
Last
Email
*
Phone
*
Relationship to Applicant
*
Student Current School and Academics
Current School Name
*
All City Leadership School
Anthony J Pranzo - PS/IS 113
Astoria Lutheran
Bell Academy - Q294
Brooklyn Prospect Charter School
Candlewood Middle School
Catherine & Count Basie School - MS72
Central Queens Academy
Divine Mercy Catholic Academy
Divine Wisdom Catholic Academy
Dorothy Bonawit Kole - PS/IS 49
izabeth Blackwell - JHS 210
Flushing Christian School
Garden School
George J Ryan- MS216
Growing Up Green Charter Middle School
Harlem Village Academy East Middle
Holy Child Jesus Catholic Academy
Holy Family Catholic Academy
Holy Name of Mary
Holy Trinity Catholic Academy
Hunters Point Comm MS - Q291
Immaculate Conception - Astoria
IS 10 Horace Greeley
IS 119 The Glendale
IS 141 The Steinway
IS 192 The Linden
IS 230 Jackson Heights
IS 318 Eugenio Maria De Hostos
IS 5 The Walter Crowley
IS 73 Frank Sansivieri
IS 93 Ridgewood
IS10 Horace Greeley
IS119 The Glendale
IS125 Thom McCann Woodside
IS141 The Steinway
IS145 Joseph Pulitzer
IS230 Jackson Heights
JHS 157 Steven Halsey School
JHS 190 Russell Sage
JHS 194 William Carr
JHS104 Simon Baruch School
Louis Armstrong MS - IS 227
Metropolitan Expeditionary Learning School - Q167
Middle Village - PS / IS 87
Middle Village Prep - Q298
Mineola Middle School
MS 126 Magnet School for Enviro Eng
MS 167 Robert Wagner School
MS 447 Math & Science Exploratory School
MS 577 Conselyea Prep
NEST+M - M539
Notre Dame Catholic Academy
Our Lady of Fatima
Our Lady of Grace Catholic Academy- Howard Beach
Our Lady of Hope Catholic Academy
Our Lady of Mercy Catholic Academy
Our Lady of Sorrows Catholic Academy
Our Lady of the Angelus Catholic Academy
Our Lady Perpetual Help Catholic Academy
Our World Neighborhood Charter - Q706
Out of Country
Out of State
PS / IS 78 The Robert Wagner Jr
PS / IS 87 Middle Village
PS / MS 146 The Howard Beach
PS 122 Mamie Fay
PS 127 Aerospace Science Magnet
PS 128 The Lorraine Tuzzo School
PS 146 Howard Beach
PS 207 Rockwood Park
PS 232 Lindenwood School
PS 47 Chris Galas
PS 89 Elmhurst
PS102 The Bayview
PS128 The Lorraine Tuzzo
PS207 Rockwood Park
Q 126 Albert Shanker School
Q 167 Metropolitan Expeditionary Learning School
Q 298 Middle Village Prep
Q 323 Scholars' Academy
Q 560 Robert Wagner Jr / Sr
Q237 Rachel Carson Intermediate School
Resurrection - Ascension Catholic Academy
Robert Goddard School - JHS202
Sacred Heart Catholic Academy- Glendale
Scholars Academy Q323
St. Adalbert Catholic Academy
St. Andrew Avellino Catholic Academy
St. Athanasius
St. Bartholomew Catholic Academy
St. Camillus Catholic Academy
St. Demetrios
St. Elizabeth Catholic Academy
St. Francis de Sales Catholic Academy
St. Francis of Assisi Catholic Academy
St. Joan of Arc
St. Joseph Catholic Academy
St. Leo Catholic Academy
St. Margaret Catholic Academy
St. Martin of Tours School - Amityville
St. Mary Gate of Heaven Catholic Academy
St. Matthias Catholic Academy
St. Nicholas of Tolentine Catholic Academy
St. Rose of Lima Catholic Academy
St. Sebastian Catholic Academy
St. Stanislaus Kostka - Maspeth
St. Stanislaus Kostka Catholic Academy - Brooklyn
St Thomas the Apostle Catholic Academy
The Renaissance Charter - Q705
Voice Charter School
Young Women's Leadership, Astoria - Q286
Other
If other, please specify
*
Current Grade
*
Current School Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please upload/attach your student's 6th, 7th and 8th grade reports cards.
*
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Does the student have an IEP?
*
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No
Monsignor McClancy Memorial High School
Do you have sibling(s) currently attending Monsignor McClancy Memorial High School?
*
Yes
No
If you have sibling(s) attending Monsignor McClancy Memorial High School, what are their names and grades?
*
Do you have relatives who graduated from Monsignor McClancy Memorial High School?
*
Yes
No
If you have relative(s) who graduated from Monsignor McClancy Memorial High School, what are their names and grades?
*
Have you taken a tour of Monsignor McClancy Memorial High School?
*
Yes
No
Would you like the admissions office to contact you and arrange a tour?
*
Yes
No
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