Registration Packet 2018-2019 School Year - Saint Jerome Catholic ...
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“We see God in all and respond with compassion and service.”
2018-2019 School Year
Registration Packet
Mr. Javier Bravo, MA Ed.
Principal
Fr. Gary Regula
Pastor
Fr. Rayison Jose, Sch.P.
Parochial Vicar
Mr. Harry Plummer
Superintendent of Catholic Schools
Roman Catholic Diocese of Phoenix, AZJanuary 8, 2018
Dear Families,
Thank you for choosing St. Jerome Catholic School for your child(ren). In the Apostolic Letter Evangelization
through Catholic Schools Bishop Thomas J. Olmsted outlines the role of a Catholic Education in the formation of
students and in our calling to engage in evangelization. The resurrection account in the Gospel of St. Matthew
relates how Christ issues the Great Commandment to his disciples: “Go, therefore, and make disciples of all
nations, baptizing them in the name of the Father, and of the Son, and of the Holy Spirit, teaching them to observe
all that I have commanded you.”(Mt. 28:19-20). The Catechism of the Catholic Church relates that “those who
with God’s help have welcomed Christ’s call and freely responded to it are urged on by love of Christ to proclaim the
Good News everywhere in the world.” (CCC 3, emphasis added) Thus it is clear that the mission of the school is an
extension of the salvific mission of the Church by making Christ known to all through forming the intellect of
students to engage in the New Evangelization.
St. Jerome Catholic School embraces the curriculum and standards set forth by the Catholic Schools Office of the
Roman Catholic Diocese of Phoenix and engages with students in the disciplines of Mathematics, Science, Social
Studies, Language Arts, Reading, Religion, Physical Education, Spanish Language and Culture, and the Fine Arts
to form the intellect of our students in a manner that will help them to know the truth and pursue the good. At.
St. Jerome Catholic School:
We believe that every child we encounter has a unique purpose and a specific talent that, once discovered
and developed, will enrich the greater community.
We assist children in discovering their uniqueness through developing them into faith-filled, life-long
learners who are complex thinkers and effective communicators.
We are a Catholic school who accomplishes our vision under the patronage of St. Jerome.
Once again, I thank you for considering St. Jerome Catholic School. The office staff and I are open to answering
any question you may have regarding our school, its traditions, and the registration process. Please do not
hesitate to ask any questions you may have.
May St. Jerome, our patron, intercede for you and your family as you continue this registration process.
St. Jerome, pray for us!
Sincerely,
Mr. Javier Bravo, MA Ed.
PrincipalPreschool Program
The Preschool Program at St. Jerome Catholic School licensed by the State of Arizona. The
curriculum of the Preschool program utilizes the diocesan standards based off of the Early
Learning Standards issued by the Arizona Department of Education. Curriculum content covered
in the Early Learning Standards include:
Social Emotional Standards
Approaches to Learning Standards
Language and Literacy Standards
Mathematics Standards
Science Standards
Social Studies Standards
Physical Development and Safety Standards
Fine Arts Standards
Religious Instruction Standards
The Preschool Program is a FULL DAY program. The daily schedule is:
Monday – Thursday: 7:50 am – 3:00 pm
Friday: 7:50 am – 1:00 pm
The school day at St. Jerome Catholic School is flanked by prayer meaning that it begins with
Morning Prayer and ends with the End of the Day prayer as well as classroom opportunities for
personal intentions.
To qualify for the Preschool Program, children must have already had their third birthday before
September 1st of each school year. Children must be able to understand classroom instructions in
the English language and be fully and independently potty trained.Pre-Kindergarten Program
The PreK Program at St. Jerome Catholic School licensed by the State of Arizona. The curriculum
of the Preschool program utilizes the diocesan standards based off of the Early Learning Standards
issued by the Arizona Department of Education. Curriculum content covered in the Early
Learning Standards include:
Social Emotional Standards
Approaches to Learning Standards
Language and Literacy Standards
Mathematics Standards
Science Standards
Social Studies Standards
Physical Development and Safety Standards
Fine Arts Standards
Religious Instruction Standards
The PreK Program is a FULL DAY program. The daily schedule is:
Monday – Thursday: 7:50 am – 3:00 pm
Friday: 7:50 am – 1:00 pm
The school day at St. Jerome Catholic School is flanked by prayer meaning that it begins with
Morning Prayer and ends with the End of the Day prayer as well as classroom opportunities for
personal intentions.
To qualify for the PreK Program, children must have already had their fourth birthday before
September 1st of each school year. Children must be able to understand classroom instructions in
the English language and be fully and independently potty trained.Admissions Process for St. Jerome Catholic School
The entire admissions process at St. Jerome Catholic School consists of two parts: Registration
and Enrollment.
Part I – REGISTRATION: The following documents and fee from the school
Registration Packet are needed to complete the registration process. A potential student will
not be considered “registered” until all of the following have been submitted to the School
Office:
o Registration form
o Non-refundable Registration Fee of $150 (Per Family)
o Original Birth Certificate and Sacrament Certificates (If applicable)
o Arizona Public School Enrollment Verification Form – This form will need to be
scanned in to scholarship applications
o Immunization records
o Health history
o ADHS Emergency Contact Form
o Emergency Card (Blue)
o Diocese of Phoenix Custodial Agreement
o Final Report Card from previous school – The final report card must show the
grades for all 4 quarters
This documentation is not needed for new Preschool, Pre-K and
Kindergarten Students
o Standardized Test results from previous school (i.e. AZ Merit or ITBS) when
available
o Create a FACTS account and submit proof of account
FACTS is an online tuition management system. When a family receives a
scholarship or financial aid, the amount received must be applied to the
tuition amount. This can only be done in the FACTS online tuition
management system
o Apply for financial aid through Catholic Education Arizona and AZ4Education –
submit proof of completion
o Apply for a minimum of four (4) other tax credit organization scholarships – submit
proof with packet
For proof, tax credit organizations will email a verification to the family when
they submit their application. A print out of the verification is sufficient for
proof of completion. (Sample Attached)
The school will contact families who are missing pieces of the registration packet to assist them in
completing the packet. Once the school has received a complete packet the school will move on to
the second part of the admissions process. Part II – ENROLLMENT
o The principal will review all documents and make an enrollment decision
o Students who have a failing grade in a Core Course may be required to meet with the
principal prior to an enrollment decision.
Note: If the previous report card and standardized test scores are not received
with the registration packet, the admission decision will be placed on hold
and your student will remain in “Registered” status but not “Admitted”
status.
o The school will send out an Enrollment Letter indicating the potential student’s
enrollment status.
o One of the following three statuses will be listed in the Enrollment Letter:
Enrolled – The student is now a part of St. Jerome Catholic School
Waiting List – The grade where the student is to be enrolled is currently as
maximum capacity
Not Enrolled – The student’s application is rejected.
o If there is a waiting list for your student’s grade and another student submits all
necessary documents, the spot will go to the next student in line who has all
documents submitted.2018-2019 Tuition Commitment Form
All Families must have a FACTS Payment Plan Created
Register for FACTS at https://online.factsmgt.com/signin/46FLW
Yearly Semester Quarterly 10 Month 12 Month
Family Plan Plan Plan Plan Plan
Status July July & January July, October, July - April July - June
January, April
Catholic Parishioner
Verified by Parish
1 Child $5,800 $2,900 $1,450 $580 $483.34
2 Children $10,600 $5,300 $2,650 $1,060 $883.34
3 Children $14,400 $7,200 $3,600 $1,440 $1,200
Every student over 3 will be at a cost of $3,800 each.
Non-Catholic Rate
1 Child $7,100 $3,550 $1,775 $710 $591.67
2 Children $13,200 $6,600 $3,300 $1,320 $1,100
3 Children $18,300 $9,150 $4,575 $1,830 $1,525
Register for FACTS at https://online.factsmgt.com/signin/46FLW
All families must be registered for FACTS automatic payment plan.
Any remaining balance from the 2017-2018 school year must be resolved prior to re-enrollment
I wish to pay my annual tuition using the following plan (Please circle in the table and check the selection below):
__________Yearly Plan (July) __________10 Month Plan (July – April)
__________Semester Plan (July & January) __________12 Month Plan (July – June)
__________Quarterly Plan (July, October, January, April)
I have read, and agree to abide by the financial policies of St. Jerome Catholic School as included in this information and in
the Parent Handbook. I understand that the tuition payment plan I have selected will obligate me to a specific monthly
payment as listed in the chart above. I understand that the first payment is due in July before the start of the school year. I
understand that I must inform the school if there are any changes to FACTS and that any holds on payments must be
approved by the Principal AND the Pastor. I also understand that my student cannot be enrolled unless the parent has an
active FACTS account.
____________________________________ ____________________________ _______
Parent Signature Printed Last Name DateFUNDING A CATHOLIC EDUCATION
IN THE STATE OF ARIZONA
All families wanting to register a student at St. Jerome Catholic School must complete a minimum
of 6 tax credit scholarships as part of the registration process.
There are two required tax credit scholarships that all families must complete:
1. Catholic Education Arizona - http://catholiceducationarizona.org/applicant/ (application
opens on February 1, 2018)
2. Arizona Education Scholarship Foundation Inc. - http://www.az4education.org/
(application currently open)
Other Tax Credit Scholarship Organizations include but are not limited to:
Brophy Community Foundation
Arizona School Choice Trust
Arizona Leadership Foundation
Institute for Better Education
Arizona Scholarship Fund
Tuition Organization for Private Schools (TOPS)
School Choice Arizona
Arizona Private Education Scholarship Fund
White Mountain Tuition Organization
AZ Yes (Youth Education Scholarships)
AAA Scholarships
Arizona Tax Credit
Arizona Tuition Connection
Other organizations included in the next page.
REMINDER: Scholarship awards can only be applied to tuition if the family has a FACTS
account set up.SCHOOL TUITION ORGANIZATION RESOURCE LIST
School Tuitio n Applicatio n Disabled/ Accepts Student
Organizatio n Website Fee Corpo rate Displaced Individual Plus Reco m mendatio ns Other Info rmatio n
An AAA family may not accept a scholarship
from more than one School Tuition
AAA Scholarship
aaascholarships.org $30 Yes Yes No No No Organization for the same school year. It may
Foundation
be easier to do a paper application than an
online app.
Arizona
Awards scholarships for both tuition and other
Community azfoundation.org free Yes Yes Yes Yes No
school expenses (at hletic fees, uniforms, etc).
Foundation
Arizona
Education
az4education.org free No Yes Yes Yes Yes Monthly award distribution.
Scholarship
Foundation
Incomplete or incorrect applications require an
Arizona
entirel y new application to be submitted. Be
Leadership arizonaleader.org free Yes Yes No No No
sure to check to be sure your application has been
Foundation
accepted as complete.
Arizona Private Monthly disbursements. Do not require a copy
Education apesf.org free Yes Yes Yes Yes Yes of tax return at the time of application. General
Scholarship Fund fund awards are usually made in June.
Family must meet income qualifications.
Arizona School
asct.org $30 Yes Yes Yes Yes No Application fee. Will only accept the first 2000
Choice Trust applications. First come, first served.
Provides an individualized "Launch page” for
Arizona Tuition
arizonatuitionconnection.com free Yes Yes Yes Yes Yes your family free of charge. No tax return
Connection
required at time of application.
Catholic Supports Catholic schools within the Diocese of
Education fairapp.com $27 Yes No Yes Yes No Phoenix. Available funds designated to St.
Arizona Jerome Catholic School. Need based awards.
Monthly recommended student award
Institute for Better
ibescholarships.org free Yes Yes Yes Yes Yes distribution. General fund awards in June of
Education each year.
Pappas Kids
Family must meet income qualifications for free
Schoolhouse pappaskidssf.org free Yes No Yes Yes No
and reduced lunch. Submit a paper application.
Foundation
General fund awards are distributed in August.
School Choice
schoolchoicearizona.org free Yes Yes Yes Yes Yes Student recommended funds are distributed in
Arizona April for the current school year.
School Tuition
Assn of Yuma Primarily supports Yuma schools but may have
Azstay.org free Yes Yes Yes Yes Yes funds available for others
Scholarships for
Educational
Excellence
Foundation seefaz.org free No No Yes Yes Yes
Tops for Kids topsforkids.com free No No Yes Yes Yes Tri-annual disbursements2018-2019
REGISTRATION FORM
Your Child’s Information
First name (as in birth certificate) ______________________ Middle: _______________________
Last name (as in birth certificate) ________________________ Birth Date: ___/____/_______
Current age: ____________ Social Security Number: _____________________________________
Mailing Address: ________________________________________________________________
City, State, Zip Code: _____________________________________________________________
Sex: ☐Male or ☐Female Country of birth: ________________________________________
Family/Home Email: _____________________________________________________________
Family/Home Phone Number: ______________________________________________________
Race: ☐Alaska/American Indian ☐Asian ☐Black/African American ☐Native Hawaiian/Pacific Islander
☐White/Caucasian ☐Two or more races ☐Unknown
Ethnicity: ☐Hispanic ☐Non-Hispanic
Family Information
Name: ______________________________ Relationship to child: _________________________
Address: ______________________________________________________________________
City: _____________ State: _____ Zip Code: ________ Parish Affiliation: ____________________
Occupation: ________________________ Company Name: _______________________________
Home Phone: _____________________ Cell Phone: _________________________________
Work Phone: ____________________ Primary E-mail: ___________________________________
My information may be included in the school directory ☐ Yes ☐ No
Name: ______________________________ Relationship to child: _________________________
Address: ______________________________________________________________________
City: _____________ State: _____ Zip Code: ________ Parish Affiliation: ____________________
Occupation: ________________________ Company Name: _______________________________
Home Phone: _____________________ Cell Phone: _________________________________
Work Phone: ____________________ Primary E-mail: ___________________________________
My information may be included in the school directory ☐ Yes ☐ No
Marital status of parents: ☐ Married ☐ Divorced ☐ Separated ☐ Single ☐Widowed
Child’s primary residence is with: ☐ Mother ☐ Father ☐Split custody
Note: if parents are divorced or separated, court documents clarifying custody situation and educational rights must be submitted to the
school office.Family Information cont.
Siblings:
_________________________________ _______
Name Age Attends St. Jerome Catholic School: ☐ Yes ☐No
_________________________________ _______
Name Age Attends St. Jerome Catholic School: ☐ Yes ☐No
_________________________________ _______
Name Age Attends St. Jerome Catholic School: ☐ Yes ☐No
_________________________________ _______
Name Age Attends St. Jerome Catholic School: ☐ Yes ☐No
Language (other than English) spoken at home: _________________________________________________________
Religious Background
Parents are: ☐Catholic ☐Non-Catholic Student applicant is: ☐Catholic ☐Non-Catholic
Registered Parish: ________________________________ Location: ____________________________
Baptism: __________________________________________ ______________________________
Church Name City & State
First Penance: __________________________________________ ____________________________
Church Name City & State
First Communion: _______________________________________ ____________________________
Church Name City & State
Confirmation: __________________________________________ ____________________________
Church Name City & State
Academic Information
(Preschool, Pre-K or Kindergarten applicants include day care experiences):
1) Last School Attended: _________________________________________________________________
Date Enrolled: ___________Date Withdrawn: _________
Reason for leaving: _____________________________________________________________________
2) Last School Attended: _________________________________________________________________
Date Enrolled: ___________Date Withdrawn: _________
Reason for leaving: _____________________________________________________________________If your child is transferring from a Catholic School that is part of the Roman Catholic Diocese of Phoenix, is there
any outstanding tuition owed to the previous school?
☐ No Yes ☐ Diocesan policy does not allow students to re-enroll in a different Catholic school when
there is tuition owed to the previous school.
Has your child ever been suspended, expelled, dismissed, or not allowed to re-enroll in a school?
☐ No Yes ☐ If yes please provide the name of the school and the reasons on a separate sheet of paper.
Has your student ever been tested or evaluated for any disability [i.e., earning disabilities, ADD/ADHD, emotional
disabilities, etc.], English as a Second Language, or medical condition? ☐ No ☐ Yes
If yes, please describe on a separate sheet of paper any disability or medical condition that may affect your child’s
ability to fully participate in the academic program provided at St. Jerome Catholic School . If you are requesting an
adjustment or accommodation to the curriculum, please describe your request.
Information about disabilities is requested for the sole purpose of determining whether the school can provide the
applicant with an appropriate education or reasonable accommodation and will not be considered in determining
whether he/she is otherwise qualified for admission. Please note: St. Jerome Catholic School does not serve IEPs
but can create a Student Service Plan (SSP) if the school determines it is able to meet the needs of the student with
appropriate accommodations to the school curriculum.
Parent Questionnaire
How did you learn about St. Jerome Catholic School? _____________________________________________________
____________________________________________________________________________________________________
Which activities or hobbies does your child enjoy most?
__________________________________________________________________________________________________
How do you feel that your child learns best?
__________________________________________________________________________________________________
What led you to consider St. Jerome Catholic School for your child?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
What are your goals for your child at St. Jerome Catholic School?
____________________________________________________________________________________________________
____________________________________________________________________________________________________Teacher Recommendation Form
Applicants for Preschool, Pre-K, and Kindergarten
To the parent/guardian: Please complete the following portion of this form and give it to your child’s daycare or
preschool teacher with a stamped envelope addressed to St. Jerome Catholic School – 10815 N. 35th Avenue –
Phoenix, AZ 85029. Your signature acknowledges your permission to share this information with our school.
If your child has never been in a school or daycare setting, we ask parents to complete the information below to
the best of your ability based on your experiences of working with your child.
Name of Child:________________________________________ Date of Birth: ______________________
Current School: _______________________________________ Grade Level in 2018-19: _____________
Parent/Guardian Signature: ____________________________ Date: ____________________________
__________________________________________________________________________________________
To the daycare or preschool teacher: This form is designed to allow St. Jerome Catholic School to learn more
about the educational background and needs of the student whose name appears below. Your candid assessment
is very helpful in our attempt to find school placement appropriate for the student. Thank you in advance for
taking the time to complete this information.
I have known this child _____ years, _____ months. He/she is enrolled in our daycare/school __________________
days per week, _________ hours per day. This class has ________ students and ___________________ teacher(s).
Your evaluation is used solely for the admissions process.
Area of Age Needs Check if this
Skills strength appropriate help is a concern Comments
Demonstrates attention span
Ability to focus in group situations
Ability to follow directions
Completes work independently
Respect for classroom rules
Transitions between activities
Responds to behavioral directions
Shows curiosity
Ability to self-start
Enthusiasm for new activities
Problem solving ability
Seeks assistance
Takes responsibility
Expresses ideas
Grasps new concepts
Uses materials appropriatelyArea of Age Needs Check if this
Physical Development strength appropriate help is a concern Comments
Fine motor skills
Gross motor skills
Speech development
(articulation)
Area of Age Needs Check if this
Social Emotional strength appropriate help is a concern Comments
Exhibits courtesy and respect
Shows empathy towards peers
Works cooperatively with peers
Demonstrates self-control
Shares well without prompting
Imagination/creativity
Demonstrates the ability to lead
Demonstrates the ability to
follow
Expresses feelings
appropriately
Shows self confidence
Family Information Consistently Usually Sometimes Rarely Comments
Communicates openly
with the school
Participates in school
activities
Cooperates with
classroom teacher
Cooperates with
administration
Follows rules and
procedures
Please use the space below for any information that would be helpful in meeting the needs of this child.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________ ____________________________________
Teacher’s Name Signature
_________________________________________ ____________________________________
School Phone Number: Email address
Upon completion, please return this form via mail, fax, or electronic message.
Mail: St. Jerome Catholic School, Attn: Bridget Martinez, 10815 N. 35th Avenue – Phoenix, AZ 85029
Fax: 602-467-4929 Email: bmartinez@saintjerome.orgTeacher Recommendation Form
Applicants for Grades 1 - 8
To the parent/guardian: Please complete the following portion of this form and give it to your child’s teacher
with a stamped envelope addressed to St. Jerome Catholic School. Your signature acknowledges your permission
to share this information with our school.
Students in grades 1-5 will return one recommendation form from their classroom teacher. Applicants for grades
6-8 should submit recommendation forms from both their math and English teachers.
Name of Child:________________________________________ Date of Birth: ______________________
Current School: _______________________________________ Grade Level in 2017-18: _____________
Parent/Guardian Signature: ____________________________ Date: ____________________________
__________________________________________________________________________________________
To the teacher: This form is designed to allow St. Jerome Catholic School to learn more about the educational
background and needs of the student whose name appears above. Your candid assessment is very helpful in our
attempt to find school placement appropriate for the student. Thank you in advance for taking the time to
complete this information.
I have known this student ________________________ years, __________________________ months.
Your evaluation is used solely for the admissions process.
MOST OF
ATTENDANCE AND HEALTH THE TIME SOMETIMES RARELY
How often does this student
…attend school on a regular basis?
…arrive at school on time most days?
…appear to be in good health?
Above Below
ACADEMIC SKILLS Excellent average Average Average Poor
Written expression
Oral expression
Willingness to take risks
Initiatives and motivation
Participation in class
Reaction to criticism
Consideration of other's feelings
Independence
Sense of responsibility
Creativity
Study habits
Application of knowledge and skills
Self-discipline
Honesty/integrityATTENTION YES UNCERTAIN NO
Does this student
…easily transition from one activity to another?
…continue an activity without constant attention?
…continue a task until completed or time stopped?
…usually accepts limits set by an adult?
Most of Some of
SOCIAL EMOTIONAL Always the time the time Rarely Never
Does this student
…willingly and cooperatively participate in groups?
…show concern for using materials appropriately?
…show leadership skills among classmates
…need redirection more often than other students?
…treat other adults and classmates with respect?
…follow directions?
…have self-control?
…display emotional maturity?
How would you describe this student? (select all that apply)
□ Competitive □ Negative □ Well liked □ Determined
□ Motivated □ Focused □ Average academically □ Cooperative
□ Artistic □ Below average academically □ Easily distracted □ Advanced academically
□ Defiant □ Well organized □ Responsible □ Athletic
□ Enjoys school □ Needs discipline □ Immature □ Silly
□ Needs to be
challenged □ Mature □ Self directed □ Dislikes school
Please use the space below to elaborate on any of the sections above or to share information that would
be helpful in meeting the needs of this child. ___________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
_________________________________________ ____________________________________
Teacher’s Name Signature
_________________________________________ ____________________________________
School Phone Number: Email address
Upon completion, please return this form via mail, fax, or electronic message.
Mail: St. Jerome Catholic School, Attn: Bridget Martinez, 10815 N. 35th Avenue – Phoenix, AZ 85029
Fax: 602-467-4929 Email: bmartinez@saintjerome.orgParental Permission for Release of Student Records
I herewith give my permission for the release of information requested in the bottom portion of this form for my
(son/daughter).
________________________________________ _______________________
Student’s Name
Current Grade
________________________________________
Date
________________________________________
Signature of Parent/Guardian
Instructions: Parents, please give this signed parental permission form to your child’s current school in order for the
school to have permission to send records to St. Jerome Catholic School.
Request for Student Report Card and Standardized Test Scores
Date: _____________________
_________________________________ is a candidate for admission to ______ grade at
Student’s name
St. Jerome Catholic School.
Please forward the following information:
______ Report Cards for 4th quarter _____ Standardized Test Scores (AzMerit/Dibbles/District Test)
______ Health and dental records _____ Personal health history
____________________________________________
Principal Signature or designee (Office personnel)
Upon completion, please return this form and records via mail, fax, or electronic message.
Mail: St. Jerome Catholic School, Attn: Bridget Martinez, 10815 N. 35th Avenue – Phoenix, AZ 85029
Fax: 602-467-4929 Email: bmartinez@saintjerome.orgParish Affiliation
(For Catholic Students Only)
Families of Catholic students must be registered with a parish in the Roman Catholic Diocese
of Phoenix in order to receive the Catholic tuition rate for their children. Please indicate the
parish below where your family is registered.
Student(s) Name(s)
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Parish
____________________________________________________
Pastor’s Name
____________________________________________________
City
____________________________________________________
Parish Phone Number
Families registered with a parish other than St. Jerome Catholic School are asked to provide a
letter from their pastor or office personnel verifying their membership. This information will
assist us and the proper pastor with the keeping of accurate records.You can also read
