Prospective 8th grade students are invited to complete the following online application form.  The additional application paperwork will be distributed at the High School Placement Test and applications will only be processed after completing the High School Placement Test. 

Today's Date:
Phone Number:
Grade to be Enrolled:
E-Mail Address:
Date of Birth:
Current Grade:
Applicants First Name:
Approximate GPA:
Applicants Middle Initial:
Current School:
Applicants Last Name:
Current School City:
Street Address:
Mothers First Name:
Apartment # (if any):
Mothers Last Name:
City:
Mothers Work Phone:
ext.
Zip:
Fathers First Name:
Religion:
Fathers Last Name:
Family place of worship:
Fathers Work Phone:
ext.
Applicant Lives with (check all that apply):
Mother Father Guardian
Other
How did you hear about Mercy High School?
Briefly state the reasons
you want to attend Mercy High School
Is your Mother
a Mercy graduate?
YesNo 
Is your grandmother
a Mercy graduate?
YesNo 
If Yes, what year?
If Yes, what year?
Her First Name:
Her First Name:
Middle Name:
Middle Name:
Last Name:
Last Name: