Educational Assessment Exam Form 2027-2028

Juan Diego Catholic High School

Educational Assessment Exam Registration and Payment

The first step in Juan Diego Catholic High School's admissions process for the 2027-2028 school year is for ALL NON-SJBMS Students interested in attending JD to take our Educational Assessment Exam. To ensure a test is available for each student interested in taking the exam and to secure proctors to administer it, students must register in advance.

Saturday, January 23rd at 9 am
Saturday, February 6th at 9 am

Advance registration is required. Complete ONE form per student. There are only 20 spots available per test day.

Student Name

First NameMiddle NameLast Name

Gender

Current Grade

Date of Birth

MonthDayYear

Student Race

Select One

Testing Date

Please select desired date

Current School Attending

Does your student need special accommodations for testing? (Has an IEP or 504 in public schools) Please elaborate if the answer is yes.

Parent/Guardian #1

#1 Name

First NameLast Name

#1 Email

example@example.com

#1 Home Phone

Area CodePhone Number

#1 Cell Phone

Area CodePhone Number

Parent/Guardian #2

#2 Name

First NameLast Name

#2 Email

example@example.com

#2 Home Phone

Area CodePhone Number

#2 Cell Phone

Area CodePhone Number

Student Lives With:

Student Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Second Residence (If applicable)

Second Residence Address (If applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list student interests

i.e. basketball, drama, hockey

Would your student like to attend a Shadow Day?

My Products

Educational Assessment Exam Fee$25.00

Total $0.00

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Parent/Guardian Information

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