Entrance Exam Entrance Exam for the Class of 2026 Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastStudent's Preferred Name(i.e. Katherine goes by Katie)Mother's SalutationMs.Mrs.Dr.Hon.Mother's NameFirstLastFather's SalutationMr.Dr.Hon.Father's NameFirstLastStudent's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code*If parents live separately, indicate which parent will be receiving test resultsMotherFatherPrimary Phone *Phone TypeHome LandlineMother Cell PhoneFather Cell PhonePrimary Email *(This will be where all communications from IC Catholic Prep will be sent.)Student's Birthdate *Student's GenderMaleFemaleReligionName of the Student's Current SchoolIn which public high school district do you live?Does your son/daughter have an IEP or 504 plan?My son/daughter does NOT have an IEP or 504 planMy son/daughter does have an IEP or 504 plan (see below)IC Catholic Prep is proud to be able to work with Individualized Education Plans (IEP) or 504 Plans within the constraints of our resources. Students with learning documentation may be recommended for our Farrelly program. In order to be considered for accommodations on the entrance exam, please provide a copy of the most recent IEP or 504 Plan to Mrs. Wagner, Assistant Principal, by November 30th at [email protected] Testing Preference *In-personRemoteHow did you learn about IC Catholic Prep?Advertisement (Parish Guidebook, Parish Bulletin, Newspaper, Digital Sign)School Leader/Counselor (please share name)TwitterFacebookInstagramYouTubeOther (please specify)Website (iccatholicprep.org)Family/FriendsCheck as many as applicable.Please briefly describe "other"Please share the school leader/counselor nameAgreement *By checking this box, you confirm that all of the information contained in this application is factually correct and honestly presented.CostPrice: $ 35.00A $1 handling/processing fee will be added to your order. You will be taken to PayPal to process the payment.Captcha * = CommentSubmit (you will be taken to PayPal to process the registration fee) Call Mr. Bryant Romero at 630.530.3491 or [email protected] with any questions. Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastStudent's Preferred Name(i.e. Katherine goes by Katie)Mother's SalutationMs.Mrs.Dr.Hon.Mother's NameFirstLastFather's SalutationMr.Dr.Hon.Father's NameFirstLastStudent's Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code*If parents live separately, indicate which parent will be receiving test resultsMotherFatherPrimary Phone *Phone TypeHome LandlineMother Cell PhoneFather Cell PhonePrimary Email *(This will be where all communications from IC Catholic Prep will be sent.)Student's Birthdate *Student's GenderMaleFemaleReligionName of the Student's Current SchoolIn which public high school district do you live?Does your son/daughter have an IEP or 504 plan?My son/daughter does NOT have an IEP or 504 planMy son/daughter does have an IEP or 504 plan (see below)IC Catholic Prep is proud to be able to work with Individualized Education Plans (IEP) or 504 Plans within the constraints of our resources. Students with learning documentation may be recommended for our Farrelly program. In order to be considered for accommodations on the entrance exam, please provide a copy of the most recent IEP or 504 Plan to Mrs. Wagner, Assistant Principal, by November 30th at [email protected] Testing Preference *In-personRemoteHow did you learn about IC Catholic Prep?Advertisement (Parish Guidebook, Parish Bulletin, Newspaper, Digital Sign)School Leader/Counselor (please share name)TwitterFacebookInstagramYouTubeOther (please specify)Website (iccatholicprep.org)Family/FriendsCheck as many as applicable.Please briefly describe "other"Please share the school leader/counselor nameAgreement *By checking this box, you confirm that all of the information contained in this application is factually correct and honestly presented.CostPrice: $ 35.00A $1 handling/processing fee will be added to your order. You will be taken to PayPal to process the payment.Captcha * = CommentSubmit (you will be taken to PayPal to process the registration fee)
