Queen of Peace High School

Online Application for Admission by Transfer Student

This application is to be used in conjunction with the Transfer Applicant Record Form which should be given to the students current school so student records can be sent directly to QPHS. Any questions, please contact the Admissions Office at 201-998-8227 x 21 or admissions@qphs.org.

Information about the Student Applicant

Grade level student seeks admission to: 9   10   11   12

In the space below, please explain why your are requesting a transfer into Queen of Peace High School.

Applicant's Last Name
Applicant's First Name MI 
Address 1
Address 2
City

State 

Zip 
Phone Other Phone 
Email
Date of Birth (mm/dd/yyyy)
Name of Present School
Present School Address
City

State 

Zip 
 

With whom does the applicant live?
Both Parents Mother Father Other
 

Mother's Last Name First Name 
Mother's Email
Mother's Work Phone #
Father's Last Name First Name 
Father's Email
Father's Work Phone #
Guardian's Last Name First Name 
Guardian's Email
Guardian's Work Phone #
 

Please list any relatives who have attended or are attending Queen of Peace HS (Optional)
Name Year of Graduation Relationship
 

Do you have an association with a member of the Queen of Peace community?
Examples: current teacher, student, parishioner, coach, etc. (Optional)
Name of Person
Person's Relationship to QP
 

In the space below, you may take the opportunity to inform us of activities you enjoy, situations in which you have shown leadership, or any information you would like us to know about.

 

Queen of Peace High School Admissions Office
191 Rutherford Place, North Arlington, NJ 07031-6091
Phone: 201-998-8227 x 21    Fax: 201-998-3040    E-mail: admissions@qphs.org