Queen of Peace High School

Online Application for Admission to 9th Grade

This application is to be used in conjunction with the Cooperative Admissions Examination. A student applying to QPHS must take the Archdiocesan COOP Exam. Also, the Ninth Grade Applicant Record Form must be given to the student's elementary/middle school, to be forwarded to QPHS. If you have not registered for or taken the COOP Exam, please contact the Admissions Office at 201-998-8227 x 30 or admissions@qphs.org.

Information about the Student Applicant 
Please check the appropriate category in section A and check B if it applies.

A. Student has registered for or has taken the COOP Admissions Exam and
         QPHS is student's 1st   2nd   3rd choice

     Student has not taken the COOP Exam and will contact the QPHS Admissions Office.

B. Ninth Grade Applicant Record Form has been given to the student's
         current elementary or middle 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 30    Fax: 201-998-3040    E-mail: admissions@qphs.org