Potential Don Information Card

Potential Don Information Card
Student's First Name
Student's Last Name
Student's Cell Phone:
Student's E-Mail
Mother's Name:
Mother's Cell Phone:
Mothers E-Mail:
Father's Name:
Father's Cell Phone:
Father's E-Mail:
Address:
City:
State:
Zip:
Home Phone:
Elementary School:
Current Grade:
Date of Birth:
Check here to be called for a Shadow Day (for current 8th & 7th graders):
Do you have a relative who attended ND?

If yes, please list your ND relative(s) name(s) and relationship to you (for example: John Doe, uncle; Fred Jones, brother, etc.):
Please check all that apply below:
I want to learn more about the Notre Dame Band Program.
I want to learn more about the Notre Dame Art Program.
I want to learn more about the Notre Dame Art Program.
I want to learn more about the Hesburgh Honors Program.
I want more information about the academic support services provided within our St. Andre Program.
The top 3 sports that I am interested in learning more about are:
Please list any other clubs/activities you are interested in learning more about at Notre Dame College Prep:

Notre Dame College Prep

7655 West Dempster Street, Niles, IL 60714
Phone: 847.965.2900 | Fax: 847.965.2975
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