NDA Application Form Online Application for Admission Fields marked with an asterisk (*) are required. You will be asked to supply additional information at a later date. If you have questions about this form, please contact the NDA Admissions Office, 859-292-1829. Secure Payment First Name * Middle Name * Last Name * Preferred Name Date of Birth * Street Number * Street Name * Street Type * Ave Blf Blvd Cir Ct Cv Dr Hwy Ln Prky Pl Pt Rdg Rd St Ter Tr Trc Way City * Alexandria Amelia Augusta Aurora Bellevue Bromley Burlington California Cincinnati Cold Spring Covington Crescent Spring Crestview Hills Crittenden Dayton Demossville Dry Ridge Edgewood Elsmere Erlanger Florence Ft. Mitchell Ft. Thomas Ft. Wright Hamilton Hebron Highland Heights Independence Indianapolis Lakeside Park Latonia Louisville Ludlow Maineville Melbourne Morningview Newport Park Hills Ryland Heights Southgate Taylor Mill Union Verona Villa Hills Wilder Woodlawn Walton Other City State * KY OH IN Zip * County * Kenton Boone Butler Campbell Clermont Bracken Dearborn Grant Hamilton Marion Pendleton Warren Other County Phone Number * Parish * All Saints Blessed Sacrament Cathedral Cristo Rey Divine Mercy Holy Cross Holy Spirit Immaculate Heart of Mary Mary Queen of Heaven Mother of God N/A Nco-Catholic (99) Old St. Mary's (Cinti.) Other Catholic Parish Our Lady of Lourdes St. Agnes St. Ann St. Anthony St. Augustine St. Barbara St. Benedicts St. Bernard Sts. Boniface and James St. Catherine of Siena St. Cecilia St. Henry St. James of the Valley St. John, Covington St. John's Mission St. Joseph, Camp Springs St. Joseph, Cold Spring St. Joseph, Crescent Springs St. Louis (OH) St. Mary's St. Mary, Alexandria St. Matthew St. Patrick St. Paul Sts. Peter & Paul St. Pius X St. Simon the Apostle St. Therese St. Thomas St. Timothy St. Vivian St. Xavier School Entering From * Annunciation Bedford Jr. High Bednarcik Jr. High Beechwood Bell brooke Middle School Bishop Brossan High School Blessed Sacrament Boone Cty. H.S. Calvary Christian Camp Ernst Campbell Cly. High School Campbell Cly. Middle School Central High School (VA) Centreville High School Community Montessori Conner Covington Latin Dixie Heights High School Good Shepherd Catholic Montessori Gray Middle School Herit age Academy Highland Highlands Middle School Holmes Holy Cross Holy Family Holy Trinity Holy Spirit (Louisville) Home school Immaculate Heart of Mary Istituto Scolastico Medi Lamar High School Lebanon High Martin Luther King Academy Mary Queen of Heaven Mason High School Newport Central Catholic High School Newport Middle School North Alleghney Ockerman Our Lady of Lourdes Pleasant Valley Prince of Peace R. A. Jones Ryle Saline Middle School Scan Simon Kenton St. Agnes St. Anthony St. Augustine St. Augustine, Augusta St. Catherine of Siena St. Cecilia St. Cecilia, Oakley St. Gertrude St. Henry St. Joseph Academy St. Joseph, Camp Springs St. Joseph, Cold Spring St. Joseph, Crescent Springs St. Lawrence School St. Louis (OH) St. Mary's St. Mary's, Oak Ridge TN St. Paul Sts. Peter & Paul St. Pius X St. Simon the Apostle St. Therese St. Thomas St. Timothy St. Vivian Summit County Day Summit View Sunman Dearborn Middle School Talawanda Middle Tichenor Middle School Thomas Worthington High School Turkey Foot Middle School Twenhofel Villa Madonna Walnut Hills Walton Verona Winchester Christian Academy Woodland Other - Out of District School Grade Entering at NDA * 9 10 11 12 US Citizen * Yes No Hispanic or Latino? * Yes No Ethnicity * Hispanic American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 2 or More / Multiracial Student's Religion * Catholic Baptist Christian Eastern Orthodox Episcopalian Lutheran Methodist Presbyterian Protestant Seventh Day Adventist N/A Other Student's Living Arrangement * Both Parents Mother Father Other Legal Guardian I have a sibling (or siblings) enrolled at NDA for the upcoming school year. Yes No Please list their name: Use mixed case (e.g., Mary Smith) Sibling Name I have a sibling (or siblings) who graduated from NDA. Yes No Please list their maiden name and their graduation year: Use mixed case (e.g., Mary Smith) Sibling Name Year Graduated I have a sibling (or siblings) enrolled at Covington Catholic High School for the upcoming school year. Yes No Please list their name here: Use mixed case (e.g., John Smith) Sibling Name Parent/Guardian Information Please provide information for the two primary contacts for this student. These are the contacts who will receive all information concerning the remaining steps in the admission, financial aid, and enrollment processes for Notre Dame Academy. PLEASE DO NOT LIST A STUDENT EMAIL ADDRESS HERE. Parent / Guardian #1 First Name * Last Name * Relationship to Student * Mother Father Guardian Stepmother Stepfather Grandparent Phone Number * Email Address * Confirm Email Address * NDA Alumna? Yes No Maiden Name Year Graduated Parent / Guardian #2 First Name * Last Name * Relationship to Student * Mother Father Guardian Stepmother Stepfather Grandparent Phone Number * Email Address * Confirm Email Address * NDA Alumna? Yes No Maiden Name Year Graduated Billing Information Submit Application Please provide a parent or guardian e-mail address so that we can confirm receipt of your application for admission.. First Name (Billing) * Last Name (Billing) * Address (Billing) * Address (Billing) Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip Code Zip Code Credit Card * Registration Fee In order to complete your application, you must submit a non-refundable registration fee of $200. Email Address * Confirm Email Address * Confirm your email address reCAPTCHA Submit
