Prospective Student Questionnaire

Name:
Goes by in School:
Gender
Address:
Phone (main):
-
E-mail:
Birthday:
What grade are you in?
What school do you attend?
Do you have any relatives connected to WJ?
If you have any relatives connected to Walsh Jesuit High School, please list their names below.
Please let us know if you have any questions, comments, or individual needs we can help with! If you need additional assistance, please don't hesitate to contact the Admissions department at 330.929.4205.

By clicking "Submit" a copy of your responses will be emailed to Mr. Rob Eubank '85, Director of Admissions. In addition, a copy of your responses will be emailed to you.

Please click "Submit" only once.