Apply

Welcome to MPS Apply on Line.

To make application to Mercyhurst Preparatory School via the Internet, please read and fill out the following on-line form and click the submit button.

An Application Fee of $10.00 must be received before any application will be processed.
Please send to:  Mercyhurst Prep School                               
                           Admissions Office/Apply on Line
                           538 East Grandview Blvd.
                           Erie, PA  16504

Application Deadline:  Incoming Freshmen - January14, 2008
If applying after the above date, please call the Admission Office at 814.824.2323.

Transfer Students:  In addition to the application fee you must also submit High School Transcripts, any recent Standardized Test Scores, and School Immunization Records.  Please send to the above address.

Applicant's Information

Year Applying For: (Check one)

Freshman

Sophomore

Junior

Senior

Last Name

First

Middle

Email Address

 

 

 

 

 

Sex

Street Address

City/State

Zip Code

 

Telephone

Date of Birth

Social Security #

Church/Parish

 

Religious Affiliation

School Now Attending

Grade

School District in Which You Reside

 

Parent/Guardian Information

Father's Last Name

First Name

Street Address

City/State/Zip

 

Home Telephone

Place of Employment

Work Telephone

Occupation

 

Mother's Last Name

First Name

Street Address

City/State/Zip

 

Home Telephone

Place of Employment

Work Telephone

Occupation

Billing Address if different from home address:

 

Person Responsible for payment of tuition (if other than parent):

Last Name

First Name

Street Address

 

 

 

City/State

Zip Code

Relation to Student

Applicant lives with (check all that apply):
    Mother    Father    Stepmother    Stepfather   Other

Check any that apply:
   Mother Deceased  Father Deceased  Parents Separated  Parents Divorced

Number of Brothers:  Older  Younger    Number of Sisters:   Older  Younger

If any relative are attending or have attended Mercyhurst Prep, list below:

 Name

 Relationship

Graduation Year

Is there any illness or disability which may interfere with your child's studies or participation in extracurricular activities?  If so, please indicate (e.g. asthma, dyslexia, etc.) and explain:

APPLICANT:  Please complete this part yourself.

Why do you want to attend Mercyhurst Prep?

Are you presently in any accelerated courses?  If yes, please list them.

Do you have special interest/talent in art, music, dance or theatre?  If yes, please explain.

Do you have any special interest/talent in athletics?  If yes, please explain.

What hobbies do you have?

In what school, parish or community related activities do you participate?

E-mail Address

Please check the following if you agree:
 I hereby apply to Mercyhurst Preparatory School and, if accepted, will uphold its philosophy and abide by its regulations.
 I authorize Mercyhurst Preparatory School to release information about my progress to my parish and/or grade school.