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 * AveBlfBlvdCirCtCvDrHwyLnPrkyPlPtRdgRdStTerTrTrcWay City * AlexandriaAmeliaAugustaAuroraBellevueBromleyBurlingtonCaliforniaCincinnatiCold SpringCovingtonCrescent SpringCrestview HillsCrittendenDaytonDemossvilleDry RidgeEdgewoodElsmereErlangerFlorenceFt. MitchellFt. ThomasFt. WrightHamiltonHebronHighland HeightsIndependenceIndianapolisLakeside ParkLatoniaLouisvilleLudlowMainevilleMelbourneMorningviewNewportPark HillsRyland HeightsSouthgateTaylor MillUnionVeronaVilla HillsWilderWoodlawnWaltonOther City State * KYOHIN Zip * County * KentonBooneButlerCampbellClermontBrackenDearbornGrantHamiltonMarionPendletonWarrenOther County Phone Number * Parish * All SaintsBlessed SacramentCathedralCristo ReyDivine MercyHoly CrossHoly SpiritImmaculate Heart of MaryMary Queen of HeavenMother of GodN/ANco-Catholic (99)Old St. Mary's (Cinti.)Other Catholic ParishOur Lady of LourdesSt. AgnesSt. AnnSt. AnthonySt. AugustineSt. BarbaraSt. BenedictsSt. BernardSts. Boniface and JamesSt. Catherine of SienaSt. CeciliaSt. HenrySt. James of the ValleySt. John, CovingtonSt. John's MissionSt. Joseph, Camp SpringsSt. Joseph, Cold SpringSt. Joseph, Crescent SpringsSt. Louis (OH)St. Mary'sSt. Mary, AlexandriaSt. MatthewSt. PatrickSt. PaulSts. Peter & PaulSt. Pius XSt. Simon the ApostleSt. ThereseSt. ThomasSt. TimothySt. VivianSt. Xavier School Entering From * AnnunciationBedford Jr. HighBednarcik Jr. HighBeechwoodBell brooke Middle SchoolBishop Brossan High SchoolBlessed SacramentBoone Cty. H.S.Calvary ChristianCamp ErnstCampbell Cly. High SchoolCampbell Cly. Middle SchoolCentral High School (VA)Centreville High SchoolCommunity MontessoriConnerCovington LatinDixie Heights High SchoolGood Shepherd Catholic MontessoriGray Middle SchoolHerit age AcademyHighlandHighlands Middle SchoolHolmesHoly CrossHoly FamilyHoly TrinityHoly Spirit (Louisville)Home schoolImmaculate Heart of MaryIstituto Scolastico MediLamar High SchoolLebanon HighMartin Luther King AcademyMary Queen of HeavenMason High SchoolNewport Central Catholic High SchoolNewport Middle SchoolNorth AlleghneyOckermanOur Lady of LourdesPleasant ValleyPrince of PeaceR. A. JonesRyleSaline Middle SchoolScanSimon KentonSt. AgnesSt. AnthonySt. AugustineSt. Augustine, AugustaSt. Catherine of SienaSt. CeciliaSt. Cecilia, OakleySt. GertrudeSt. HenrySt. Joseph AcademySt. Joseph, Camp SpringsSt. Joseph, Cold SpringSt. Joseph, Crescent SpringsSt. Lawrence SchoolSt. Louis (OH)St. Mary'sSt. Mary's, Oak Ridge TNSt. PaulSts. Peter & PaulSt. Pius XSt. Simon the ApostleSt. ThereseSt. ThomasSt. TimothySt. VivianSummit County DaySummit ViewSunman Dearborn Middle SchoolTalawanda MiddleTichenor Middle SchoolThomas Worthington High SchoolTurkey Foot Middle SchoolTwenhofelVilla MadonnaWalnut HillsWalton VeronaWinchester Christian AcademyWoodlandOther - Out of District School Grade Entering at NDA * 9101112 US Citizen * Yes No Hispanic or Latino? * Yes No Ethnicity * HispanicAmerican Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite2 or More / Multiracial Student's Religion * CatholicBaptistChristianEastern OrthodoxEpiscopalianLutheranMethodistPresbyterianProtestantSeventh Day AdventistN/AOther Student's Living Arrangement * Both ParentsMotherFatherOther 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. Please use email addresses that will accept emails from outside organizations such as Notre Dame Academy. We also recommend adding "info@ndapandas.org" to your contacts as a safe sender. Parent / Guardian #1 First Name * Last Name * Relationship to Student * MotherFatherGuardianStepmotherStepfatherGrandparent 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 * MotherFatherGuardianStepmotherStepfatherGrandparent 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
