Cristo Rey Network Common Form for Students Not Admitted to CRN Schools>

Instructions

The following four categories characterize the "potential" required for students to succeed in a Cristo Rey Network School, and are also used to assess students during their course of studies and at graduation.

Please check all the concerns in each category that were raised during the application process.

Applies to completed applications only.

Please provide the following (*required)

First Name

Last Name

School*

City*

Date*

Open to Growth:

1.	Open to Growth

	(Select all that apply.)
	Student's teacher recommendations were not supportive of acceptance.
	Student's recommendation from a pastor was not supportive of acceptance.
	Student's interview, recommendations and written application indicated s/he is unable to contribute to building a strong school community (e.g., not open to the diversity of our school culture).
	Please explain:

Intellectual Competency:

2.	Intellectual Competency-Student's grade indicates s/he would not be prepared to do the academic work at our school because:

	(Select all that apply.)
	7th grade core course average
	8th grade core courses average
	transfer student GPA
	Be specific:

3.	Student's standardized test performance

	(Select all that apply.)
	7th grade test scores
	8th grade test scores
	Transfer student's NPR
	Be specific:

4.	Student's performance on the Entrance Exam (e.g. SEPT)

	(Select all that apply.)
	Entrance Exam score
	NPR
	Be specific:

Faith Based:

5.	Faith Based: Student's interview, recommendations and written application indicated s/he is not open to the Catholic orientation of our school.

	Yes
	No

Work Preparedness:

6.	Work Preparedness:

	(Select all that apply.)
	Student's consistent poor attendance/tardiness throughout elementary/middle school indicated s/he does not have the qualities required to succeed in the classroom or the work program.
	Student's interview, recommendations and written application indicated s/he does not have the motivation or is not ready to successfully perform in the work and/or classroom academic components of our school.
	Student is under the age of fourteen and, at this time is ineligible for the work program.

Other (including financial)- please explain:

7.	Other reasons for not accepting the student(including financial.) Please explain.

The Cristo Rey Network :: 2244 S. Wolcott St. :: Chicago IL 60608 :: (773) 890-6885