New York - St. John the Baptist Diocesan High School

Wednesday, October 1, 2025 at 7:00 PM until 9:00 PMEastern Daylight Time UTC -04:00

Saint John Baptist Diocesan HS
1170 Montauk Hwy
West Islip, NY 11795
United States

Contact: School telephone: 631-587-8000
Dinner at 5PM
$50 Fee & Conflicts with Yom Kippur

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Biographical Information

IMPORTANT: Please use only STUDENT information on this form unless it is a specified parent field (parent email). DO NOT use parent or guardian name or birthdate information on this form.

First Name*

Preferred Name*

Last Name*

Birthdate

Mailing Address*

Country

Street

City

Region

Postal Code

Cell Phone

Student Email Address*

Gender

Parent/Guardian Email Address

Academic Interest(s)

I will be applying to college as a:*

First Academic Area of Interest*

Pre-Professional Program of Interest (if applicable)

Education

High School Name*

Year of High School Graduation*

During which term are you interested in starting at Florida Southern*:

College Name (Traditional Transfer Student, Not Dual Enrollment)

Academics

High School GPA