ARCHDIOCESE OF BOSTON 2010-2011 HIGH SCHOOL PLACEMENT TEST STUDENT INFORMATION SHEET

To the Student: Please note: You must bring this sheet to the examination on November 13, 2010 or December 11,2010

GENERAL INFORMATION

Now that you have registered to take the HSPT® examination you must: I. Discuss with your parents which high school(s) you would like to attend. 2. Complete the Information Sections below. 3. Have one of your parentis) or guardian(s) sign this form. 4. Plan to report for the examination at the high school where you registered at 8: 15 A.M . (the examination begins at 8:30 A.M.) on November 13,2010 or December 11,2010. Bring with you: a. Two black lead pencils (2H or No.2). b. This Student Information Sheet. (You cannot be admitted to the examination unless you have this application sheet with you and it has been signed by one of your parentis) or guardian(s). Indicate the high school(s) you want to receive your test results or you may not be accepted.)

After you arrive at the high school, but before you actually begin taking the examination, you will be asked to fill out a special section of the answer sheet so that your name, address, and the high school(s) you want to receive your results can be read by the scoring machine. Complete the Information Sections below to help you at the examination.

SPECIFIC INSTRUCTIONS

I . In "Section I" below, fill in your complete name, address, birthday, and what your age will be on November 13.20 I 0 or December I I , 20 10 and your home phone number. 2. High School Codes : the high schools participating in this entrance program are listed on the back of this sheet. While you can only attend one high school, you may indicate up to five high schools where your results should be sent. With the help of your parentis) or guardian(s), select the school(s) which should receive your test results. You do not have to have results sent to five schools. After you have selected the high schoolrs) to which you would like results sent, enter in "Section 2" below the corresponding high school code numbers. The two-digit code number for each high school is printed to the left of the school names on the back of this sheet. If you are not listing a second, third, fourth, or fifth high school, put the number 00 in the appropriate blanks. 3. In "Sectio n 3" below, please have your parent or guardian sign on the line provided.

Approximately two months after you have taken the examination, you will be notified of acceptance or non-acceptance by the high schools that have received your results.

Information Sections-(please print with pencil):

Section 1: Name _ Last First Middle

Address _

___ _ _ (month) (date) _

On November 13,2010 my age will be years. On December 11, 20 I 0 my age will be years. Section 2: These are the codes of the high schools to which I would like my results sent:

1. _ To be supplied by high school at registration: 2. _

3. _ Elementary School Code: _ 4. _ 5. _

Section 3: _ PARENT or GUARDIAN SIGNATURE LIST OF PARTICIPATING SCHOOLS WITH SCHOOL CODE NUMBERS 2010-2011

IN BOSTON

Boston 01 Cathedral--B&G Dorchester West Roxbury 06 High School--B 13 Catholic Memorial--B Brighton 08 Elizabeth Seton Academy--G 04 Mt. St. Joseph Academy--G

OUTSIDE BOSTON

Arlington Framingham Methuen 14 Arlington Catholic--B&G 22 Marian--B&G 31 Presentation of Mary Acad--G

Braintree Hingham Milton IS Archbishop Williams--B&G 23 Notre Dame Academy--G 32 --G

Brockton Lawrence Newton 16 Cardinal Spellman--B&G 27 Central Catholic--B&G 33 Mount Alvernia--G 25 Notre Dame--B&G 34 Trinity Catholic--B&G Cambridge 17 Matignon--B&G Lowell Peabody 18 North Cambridge 26 --B&G 35 Bishop Fenwick--B&G Catholic--B&G Lynn Reading Danvers 28 St. Mary --B&G 40 Austin Prep--B&G 19 St. John's Prep- -B Malden Tyngsboro Dedham 30 Malden Catholic--B 37 --G 20 Ursuline Academy--G Medford Westwood Everett 36 St. Clement--B&G 38 Xaverian High School--B 21 Pope John XXIII--B&G

B&G---Coeducational G---Girls Only B ---Boys Only

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