Student Application

All information must accurately represent the student applying.

Name of Applicant:

Program Applying For

Applicant Address

Applying for Grade:

Present Grade:

Beginning Month with Echelon:

Parent 1- Full Name

Parent 1- Home Address

Phone

Parent 1- Email Address

Parent 1- Occupation

Name of Employer

Parent 1- Work Phone

Parent 1 - Colleges Attended

Parent 2- Full Name

Parent 2- Home Address

Parent 2 Phone

Parent 2- Email Address

Parent 2- Occupation

Name of Employer

Parent 2- Work Phone

Parent 2 - Colleges Attended

Applicant Lives With

Name of Applicant Legal Guardian

Legal Guardian Address

Legal Guardian Telephone

Applicant Telephone

Applicant's Birthday:

Applicant Gender

Country(ies) in which citizenship is held

Siblings

Name of Present/Last School

Principle or Head of School

Current School Address

Current School Telephone

Previous Schools

Thank you for your application, an admissions officer will be with you shortly!