A Consortium of Prep for Prep and Choate Rosemary Hall, Deerfield Academy, The Hill School, The Hotchkiss School, The Lawrenceville School, The Loomis Chaffee School, Middlesex School, Milton Academy, Phillips Academy, Phillips Exeter Academy, St. Andrew’s School, and The Taft School

BOARDING SCHOOL APPLICATION

Applying for admission to grade ______

Name: ______Date of Birth: ______

Nickname: ______Gender: Male Female

Address: ______Number & Street Apt. #

______City State Zip Code

Home Telephone: ______Email: ______

Name of Present School: ______

Address: ______Number & Street Apt. #

______City State Zip Code

School Telephone: ______Present Grade: ______

Parochial Public Other Years attended: ______Name of Applicant: ______

U.S. Citizen: Yes No If no, Alien registration No. ______

Student lives with: (Check all that apply)

Father Stepfather Mother Stepmother Other ______(Please Specify)

Check any that apply: Parents are separated Parents are divorced Father deceased Mother deceased

(Optional) How do you describe yourself? Black/African/American Hispanic/Latino Other______(Please Specify) Name of Parent/Guardian student lives with:

Name:______

Address: ______Number & Street City State Zip Code

Telephone: Home ______Work ______

Relationship: ______Occupation: ______

Other Parents (select one): Mother Father Stepmother Stepfather

Name:______

Address: ______Number & Street City State Zip Code

Telephone: Home ______Work ______

Occupation: ______

Other Parents (TFMFDU one): Mother Father Stepmother Stepfather

Name:______

Address: ______Number & Street City State Zip Code

Telephone: Home ______Work ______

Occupation: ______Names of brothers and sisters:

Name: ______Age: ______

Current School: ______

Name: ______Age: ______

Current School: ______

Name: ______Age: ______

Current School: ______

Please list honors and/or awards you have won:

Please list extracurricular activities and positions of leadership you have held, special interests and hobbies, including sports:

Which sports and extracurricular activities do you intend to pursue in boarding school?

Write a short paragraph which explains how you spend your “free” time. Write a short paragraph which explains why you want to go to boarding school.

Write a paragraph which answers one of the following questions: 1. What is the best thing you have done for someone else? 2. Other than your parents, what person has had the most influence on you and your life? 3. What is the most significant decision you have had to make? ESSAY: Choose one topic. 1. Choose a problem facing your school or community and describe what you would do to improve the situation. 2. Write about a book that you have read recently which had an effect on you emotionally or on the way you think. 3. Write about a recent experience that has changed your way of thinking about or your attitude toward a personal, social, or political issue.