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: ___________________________________________ I identify my gender as: Pronouns: He/Him/His She/Her/Hers They/Them/Theirs Other: 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: __________________________________ Public Charter Parochial Home School Years attended: ___________________________ 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 (select 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: _____________________________________________________________________________________ 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..