Grade Applying For
For the Year Beginning Fall
Student First
*
Student Last
*
Nick Name, if any
Attach recent photo of applicant
Street Address
*
City
*
State
*
Zip Code
*
Gender
*
Select from ...
Male
Female
Date of Birth
*
Home Phone
Do you intend to apply for Tuition Assistance?
Select from ...
Yes
No
Not sure
Information about our Tuition Assistance program may be found on our website www.highlandhall.org under Admissions.
Family Information:
Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Student
Street Address
City
State
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
--
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
Virgin Islands
Federated States of Micronesia
Marshall Islands
Palau
Armed Forces (Americas except Canada)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
--
Other...
Zip Code
Home Phone
Cell Phone
E-mail Address
Occupation
Employer
2nd Parent/Guardian First Name
2nd Parent/Guardian Last Name
Relationship to Student
Street Address
City
State
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
--
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
Virgin Islands
Federated States of Micronesia
Marshall Islands
Palau
Armed Forces (Americas except Canada)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
--
Other...
Zip Code
Home Phone
Cell Phone
E-mail Address
Occupation
Employer
Marital Status of Parents:
Married
Separated
Divorced
Unmarried
Father Remarried
Mother Remarried
Father Deceased
Mother Deceased
Custody
Visitation Rights
Tuition to be Paid By
Brothers and/or sisters of applicant:
Names & ages of siblings
Are you applying for any siblings?
Select from ...
Yes
No
If yes, which child(ren)?
School Information
Name of current school
Years attended
Grades attended
School address
School phone
School fax
Name of previous school
Years attended
Grades attended
School address
School phone
School fax
What school tours have you attended?
Please explain why you are interested in Highland Hall. Include materials you have read, lectures attended, and how you heard of the school. Are you acquainted with anyone at the school?
- 1 -
Please describe any special circumstances that could have affected your child's school experience.
- 2 -
Please describe your child's interests, musical instruments played, special talents, or hobbies.
- 3 -
Has your child received, or is he or she now receiving special tutoring, counseling or therapy? Has your child received an IEP or an educational diagnosis?
- 4 -
Select from ...
Yes
No
If yes, please include the nature and dates of service and attach (or mail us) a copy of the evaluation.
- 5 -
Attach copy of evaluation
Please identify any health situations the school should know about, such as diagnosis, allergies, therapies (physical or psychological), and medications. Please attach any assessments.
- 6 -
Attach health assessments
Has your child ever studied a foreign language? If so, please specify.
- 7 -
What role does media (TV, movies, mp3 players, video games, computers, etc.) play in you family life?
- 8 -
Highland Hall is a community school and parents are expected to join us in the adventure of education. If your child were to be admitted to the school, in what ways would you be interested in participating?
- 9 -
Thank you for your application to Highland Hall Waldorf School. We will be contacting you soon regarding your application.
Please list name of cardholder to be used for payment:
Name as it appears on card
*