Application for Admission

(At completion of this form you will be directed to a secure site for the non-refundable application fee of $40.)

Applicant Information

Name

First name: *

Middle name:

Last name: *

Preferred name/nickname:

Address

Home address: *

Telephone:

City, state, zip: *

Gender & DOB

Gender: *

Male

Female

Date of birth: *

Applying For

Applying for grade: *

Academic year: *

Present school

Name of School: *

Street Address:

Telephone:

Teacher's Name:

Family Information

Parent/Guardian

Parent/Guardian First Name: *

Last Name: *

Address

Address (if different):

City, State, Zip:

Telephone:

Occupation:

Employer:

Address

Business Address:

Apt. or Floor:

City, State, Zip:

Business Telephone:

Highest Grade/Degree Completed or College(s) Attended:

Education Information

Parent/Guardian

Parent/Guardian First Name: *

Last Name: *

Address

Address (if different):

City, State, Zip:

Telephone:

Occupation:

Employer:

Address

Business Address:

Apt. or Floor:

City, State, Zip:

Business Telephone:

Highest Grade/Degree Completed or College(s) Attended:

Education Information

Siblings

Sibling 1

Name 1:

Date of Birth:

Present School:

Sibling 2

Name 2:

Date of Birth:

Present School:

Sibling 3

Name 3:

Date of Birth:

Present School:

Relatives who have attended Brookwood

Relation 1

Name 1:

Relationship:

Relation 2

Name 2:

Relationship:

Relation 3

Name 3:

Relationship:

Relation 4

Name 4:

Relationship:

About Your Child

What would you like Brookwood to know about your child?:

What qualities are you looking for in the school you choose for your child?:

Please comment on your child's current school experience and setting.:

How did you learn about Brookwood?:

Will you be applying for financial aid?: *

Applicants for financial assistance file the separate Parents’ Financial Statement of the School Scholarship Service in order to determine their eligibility.

Acknowledgement:

I understand this application and all other relevant information as outlined in “Brookwood School Application Procedure” will be considered by the Admissions Committee when the application is complete. I grant Brookwood School permission to request and receive confidential information regarding my child and to retain this material in his or her admissions file.

Brookwood School It Starts Here.

Application for Admission