Admissions Inquiry Form: Brehm
Data collected from this from will be reviewed by our Admissions Team and we will reach out after the completion of our review. Complete transparency can be challenging, but it is a critical piece to the admissions process and determining if Brehm is the right fit for your student, which is our goal as much as it is yours. Please keep that in mind as you complete this inquiry form.

Sincerely,
The Admissions Department
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Email *
Today's Date *
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Parent/Guardian Last Name
 *
Parent/Guardian First Name
 *
Parent/Guardian Email (Note: icloud addresses often fail and this means we cannot get digital Brehm materials or emails to you) *
Parent/Guardian Phone number *
When is the best time to reach you? In which time zone do you reside? *
Complete Mailing Address (including city, state, and zip code) *
Country
 *
Prospective Student's Full Name (first and last) *
Prospective Student's Sex *
Student's Preferred Pronouns (she/her, he/him, they/them, etc.) *
Student's Birthdate
 *
Student's Age *
Student's Current Grade *
What is your enrollment timeline? *
What has led to your inquiry today? Please be specific in your response. *
Is there anything you want us to know about your student?
Please list all official diagnoses for the individual. These are typically listed toward the end of a neuropsychological evaluation or psychoeducational testing report. *
How did you find Brehm? *
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This form was created inside of Brehm Preparatory School.