NEPSAC Application for Membership
PLEASE NOTE: The deadline to submit this application is February 1 of the academic year prior to the academic year a school is applying for membership into.
Email address *
Type of membership your school is applying for: *
School Information
Application for District: *
Name of School: *
School Address: *
School Phone *
School Fax *
Head of School *
Email *
Athletic Director *
Email *
Grades (Check all that apply) *
Enrollment Information
Please complete information for both genders and all grade levels. Use a zero where non-applicable.
Total Enrollment - Girls *
Total Enrollment - Boys *
Total Enrollment - Boys PK-8 *
Total Enrollment - Girls PK-8 *
Total Enrollment - Boys 9-12 *
Total Enrollment - Girls 9-12 *
Total Enrollment - Boys PG *
Total Enrollment - Girls PG *
School Athletic Information
Sports that school wishes to play in NEPSAC (Include Sport, Gender and Level for each listing) *
What are your reasons for joining NEPSAC? *
What is your school's mission? *
What is your athletic mission? *
What percentage of your school population that is eligible for athletic participation actually participates in interscholastic competition? *
What athletic facilities do you have? *
What is the P.E./athletic requirement at your school? *
What do you see as the future athletics at your school? Initiatives? Facilities? New sports? *
Do you have a trainer or other health professional on staff? If no, do you employ an outside agency? *
Additional Information to be Emailed
NEPSAC asks that upper schools be accredited by NEASC or the equivalent. By whom is your school accredited? Please email proof of accreditation to

Please email a copy of your liability insurance to
Never submit passwords through Google Forms.
This form was created inside of New England Preparatory Athletic Council (NEPSAC). Report Abuse