Nahunta Hall Application for Admission
Nahunta Hall will not discriminate on the basis of race, creed, color, gender, gender expression, sexual orientation, disability, religion, ethnicity, national origin, or ancestry.
Student Information
Child's Name
Please enter the child's full legal name as shown on their birth certificate.
Your answer
Child's Birthdate
MM
/
DD
/
YYYY
Parent Information
If both parents have joint legal custody, information for both parents must be included. If only one individual has sole legal custody, please indicate.
Custody and Guardianship
Documentation of custody may be required prior to final admission.
Parent or Guardian's Name
Primary Contact
Your answer
Preferred Phone Number
Your answer
Alternate Phone Number
Your answer
Parent or Guardian's Email Address
Email is our primary method of communication with families so please add enrollment@NahuntaHall.org to your email whitelist.
Your answer
Address
Line 1 (Street Address)
Your answer
Address
Line 2 (Apartment Number, Suite, PO Box, etc.)
Your answer
City
Your answer
State
Your answer
ZIP code
Your answer
Parent or Guradian's Name
Secondary Contact
Your answer
Preferred Phone Number
Your answer
Alternate Phone Number
Your answer
Parent or Guardian's Email Address
Email is our primary method of communication with families so please add enrollment@NahuntaHall.org to your email whitelist.
Your answer
Address
Line 1 (Street Address)
Your answer
Address
Line 2 (Apartment Number, Suite, PO Box, etc.)
Your answer
City
Your answer
State
Your answer
ZIP code
Your answer
Educational Background and Goals
Including current enrollment, what is your child's previous school experience?
Please check all that apply
What are your educational goals and plans for your child?
Your answer
Has your child been disciplined at any current or previous school for serious behavior issues such as "safe school violations" resulting in alternate placement, suspension, or explusion including those related to bullying, weapons charges, and drug offenses?
Omission or falsification of information may be considered reason for denial of admission or dismissal after admission.
What disciplinary action was taken?
Was any of the previous disciplinary action for:
Please explain any unique circumstances surrounding the disciplinary action that you would like us to consider.
Your answer
Please share why Nahunta Hall would be a good educational fit for your family.
Your answer
What else you would like us to consider when reviewing your application?
Your answer
How did you hear about Nahunta Hall?
Please select all that apply.
Part-Time Enrollment
A limited number of part-time enrollment openings are available each year. Parents of students who are enrolled in our part-time programs must commit to monthly volunteer hours and attend our home-to-school parent education workshops. (COMPLETE THIS SECTION ONLY IF YOU ARE APPLYING FOR A PART-TIME OPENING.)
Please select a part-time program option.
Signature
By my digital signature below, I certify that the information in this application is correct to the best of my knowledge and is given for the purpose of obtaining admission to Nahunta Hall.

(Utah Code Annotated §46-4-201 Legal recognition of electronic records, electronic signatures, and electronic contracts)

Digital Signature of Parent or Legal Guardian
Please type your name.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service