The Field School Enrollment Application
The Field School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.
Applying for Grade Level
Student's Information
First Name
Your answer
Middle Name
Your answer
Last Name
Your answer
Date of Birth
MM
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DD
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Age
Your answer
Sex
Place of Birth
Your answer
Race
Who lives in the household with the child?
Your answer
Is the student living with at least one parent?
If the answer to the above question was no, list the name and relationship (e.g. grandparent, uncle) of who the student is living with
Your answer
Father
Name
Your answer
Email Address
Your answer
Address
Your answer
City
Your answer
State
Your answer
ZIP Code
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
Cell Phone Number
Your answer
Occupation
Your answer
Company Name
Your answer
Mother
Name
Your answer
Email Address
Your answer
Address
Your answer
City
Your answer
State
Your answer
ZIP Code
Your answer
Home Phone Number
Your answer
Work Phone Number
Your answer
Cell Phone Number
Your answer
Occupation
Your answer
Company Name
Your answer
Other Children
Name, Age, School he or she attends
Your answer
Name, Age, School he or she attends
Your answer
Name, Age, School he or she attends
Your answer
Name, Age, School he or she attends
Your answer
Person responsible for tuition, if other than parents
Name
Your answer
Email Address
Your answer
Address
Your answer
City
Your answer
State
Your answer
ZIP Code
Your answer
Relatives who attend The Field School
Name(s)
Your answer
Schools previously attended by student
School 1 name
Your answer
School 1 address
Your answer
School 1 phone number
Your answer
Dates attended
Your answer
Grades completed
Your answer
School 2 name
Your answer
School 2 address
Your answer
School 2 phone number
Your answer
Dates attended
Your answer
Grades completed
Your answer
School 3 name
Your answer
School 3 address
Your answer
School 3 phone number
Your answer
Dates attended
Your answer
Grades completed
Your answer
Student History
Has the student ever been suspended, asked to withdraw from school or expelled?
If you answered yes to any part of the above question, please provide complete details, including the principal’s name and address of the school.
Your answer
Has the student ever been retained in a grade?
If you answered yes to the above question, state grade year and circumstances.
Your answer
Has the student ever been recommended for Special Education testing, tested for placement in a Special Education program or placed in a Special Education program?
If you answered yes to the above question, please provide details of circumstances.
Your answer
Has the student ever had an Individual Educational Plan (IEP) written?
If you have further information which may assist in the guidance of the student at The Field School, such as pertinent medical, emotional or other data of which the school should be aware, please indicate below.
Your answer
Describe your reasons for your child’s application for admission to The Field School, including why you’re interested in a transfer if they are/were in a previous school. In addition, we welcome any special information you might share with us about your child.
Your answer
Family Information
Is your family is involved in a local church?
Church Name
Your answer
Church Address
Your answer
Denomination
Your answer
How did you hear about The Field School?
Your answer
Income Level
The Field School strives to maintain a socio-economically and racially inclusive school environment. In order to insure this balance, please answer the following questions. All information will be held in strict confidence and will be used only in the interest of maintaining balance in our school.
Annual income level
Number of persons living in household
Your answer
Digital Signature
Please type in your full name as your digital signature
Your answer
Today's date
MM
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DD
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YYYY
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