Admission Inquiry

* Denotes required field
*Student First Name:
Student Nickname:
Student Middle Name:
*Student Last Name:
*Student email:
*Gender:
*Student Date of Birth:	Month / Day / Year

Current School:
How did you hear about The Hill School?
If other, please indicate here:
*Boarder/Day:
Current Grade:
*Entry Grade:
*Desired Year of Entry:
	Financial Aid Requested

Home Address:
*Street
*City:
*State:
*ZIP/Postcode:
Country:
Home Phone:

First Parent's Relation to Student:
First Parent's Prefix:
*First Parent's First Name:
*First Parent's Last Name:
First Parent's Suffix (Jr, III, etc):
First Parent's Email:

Second Parent's Relation to Student:
Second Parent's Prefix:
Second Parent's First Name:
Second Parent's Last Name:
Second Parent's Suffix (Jr, III, etc):
Second Parent's Email:

Academic Interests Ctrl-Click for multiple selections (Cmd-Click on the Mac). Select as many as desired.
Extracurricular Interest: Ctrl-Click for multiple selections (Cmd-Click on the Mac). Select as many as desired.
Additional Comments or Questions:

717 E. High Street, Pottstown, PA 19464 610-326-1000