Careers

Student's Name (1)*

First Last

Birthday*

Age*

Gender

Female
Male

Interested in Grade:

For What School Year?

Current School

Current Grade

Child 1 Enrollment Grade

Are you interested in inquiring for a second child?

Student's Name (2)

First Last

Birthday

Age

Gender

Female
Male

Interested in Grade:

For What School Year?

Current School

Current Grade

Are you interested in inquiring for a third child?

Student's Name (3)

First Last

Birthday

Age

For What School Year?

Gender

Female
Male

Current School

Current Grade

Home Public School District:

Parents / Guardian Info

1) Parent’s/Guardian’s Name*

First Last

Home Phone

Work Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

2) Parent’s/Guardian’s Name

First Last

Home Phone

Work Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Sibling Info

Name

First Last

Age

Current School

Name

First Last

Age

Current School

Name

First Last

Age

Current School

Family Status (please check all that apply)

Family Status (Parents/Guardians are:)

How did you hear about High Meadow School?

Where was the ad printed?

Who referred you?

Which website?

Anything else you'd like to tell us?

Initial HMS Contact

First Last

Account Source

Tours Completed

P. 1 Added to Prospective Families

P. 2 Added to Prospective Families

Child 1 Enrollment

Child 2 Enrollment

Application

No
Yes

Fee

No
Yes

Portfolio

No
Yes

References

No
Yes

IEP

No
Yes
N/A

Report Cards

No
Yes

Classroom Visit Scheduled

No
Yes
N/A

Teachers' Paperwork

No
Yes

Admissions Meeting

No
Yes

Acceptance Status

Pending
Accepted
Denied

Acceptance Letter

Not Sent
Sent

Deposit

Yes
No

Financial Aid

Yes
No
N/A

Payment Plan

Yes
No
N/A

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High Meadow School

Careers

High Meadow School

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Contact - Inquiry

Parents / Guardian Info

Sibling Info

Family Status (please check all that apply)