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Referral Program
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* Indicates required question
Guardian Information
Name(s):
*
Your answer
Contact Phone:
*
Your answer
Email:
*
Your answer
Relationship to Student (e.g., Parent, Guardian):
*
Your answer
Student Information
Full Name:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Grade of Interest:
*
9th
10th
11th
12th
Previous School (If applicable):
Your answer
Enrollment Type
Preferred Enrollment Option:
*
Internal Student: Full boarding experience
External Student: Daytime education
Academic and Social Background
Has the student attended an Adventist school before?
*
Yes
No
Does the student have any special educational needs?
*
Yes
No
If so, please specify:
Your answer
Logistics
Is school transportation required?
*
Yes
No
Will the student use the school meal service?
*
Yes
No
How Did You Hear About Us?
*
Word of Mouth
School Website
Social Media
BMA Student
Other:
Required
Full name of student who referred you?
Your answer
Additional Information
Please provide any other relevant details or questions.
Your answer
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