New Student Information Form

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New Student Information Form - from Admissions

Parents: To help us get to know your child, we would appreciate it if you would complete this form as candidly as possible. These questions help our faculty and staff prepare for the school year and support your child while on campus. Thank you.

Student's First Name *

Student's Last Name *

Student's Preferred Nickname (for name tags and rooming)

Form

Third

Fourth

Fifth

Sixth

Clear selection

Day/Boarding

Day

Boarding

Clear selection

Family Information

Does your child have any siblings? *

Yes

If yes, names and ages of sibling(s):

Marital Status of parents/guardians *

If other, please describe.

Have you provided all necessary documentation regarding custody? *

Yes

N/A

Ethnicity *

African American, Black

African

Asian American

Asian, including Indian Subcontinent

Hispanic, Latino/a

Mexican American, Chicano/a

Middle Eastern

Native American, Alaska Native

Native Hawaiian, Pacific Islander

Puerto Rican

White or Caucasian

Prefer not to respond

Other:

Required

Does your child like pets? *

Yes

Other:

Are there any family characteristics or home conditions that might be valuable for Eaglebrook School to know about? *

Academic and School Life

Please request that your child's current school send Eaglebrook their final transcript at the conclusion of the school year.

What type of school was your child previously enrolled in? *

Public school

Private day school

Private boarding school

Homeschool

Other:

How independent is your child at completing school work? *

Very Independent

Needs Regular Monitoring

Did your child receive tutoring during the previous school year for either support or enrichment? *

Yes

If yes, indicate the frequency, subject(s), and reason for the tutoring.

Last year, where did your child complete their homework? (Check all that apply) *

Kitchen table

Living room

Den

His/her bedroom with the door open

His/her bedroom with the door closed

In the car

At school

Other:

Required

To facilitate conversation for placement into the proper math level, please provide the email address of your student's current math teacher. *

If your student is currently taking a language course, please provide the email address of your student's current secondary language teacher. (Please write n/a if your student is not currently enrolled in a language course.) *

Please tell us about your child

Please list some characteristics that best describe your child. *

What are your child’s particular likes and dislikes? *

Which best describes your child's reliance on technology? *

How does your child get along with his peers? *

Which of the following best describes the cleanliness of your child's room? *

Which of the following best describes your child's person hygiene? *

Does your child adjust well to new situations? *

Yes

Sometimes

Does your child take any medication? *

Yes

Has your child ever had a psychoeducational evaluation? *

Yes

Would you like your child to attend a religious services? *

Yes - I expect them to attend

Yes - It's up to them to attend

Maybe - They can attend if they wish

No - I do not wish them to attend

What was/were the main reason(s) for applying to Eaglebrook?

What are your goals for your child at Eaglebrook? *

What are your child's summer plans? *

Any additional information you feel we should know?

Please feel free to reach out with any further information you think could help Eaglebrook support your child during the coming school year. We look forward to working with you as your student begins their next chapter in life.

Admissions@eaglebrook.org
(413)-774-9111

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