Page 1

Application for

Admissions


A Application for Admission

Student’s Name Home Address

First

Middle

Last

Street

Current Grade

State/Province

Zip/Postal Code

Student Cell Date of Birth

Preferred Name

City

Country (area code) mm/dd/yyyy

� Male

� Female

Place of Birth

E-mail Country of Citizenship

(City, State, Country)

Candidate for: (circle one) 8, 9, 10, 11, 12 for Fall of 20

Day____ Boarding (circle one) 5 day, 7 day

FAMILY INFORMATION PARENT / GUARDIAN 1 Home Address

Mr., Mrs., Ms., Dr., Rev., Other

(if different from student’s)

(address continued)

Home Telephone Cell Home Fax Preferred E-mail

High School / College

Highest Degree Earned

Occupation and Title

Business Telephone

Company Name

Business Fax

Business Address PARENT / GUARDIAN 2 Home Address (address continued)

Mr., Mrs., Ms., Dr., Rev., Other (if different from student’s)

Home Telephone Cell Home Fax Preferred E-mail

High School / College Occupation and Title Company Name Business Address

photo requested

Highest Degree Earned Business Telephone Business Fax


Parents/Guardians are � Married � Single Parent � Separated � Divorced � Mother Remarried � Father Remarried � Mother Deceased � Father Deceased

If parents are divorced or separated, to whom should admission correspondence be sent?

Name and address for the correspondents listed above

Sibling Information Name

Date of

Birth (mm/dd/yyyy)

Current Grade

School

Name

Date of

Birth (mm/dd/yyyy)

Current Grade

School

Name

Date of

Birth (mm/dd/yyyy)

Current Grade

School

Grandparents (if living) Name

Name

Address

Address

City

State

Zip

City

Phone

State

Zip

Phone

Relatives who have attended Indian Springs School Name

Relationship

School

Class

Name

Relationship

School

Class

Indian Springs School students or alumni with whom you are acquainted

How did you learn about Indian Springs School?

ACADEMIC INFORMATION Present School School Address

Telephone Street

Type of School � Public Previous School(s)

City

� Independent

� Parochial

� Other

Fax State

Zip

_____ Number of years attended


STANDARDIZED TESTING Please answer all of the following questions: English has been the primary language of instruction for _______years In the prior three years of your education, has English been the primary language of instruction � Yes � No Indian Springs School requires submission of the TOEFL for all students whose first language is not English. For further questions, please contact an admission officer. TOEFL/Date of Testing ______________________ School Code: 8133

DIVERSITY INFORMATION (United States Citizens Only) The National Association of Independent Schools asks that we maintain statistics on the diversity of Indian Springs School. If you are a United States citizen, please describe yourself using one of the terms below. Should you have any questions regarding the definitions, please contact us directly. (Check one) � African-American � Latino/Hispanic � Asian American � Native American � Middle Eastern American � Bi/Multi-Racial � Caucasian/White � Pacific Islander

FINANCIAL ASSISTANCE (Financial Assistance Available for Grades 1-12) � Not Applying for Assistance � Need-Based Financial Assistance

THE FOLLOWING SHOULD BE COMPLETED BY THE STUDENT’S PARENTS In an effort to get to know your child better, we would like you to respond as honestly and as fully as you can to the following questions. We appreciate your time and care. What adjectives or phrases come to mind in describing your child?

Please describe what you perceive to be your child’s greatest academic and social strengths.

Please note any academic and/or social weaknesses.

Describe your child’s learning style and/or the environment in which he/she learns best.


Has additional testing or tutoring occurred at any point in school? and in what areas?

If so, at what grade level,

Please explain any special attention that your child has received during the past two years.

Indian Springs School is a small community that places emphasis on academic achievement and responsible personal conduct in the school. What role do you hope ISS will play in your child’s life?

The information provided herein is the sole property of Indian Springs School and is accurate and contains all information requested. We have neither omitted nor embellished any facts relating to our child’s application. Indian Springs reserves the right to amend or withdraw offers of admission due to mitigating circumstances, changes in information, student’s standing or other reason as determined by the Admission Committee. Parent/Guardian 1 Signature

Date

Parent/Guardian 2 Signature

Date

APPLICATION FEE - $70.00 submit paper application $65.00 online application $120.00 international application Please return completed application with Forms A and B with application fee to: Office of Admission

Indian Springs School abides by both the spirit and the letter of the law in all its employment and admission policies. The school does not discriminate on the basis of race, color, religion, gender, sexual orientation, or national or ethnic origin.


B Applicant Statement PERSONAL INFORMATION

The following topics are intended to provide us with a sense of who you are, your interests and your goals. If you need more space, please attach on a separate sheet. Handwrite your responses. Name Home Address

SAMPLE OF ACADEMIC WORK

Enclose a photocopy of a graded English or history paper that you submitted during this school year. The copy should include your teacher’s comments and corrections. Name of Paper

Course and Teacher for which the paper was submitted

Date paper was submitted

INTERESTS ATHLETICS 1. Define your recent involvement in sports (indicate years of play and honors received).

2. In what sports do you plan to compete at Indian Springs School?

CLUBS/ACTIVITIES 1. Define your recent involvement in clubs and extracurricular activities (include positions held and honors received).

2. In what areas do you plan to participate at Indian Springs School?

FINE AND PERFORMING ARTS 1. Define your recent experience in the arts (include years of involvement and honors received).

2. In what areas do you plan to participate at Indian Springs School?


TELL US ABOUT YOURSELF Academic Strengths

Define your best trait or characteristic.

If you could travel anywhere, where would you go and why?

Describe an idea, value or issue about which you are passionate.

I have completed this application in good faith and to the best of my ability. The application answers and essay are entirely my own work. I understand that this application for admission is the sole property of Indian Springs School and that I will have no access to the contents therein. Student’s Signature

Date

Office of Admission and Financial Aid Indian Springs School 190 Woodward Drive Indian Springs, AL 35124 205-988-3350 www.indiansprings.org Indian Springs School abides by both the spirit and the letter of the law in all its employment and admission policies. The school does not discriminate on the basis of race, color, religion, gender, sexual orientation, or national or ethnic origin.

Application  

Admission Application

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