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Tower Hill School Application for Admission

2813 West 17th Street, Wilmington, DE 19806

302.657.8350

302.657.8377 Fax

www.towerhill.org

Dear Friends, Welcome to Tower Hill School! You have taken the first step in this exciting process of looking for a new school. We are pleased that you are interested in considering Tower Hill School, and we are eager to get to know you better over the next few months. We hope the following information will be useful in completing your student’s application. As requirements vary by grade, please refer to the table on the reverse side of this sheet for specific details for your child’s grade. In addition, we request all families read the Honor Statement printed below and confirm your willingness to support it by signing the last page of the application. If you are interested in applying for financial assistance, we encourage you to access the forms online and receive more detailed information on the financial assistance process by visiting www.towerhill.org and clicking on Admission. You may also request the forms from the Admission Office. Please feel free to contact the Admission Office at 302.657.8350 or thsadmit@towerhill.org with questions or to check on the status of your application. An Application Process checklist has been included below to assist you in completing the process. We thank you for your interest in Tower Hill School, and we wish you all the best in this vital search! Sincerely,

Kelly M. DeShane Director of Admission Application Process Checklist (see the reverse side of this page for grade-specific details) [ [ [ [ [ [

] ] ] ] ] ]

Complete application form and mail with $40 fee (payable to Tower Hill School) to the address above Provide records from student’s current school Provide recommendations from student’s current school Complete standardized testing Student visits Tower Hill Parent(s) visit Tower Hill

Tower Hill Honor Statement Tower Hill School is an educational community committed to the ethical, intellectual and physical growth of its students, both as individuals and as members of a community. Tower Hill recognizes that achievement by the individual or the School in academics, athletics, and the arts is meaningless without integrity. We believe that honesty, respect for others and self, and concern for others’ person and property are fundamental standards; therefore, Tower Hill insists upon active support of these standards by students, faculty and parents. Parent and student signatures on the last line of the application form indicate that you have read and understand the Tower Hill School Honor Statement and will actively support the values of honesty, respect for others and self, and concern for others’ person and property. You confirm that all information contained in the application form is factual and honestly presented. Your signature(s) also verifies that you are the legal guardian(s) for the applicant and that no one else shares responsibility for decisions involving his/her education.

Many Things Done Well


Any written feedback (i.e., teacher comments or any kind of report card) generated in a nursery school or day care program

Any assessments or information generated in a pre-school or day care program

Any assessments or information generated in a pre-school and kindergarten program

A copy of the school records including grades from the most recent marking periods

Transcripts from the past two academic years; grades from the most recent marking periods; and results of any standardized tests completed within the past three years

Transcripts from the past two academic years; grades from the most recent marking periods; and results of any standardized tests completed within the past three years

3-year-old Program/ Pre-Kindergarten

Kindergarten

Grade 1

Grade 2 – 5

Grades 6 - 8

Grades 9 - 12

WPPSI: WISC-IV: ISEE: ERB: SSAT:

WISC – IV

---

ADVIS recommendation form from 1) Principal or Guidance Counselor 2) English teacher 3) Math teacher

WISC – IV

WPPSI

WPPSI

---

ISEE, ERB or SSAT

ISEE / ERB

ISEE / ERB *Grade 5 only

---

---

---

Testing* Testing*Aptitude Intelligence Intelligence Aptitude

ADVIS recommendation form from 1) Principal or Guidance Counselor 2) English teacher 3) Math teacher

ADVIS recommendation form

ADVIS recommendation form from a kindergarten program

ADVIS recommendation form from a preschool or day care program

ADVIS recommendation form from a nursery school or day care program if applicable

Recommendations from Recommendations from student’s current school student’s current school

Classroom Visit/ Interview

Classroom Visit/ Interview

Classroom Visit

Playgroup

Playgroup

Playgroup

Interview / Tour

Interview / Tour

Interview / Tour

Interview / Tour

Interview / Tour

Interview / Tour

Visits Student VisitsParent Student Parent

Wechsler Preschool and Primary Scale of Intelligence – Administered at Tower Hill by individual appointment. Wechsler Intelligence Scale for Children, Fourth Edition – Administered at Tower Hill by individual appointment. Independent School Entrance Examination – ISEE testing varies according to grade level. Please check the school website, www.towerhill.org > Admission > Application Process for details. Educational Records Bureau – Administered independently. Secondary School Admission Test – Administered independently.

*Standardized Test and Administration Information:

Recordsfrom from Records student’scurrent currentschool school student’s

Applying Applying To: To:

For important dates and downloadable forms, go to www.towerhill.org > Admission > Application Process.

Tower Hill Application Requirements


Tower Hill School – Application for Admission Applicant Information

Please type or print clearly Please attach photo of applicant (optional)

Date of Application ______ / ______ / ______

Applicant’s Full Name ____________________________________________________ Nick Name _____________________ Address ______________________________________________________________________ City __________________________________ State _______ Zip Code _________________ Male Female Home Phone ( ) ________________________________ Date of Birth _____ / _____ / _____ Current School __________________________________ City___________________________ State ________ Present Grade ______________ Your Home School District ____________________________________________________ Applying for Grade ______________ Parent/Guardian A E-mail _______________________________________________________

Applying for Year

______________

Parent Guardian B E-mail _______________________________________________________ Country of Citizenship___________________________________ Religious Preference (Statistical purposes only. Optional.): ____________________________________________________________________________________

Race/Ethnicity (as defined by the U.S. Dept. of Education). Although these questions are optional, please answer both. What is your child’s ethnicity? No, my child is not Hispanic or Latino. Yes, my child is Hispanic or Latino (Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race). What is your child’s race, select one OR MORE: American Indian or Alaska Native Native Hawaiian or other Pacific Islander Black or African American White (including persons having origins in any of the original peoples of Europe, the Middle East or North Africa). Asian Parent/Guardian Information

Custodial Parent/Guardian A Full Name _____________________________________ Dr. Mr. Mrs. Sole legal custody of student Adults in this household are: Married Divorced

Ms. Joint legal custody of student Separated Widowed Single Other

Custodial Parent/Guardian B Full Name ____________________________________ Dr. Mr. Mrs. Sole legal custody of student Adults in this household are: Married Divorced

Ms. Joint legal custody of student Separated Widowed Single Other

Street _________________________________________________________________

Street _______________________________________________________________

City / State / Zip ________________________________________________________

City / State / Zip _______________________________________________________

Home Phone Number (

) __________________________________________

Home Phone Number (

) _________________________________________

Occupation ____________________________________________________________

Occupation ___________________________________________________________

Name of Business / Organization ___________________________________________

Name of Business / Organization __________________________________________

Business Address (City, State) _____________________________________________

Business Address (City, State) ____________________________________________

Business Phone (

Business Phone (

) ______________________________________________

) ______________________________________________

High School ______________________________Year Graduated ________________

High School ______________________________Year Graduated _______________

College _______________________________Degree /Year______________________

College _______________________________Degree/Year _____________________

Graduate School ________________________Degree /Year _____________________

Graduate School ________________________Degree/Year _____________________

Preferred phone contact Preferred phone contact Home Phone Business Phone Home Phone Business Phone Cell Phone (

) ______________________________________________

Cell Phone (

) _____________________________________________

Brothers and Sisters of Applicant Other Tower Hill Associations Name

Age

Grade

Name

Association

_______________________________________________________

_______________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

____________________________________________________________________

Paternal Grandparents (optional) Maternal Grandparents (optional) Name(s) _____________________________________________________________

Name(s) ______________________________________________________________

Street ________________________________________________________________

Street _________________________________________________________________

City / State / Zip _______________________________________________________

City / State / Zip ________________________________________________________


Other Family Information If Parent/Guardian A is remarried, please complete below.

Stepparent’s Full Name ___________________________________________________ Dr. Mr. Mrs. Sole legal custody of student

If Parent/Guardian B is remarried, please complete below. Stepparent’s Full Name __________________________________________________

Ms. Joint legal custody of student

Dr. Mr. Mrs. Sole legal custody of student

Ms. Joint legal custody of student

Street _________________________________________________________________

Street _______________________________________________________________

City / State / Zip ________________________________________________________

City / State / Zip ______________________________________________________

Home Phone Number (

Home Phone Number (

) __________________________________________

) ________________________________________

Occupation ____________________________________________________________

Occupation __________________________________________________________

Name of Business / Organization ___________________________________________

Name of Business / Organization _________________________________________

Business Address (City, State) _____________________________________________

Business Address (City, State) ____________________________________________

Business Phone (

Business Phone (

) ______________________________________________

) _____________________________________________

High School _______________________________ Year Graduated _______________

High School ______________________________Year Graduated ______________

College ______________________________ Degree/Year _______________________

College ____________________________Degree /Year ______________________

Graduate School _______________________ Degree/Year ______________________

Graduate School _____________________Degree / Year ______________________

Preferred phone contact Preferred phone contact Home Phone Business Phone Home Phone Business Phone Cell Phone (

) _____________________________________________

E-mail Address_________________________________________________________

Cell Phone (

) ____________________________________________

E-mail Address ________________________________________________________

Billing and Mailing Information (If other than both parents or guardians, please indicate the person/company to be billed for tuition and fees.) Billing Name ______________________________________________________________________ Phone (

) __________________________________________

Mailing Address___________________________________________________City ______________________________ State ________________ Zip __________________ If there are two family households, please indicate which should receive school mailings:

Both

Parent/Guardian A Address

Parent/Guardian B Address

Has the applicant ever attended or applied to Tower Hill School in the past? ____Yes____No What specific person, publication or advertisement prompted this application?_______________________________________________________________________________ Does your child require any special personal and/or academic support at home or at school (tutoring, counseling, medical, etc.)?_______________________________________ _____________________________________________________________________________________________________________________________________________ Does your child have any special interests or abilities? What else would you like to share about your child? Attach an additional page if needed. ______________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________ Please list other schools to which you are applying. ____________________________________________________________________________________________________

Tower Hill School does not discriminate on the basis of race, color, religion, national or ethnic origin in the administration of its admission policies or financial assistance program. Honor Statement/Waiver I have read the attached Honor Statement and understand that Tower Hill School is willing to accept only those students who feel they can endorse the Honor Statement. Further, I understand that my signature acknowledges that, as a parent/guardian, I waive the right to read or obtain the confidential materials used in the admission process for the student applicant. Signature of Parent/Guardian A___________________________________________

Signature of Parent/Guardian B ___________________________________________

Signature of Student (required of students applying to grades five through twelve) _____________________________________________________________________________

Please include a non-refundable application fee of $40.00 with this application. Thank you!

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Admission_App_2012-13_Final-1  

http://www.towerhill.org/ftpimages/213/download/Admission_App_2012-13_Final-1.pdf