EmailMe Form - Application for Admissions

Child's Name *

First Middle Last

Date of Birth *

MM / DD / YYYY

Gender

Male

Female

Place of Birth *

Application for Grade *

Citizenship *

Parent / Guardian Name #1 *

Prefix First Last

Parent / Guardian Name #2

Prefix First Last

Phone Number *

### - ### - ####

Phone Number #2

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Address #2

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Relationship *

Relationship #2

Parent/Guardian #1
Preferred Email *

Parent/Guardian #2
Preferred Email

Employer *

Employer #2

Employer Phone *

### - ### - ####

Employer Phone #2

### - ### - ####

Other Members of Household *

Our mission at Academy Hill is to emphasize progression without limits through enriched curriculum that celebrates differences, nourishes creative thought and critical inquiry, and cultivates authentic learning, leading to the success of our students. Our goal is to develop tomorrow’s visionaries, innovators, and leaders.

What about that mission statement resonates with you and your student? *

Applicant's Educational History

Current school, address, phone, grades attended, dates. *

Previous schools attended. Name, address, phone, grades attended, dates. *

Has your child skipped a grade? If so, what grade? *

Describe your child's social and emotional strengths/ weaknesses and goals you have for your child in these areas. *

Did your child show any early signs of high aptitude? (i.e. thirst for knowledge, sensitivity, greater reasoning power) *

Has your child ever had any psychological/educational or neurological testing? If so, please describe. *

Is there anything else you would like to share about your child? *

Applicant Profile - Please answer the following questions so that we may learn more about your child.

What family activities does your child enjoy? What special hobbies does your child participate in outside of school? *

Describe your child's reading interests (favorite books, type of books). *

Describe your child's academic strengths and weaknesses and state any goals you have for your child. *

Please describe any medical needs as they relate to your child. Any allergies? *

As part of this application to Academy Hill School, the applicant and his or her guardians agree to the following: The Academy Hill School Admission Office will consider this application and all other relevant information, as outlined in the Admission Procedures, if and when such material is complete. The undersigned grants Academy Hill permission to request and receive confidential information regarding the applicant and to retain such material in the applicant's file.

By selecting the "I/We Accept" button, you are signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application. *

Upon receipt of the application and $75 fee, teacher recommendation(s) and school transcript, we will call to schedule a formal visit. Your child will visit classes and participate in school activities. Additionally, academic and cognitive ability assessments will be administered to all applicants.

Please submit the $75 nonrefundable Application Fee with the Application by scanning the QR below. You may also pay the fee by going to https://www.academyhill.org/support or via mail to:
Academy Hill School
Admission Office
1190 Liberty Street
Springfield, MA 01104

Application Fee QR Code

Academy Hill School admits students of any race, color, sexual orientation, and national or ethnic origin. Academy Hill School does not discriminate in the selection of its governing board, in the employment of personnel, in the admission of students, in the administration of the school's programming, or the use of the school's facilities because of race, color, national origin, sex, veteran status, gender identification, age, sexual orientation, or qualified handicapped students in violation existing state or federal law or regulations.

Questions?