Application for Admission 2016-2017 ‹ Grace Church School

Application for Admission 2016-2017

Please complete this Application for Admission, and review your information before submitting. Please note that you will have to complete the Application in one session; once you submit the information online you will be immediately prompted to print out the application, so make sure your printer is connected. After submitting the application online, you will receive an email confirmation of the completed application; please check your spam folder if you do not receive the email. Sign the printed version and mail it to Grace Church School (Grace Church School Admissions, 254 Hicks Street, Brooklyn, NY 11201) along with a photo of your child and your $75 application fee. Applications will not be considered complete until we have received both the online and mailed applications, including photo and application fee. The application deadline is December 4, 2015 (November 13, 2015 for Special Consideration applications). Grace Church School actively encourages a diverse educational community. We welcome boys and girls of all faiths, races and backgrounds.

Unique application code (provided in your application request confirmation email) *

Child (Applicant)

First name *

Preferred name / nickname

Middle name

Last name *

Date of birth / / MM/DD/YYYY *

City of birth *

Gender

Male
Female

Home address *

City *

State *

Zipcode *

Phone number ( ) - *

Parent/Guardian #1

First name *

Last name *

Address (if different from child’s)

City

State

Zipcode

Present Occupation *

Name of firm/employer *

Preferred phone # ( ) - ext. *

Email address *

Confirm email address *

Parent/Guardian #2

First name

Last name

Address (if different from child’s)

City

State

Zipcode

Present Occupation

Name of firm/employer

Preferred phone # ( ) - ext.

Email address

Confirm email address

Parents are *

Do you wish to receive financial aid information and an application?

Who will be financially responsible for the applicant’s tuition? *

Child’s siblings (oldest first)

Name

Age

Present school

Grade

Name

Age

Present school

Grade

Name

Age

Present school

Grade

Please briefly tell us about your child. *

What are your expectations for your child’s preschool experience? *

Please tell us about your child’s previous playgroup or school experiences, if any. *

May we contact the above?

How did you hear about Grace Church School? *

Is there any additional information you would like us to know?

Please upload a photo of your family. Choose a fileChoose a different file× *

Please note: Children attending Grace Church School must be up to date with immunizations; only medical exemptions will be accepted.

Payment

Log in to PayPal in order to pay your $75.00 application fee. After logging in, you will be able to review your application once more before submitting.

If you need to switch PayPal accounts or change other PayPal options, click Cancel below.

Confirm submission

Please review your application once more before submitting.