PLEASE FOLLOW THESE GUIDELINES WHEN COMPLETING THE APPLICATION FORM:
Please complete the entire form before clicking on the "Submit Application" button.
Use upper and lower case, where appropriate, when entering information (required information is indicated by an asterisk).
When complete, print the form for your records and click once on the "Submit Application" button.  Thank you!

Applicant Information   
 This form is for US citizens, only. International students should use the International Application for Admission - Part I.
Applicant ID Code (Sxxxxx)   

(An Applicant ID Code was sent to you if you requested an information packet or scheduled an interview/tour for the 2012-2013 school year.
If you have an ID, please enter it above - it is not required.)
Grade you are applying to enter in September 2012 *
Interested in Boarding or Day School? *
 BD
(Boarding is available for grades 9-12 only.)
First Name *
Middle Name or Initial   
Last Name *
Preferred First Name/Nickname   
Street Address *
City *
State *
Postal Code *
Country (leave blank if living in the United States) *
Student Date of Birth (mm/dd/yyyy) *
Place of Birth (City, State, Province, Country) *
Native Language *
Country of Citizenship *
Ethnicity (optional)  
Student Email *
Home Phone *
How did you become interested in Dana Hall School? *
School Information (current and previous school)    

I agree that my daughter's present and/or previous school may release any academic or descriptive information which may be required to support her application to Dana Hall School. I understand that recommendations and supporting materials are confidential.
Current School Name *
Current School Type *
Current Grade *
Dates Attended Current School (from/to) *
Current School Address *
Current School Principal/Guidance Counselor *
Current School Phone *
Current School Fax *
Previous School Name *
Previous School Type *
Dates Attended Previous School (from/to) *
Previous School Address *
Were you ever asked to withdraw from any school? *
 YesNo
If yes, when and why were you asked to withdraw? *
Parent/Guardian - 1a (residing with student)    

(Please list Father's name first, if applicable.)
Check all that apply:   
MarriedDivorcedMother RemarriedFather RemarriedSeparatedWidowedSingleNever MarriedMother DeceasedFather Deceased
Relationship to Student *
Title *
First Name *
Last Name *
Email *
Cell Phone *
Work Phone *
Occupation *
Employer / Business Name *
Education: schools/colleges attended/dates/degrees *
Parent/Guardian - 1b (residing with student)   
Relationship to Student *
Title *
First Name *
Last Name *
Email *
Cell Phone *
Work Phone *
Occupation *
Employer / Business Name *
Education: schools/colleges attended/dates/degrees *
Parent/Guardian - 2a (NOT residing with student)   
 (Complete this section if parents live in separate residences, or to provide the name of an additional guardian/contact.)
Check all that apply:   
MarriedDivorcedMother RemarriedFather RemarriedSeparatedWidowedSingleNever MarriedMother DeceasedFather Deceased
Relationship to Student *
Title *
First Name *
Last Name *
Street Address *
City *
State *
Postal Code *
Country (leave blank if living in the United States) *
Email *
Home Phone *
Cell Phone *
Work Phone *
Occupation *
Employer / Business Name *
Education: schools/colleges attended/dates/degrees *
Parent/Guardian - 2b (NOT residing with student)   
Relationship to Student   
Title   
First Name   
Last Name  
Cell Phone   
Work Phone   
Sisters (currently attending Dana Hall)   
 (Name / Year of Graduation)
Other Siblings   
 (Name / Age / M - F / Current School / Grade)
Legacy (sister/mother/grandmother/great-grandmother  
who attended or graduated from Dana Hall)   
 (Name / Year of Graduation / Relationship)
Relatives (cousin, aunt, great-aunt  
who attended, graduated, or currently attend Dana Hall)   
 (Name / Year of Graduation / Relationship)
Your Interview     

Have you scheduled or completed an interview at Dana Hall?.*
 YesNo
If No, please contact the Admission Office to make arrangements.
Admission Testing     

Which admission test(s) will you be taking? *
ISEESSATTOEFL
When are you scheduled to take your test(s)? *
Financial Aid Interest     

Do you plan to apply for Financial Aid? *
 YesNo
Where should we send your confirmation?   
 Please enter the email address of the responsible parent or guardian who should receive confirmation of this application.
Confirmation Email Address  *
Is this application form complete?  
(Please review what you entered, then click on "Yes")  *
 Yes, this application form is complete.

Please print a copy for your records, before your click on the "Submit" button