School Seal

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 International students, only. US citizens should use the Domestic 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 and tour after September 10, 2009.
If you have an ID, please enter it above - it is not required.)
Click here to verify that you are applying for admission *
as an international boarding student  
 International
(International boarding is available for grades 9-12 only.)
Grade you are applying to enter in September 2011 *
First Name *
Middle Name or Initial   
Last Name *
Preferred First Name or Nickname   
Street Address *
City *
State *
Postal Code *
Country (current residence) *
Your full address after June 15, if different: *
Student Date of Birth (mm/dd/yyyy) *
Place of Birth ( city, state, province, country) *
Native Language *
Student Email *
Home Phone *
How did you become interested in Dana Hall School? *
Citizenship Information    

Citizenship Category (select only if applicable)   Dual US CitizenUS Permanent Resident Visa
Primary Country of Citizenship *
Other Citizenship(s) *
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 Mailing 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 Mailing Address *
Were you ever asked to withdraw from any school? *
 YesNo
If yes, when and why were you asked to withdraw? *
English Language Proficiency    

 
Name and address of current English language teacher: *
Are your English language classes conducted in English? *
 YesNo
Are your other classes conducted in English? *
 YesNo
How many years have you studied English in school? *
How many times a week does your English class meet? *
How long is each class? *
What text do you use in class? *
What other languages have you studied seriously? *
Evaluate your own current English proficiency: *
Speaking - *
 PoorFairGoodExcellent
Listening - *
 PoorFairGoodExcellent
Writing - *
 PoorFairGoodExcellent
Reading - *
 PoorFairGoodExcellent
Do you plan to attend university in the US? *
 YesNo
Do you have family or friends who live in the US? *
 YesNo
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 (current residence) *
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 / Class)
Other Siblings   
 (Name / Age / M - F / Current School / Grade)
Legacy (sister/mother/grandmother/great-grandmother  
who attended or graduated from Dana Hall)   
 (Name / Class / Relationship)
Relatives (cousin, aunt, great-aunt  
who attended, graduated, or currently attend Dana Hall)   
 (Name / Class / 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)? *
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