Dana Hall School - Admission Information Request
PLEASE COMPLETE THE FOLLOWING FORM:
Please use upper and lower case, where appropriate, when entering information.
When complete, click once on the "Submit Information" button.
Thank you!
Student Information
(an asterisk indicates required information)
First Name
*
Middle Name or Initial
Last Name
*
Preferred First Name/Nickname
Entry Grade
*
6
7
8
9
10
11
12
Academic Year of Entry
*
2012-2013
2013-2014
2014-2015
2015-2016
2016-2017
2017-2018
Street Address
*
City
*
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal Code
*
Country
(leave blank if residing in US)
*
US
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic
Congo (Republic of the
Costa Rica
Cote dCote d'Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and Grenadines
Samoa
San marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
VanuatuVanuatu
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbabwe
Citizenship
*
US
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic
Congo (Republic of the
Costa Rica
Cote dCote d'Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and Grenadines
Samoa
San marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
VanuatuVanuatu
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbabwe
Are you an international student?
International
Student Email
Home Phone
*
Current School
*
School Type
*
Independent
Public
Parochial
Home Schooled
Interested in Boarding or Day School?
B
D
Boarding is available for grades 9-12 only.
Special Interests (select up to 4)
animals
art
athletics
basketball
business
ceramics
chorus
climbing
collecting
community service
computers
dance
diving
drama
drawing
english
fencing
field hockey
gardening
gymnastics
ice hockey
ice skating
instrumental music
karate
lacrosse
languages
leadership
martial arts
math
music
origami
outdoors
painting
performing arts
photography
piano
poetry
reading
riding
school
science
sculpture
singing
skiing
soccer
softball
squash
student government
swimming
tennis
theatre
track
travel
violin
visual arts
voice
volleyball
web design
writing
cross country
animals
art
athletics
basketball
business
ceramics
chorus
climbing
collecting
community service
computers
dance
diving
drama
drawing
english
fencing
field hockey
gardening
gymnastics
ice hockey
ice skating
instrumental music
karate
lacrosse
languages
leadership
martial arts
math
music
origami
outdoors
painting
performing arts
photography
piano
poetry
reading
riding
school
science
sculpture
singing
skiing
soccer
softball
squash
student government
swimming
tennis
theatre
track
travel
violin
visual arts
voice
volleyball
web design
writing
cross country
animals
art
athletics
basketball
business
ceramics
chorus
climbing
collecting
community service
computers
dance
diving
drama
drawing
english
fencing
field hockey
gardening
gymnastics
ice hockey
ice skating
instrumental music
karate
lacrosse
languages
leadership
martial arts
math
music
origami
outdoors
painting
performing arts
photography
piano
poetry
reading
riding
school
science
sculpture
singing
skiing
soccer
softball
squash
student government
swimming
tennis
theatre
track
travel
violin
visual arts
voice
volleyball
web design
writing
cross country
animals
art
athletics
basketball
business
ceramics
chorus
climbing
collecting
community service
computers
dance
diving
drama
drawing
english
fencing
field hockey
gardening
gymnastics
ice hockey
ice skating
instrumental music
karate
lacrosse
languages
leadership
martial arts
math
music
origami
outdoors
painting
performing arts
photography
piano
poetry
reading
riding
school
science
sculpture
singing
skiing
soccer
softball
squash
student government
swimming
tennis
theatre
track
travel
violin
visual arts
voice
volleyball
web design
writing
cross country
Are you interested in Financial Aid?
Yes
No
1st Parent/Guardian
(please list Father's name first, if parents married)
Relationship to Student
*
Father
Mother
Guardian
Grandmother
Grandfather
Stepfather
Stepmother
Uncle
Aunt
Widowed
Sister
Brother
Cousin
Coordinator
Agent
Stepfather
Foster Parent
Title
*
Mr.
Mrs.
Ms.
Drs.
Dr.
Prof.
Rev.
First Name
*
Last Name
*
Email
Cell Phone
2nd Parent/Guardian
Relationship to Student
Father
Mother
Guardian
Grandmother
Grandfather
Stepfather
Stepmother
Uncle
Aunt
Widowed
Sister
Brother
Cousin
Coordinator
Agent
Stepfather
Foster Parent
Title
Mr.
Mrs.
Ms.
Drs.
Dr.
Prof.
Rev.
First Name
Last Name
Email
Cell Phone
Questions / Comments
*