*For entrance in September:	20082009201020112012 Future
*Class applying for:	9th grade10th grade11th grade12th gradePost graduateUnknown
*Type of housing:	Board   Day
*Will the applicant be a candidate for financial aid?	Yes   No
Applicant's Name
*First Name:
Middle Name:
*Last Name:
Suffix:
Nickname:
* Candidate Email:
Parent Email:
	(if the candidate does not have his or her own email account, please enter the email address of a parent or guardian in the "Candidate Email" field.)
*U.S. Citizen?	Yes   No
*Gender:	Male   Female
*Date Of Birth:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 200820072006200520042003200220012000199919981997199619951994199319921991199019891988
Social Security #: (No dashes or spaces)
Name of Parent or Guardian with whom the applicant is living:
* Parent or Guardian:	Prefix: Mr.Mrs.Ms.Dr. First: Last:
* Information required