Greenhills School

Student Information

Student Name

First

Middle

Last

Suffix

Preferred Name

Gender

Birth Date

mm/dd/yyyy

Current School and Application Information

Current School

Current Grade

Applying for grade

Year of Entry

Household Information

Primary Home Address

First Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Applicant

Phone Number

Type

Number

Email

Second Parent/Guardian

Is there a second parent/legal guardian in this household?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Applicant

Phone Number

Type

Number

Email

Questions

What are your child's athletic interests?

What art interests does your student have?

What topics/activities of STEM is your student interested in?

What other interests does your student have?

What questions would you like to ask our office?