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Prospective Student Inquiry Form
If you wish to receive additional materials for a prospective student, we invite you to complete the inquiry form below.
The fields that are starred must be completed
in order to submit this form
.
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Thank you for your interest in Archmere Academy.
Student Information
*First Name:
Middle Name:
*Last Name:
Preferred Name:
Gender:
Male
Female
*Birth Date (mm/dd/yyyy):
*E-mail:
*Home Phone:
*Address 1:
Address 2:
*City:
*Province/State/County:
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Postal/Zip:
*Person Inquiring:
*Relationship to Student:
Mother
Father
Grandparent
Guardian
Other
Self
Household 1 (Parent 1 and 2)
Household address same as student address
*Address 1:
Address 2:
*City:
*Province/State/County:
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Postal/Zip:
*Phone:
Parent / Guardian 1
Prefix:
*First Name:
Middle Name:
*Last Name:
*Relationship:
Mother
Father
Grandparent
Guardian
Other
Self
*E-Mail:
*Mobile Phone:
Business Phone:
Primary Parent:
Parent / Guardian 2
Prefix:
*First Name:
Middle Name:
*Last Name:
*Relationship:
Mother
Father
Grandparent
Guardian
Other
Self
*E-Mail:
*Mobile Phone:
Business Phone:
Primary Parent:
Additional Information
*How did you hear about Archmere?:
*What questions do you have for the Admissions Office?:
*Entering Grade at Archmere:
9th Grade
10th Grade
11th Grade
12th Grade
*Entering Year:
2010 - 2011
2011 - 2012
*Current Grade:
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
*Your child's current school:
If you or someone in your family is an alumnus of Archmere Academy, please provide the graduate's first and last name at the time of graduation and graduation year:
Send Financial Aid Information:
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