Admission Application

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1 Extraordinary by Design Admission Application Hannah Holliway Director of Admission and Financial Aid Regents Glen Boulevard, York, PA An affiliate of York College of Pennsylvania

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3 Application Procedures for York Country Day School Thank you for your consideration of York Country Day School. Please follow the instructions below to ensure the successful and timely completion of the admission process for your student. I. APPLICATION Please return the following to York Country Day School: Completed application with your signature Completed Parent Questionnaire Completed Student Questionnaire (applicants to grades 6-12) Completed Records Request Form Copies of candidate s educational testing (if any) Application fee of $35 II. SCHOOL TOUR If you have not toured York Country Day, please call us at to arrange a personal tour and a meeting with the Director of Admission. Tour scheduled III. CLASS DAY VISIT All applicants are required to spend a full or partial school day with student hosts in their current grade level. Class Day visitors are our guest for lunch. Class Day Visit scheduled IV. TEACHER RECOMMENDATION Please ask one of your student s current teacher(s) to complete the grade level appropriate recommendation form(s) as soon as possible. The recommendation may be mailed or faxed directly to York Country Day School, Admission Office, 1071 Regents Glen Boulevard, York, PA or fax All recommendations are confidential and should be forwarded to the Admission Office directly from the teacher. Should you have any questions, please call Hannah Holliway, Director of Admission and Financial Aid, at

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5 APPLICATION FOR ADMISSION ACADMEMIC YEAR Please enclose $35.00 processing fee. Please specify grade of application: Lower School Panda Penguin (3 day) Penguin (5 day) Pre K K Middle School Upper School APPLICANT INFORMATION Last Name First Name Middle Name Nickname Home Address Street City State Zip ( ) Primary Family Phone Date of Birth (M/D/Y) ACADEMIC INFORMATION Male Female Applicant Address Ethnic Background (optional) Present School of Applicant Principal/Director Present School Address City State Zip Prior School(s) Attended Principal/Director Address Dates School District in which the applicant resides: Has the applicant been evaluated for speech/occupational therapy, gifted program, learning difference, IQ or similar? If so when and by whom? If the student has been or is presently suspended or expelled from another school, please complete: Name of the school that the student was/is suspended/expelled: Dates of suspension/expulsion: Reason for suspension/expulsion: Please provide additional schools and dates of suspension/expulsion as an attachment. Is there any reason (i.e., tuition debt, textbook debt, etc.) why the student s current/previous school(s) would not release the student s academic or health records? YES NO If YES, please specify:

6 PARENT/GUARDIAN INFORMATION Parent/Guardian Name Home Address Parent/Guardian Name Home Address Home Address Home Address ( ) ( ) Mobile Phone Mobile Phone Occupation/Title Name of Business Business Telephone Colleges/Universities Attended Degree(s) Who will be the primary contact during the admissions process? With whom does the applicant reside? Will the family apply for financial aid at sss.nais.org? Occupation/Title Name of Business Business Telephone Colleges/Universities Attended Degree(s) ADDITIONAL FAMILY INFORMATION Siblings of applicant: Name Age Grade Present School Relatives who attend or have attended York Country Day School: Name Relationship to Applicant Dates of Attendance We understand that this application is an expression of intent only and is not binding upon the parent or the school. We also understand that if the applicant is accepted, enrollment is for the entire academic year. I certify that the information provided on this application is true and accurate. I understand and agree that the administrator s and teacher s evaluations are confidential and will not be disclosed to me or become part of my child s permanent file. Signature of Parent(s)/Guardian(s) Date York Country Day School does not discriminate on the basis of race, color, religious creed, national or ethnic origin or gender in its admission policy, recruitment practices or in the administration of its financial aid programs.

7 PARENT or GUARDIAN QUESTIONNAIRE Learning more about you Parent(s) or Guardian(s) please complete the following questionnaire and submit it with your student s application. Student Name: Applying for grade: Parent/Guardian Name(s): How did you hear about York Country Day School? What are the qualities about YCDS that interest you? Why do you think these qualities would be a good match for your family? What are your expectations of York Country Day School? See Reverse

8 What are your expectations for your student in the YCDS setting? Academic, social, extracurricular?

9 STUDENT QUESTIONNAIRE Learning more about you Applicants to Grades 6-12 please complete the following questionnaire. Name: Applying for grade: Please describe something outside of school that you care about and spend time doing. (For example: clubs, music, sports, school or community groups) The best book(s) I have ever read is (are) Describe a memorable learning experience that you have had. See Reverse

10 My biggest challenge is Please describe someone who has had a big impact on your life. I am interested in attending York Country Day School because

11 Request for Copies of Student Records To: Guidance Office-Student Records From: Hannah Holliway, Director of Admission Since review of the academic qualifications of the applicant,, depends in part upon any available academic records, we would appreciate your office sending us a copy of the applicant s record. The Admission Committee would like to review progress reports and report cards of this and any previous school years, any standardized test scores, attendance records, disciplinary history, and any other information which you feel may assist in our review of the applicant. Please send all information to: York Country Day School Hannah Holliway, Director of Admission 1071 Regents Glen Boulevard York PA Fax: or Thank you for your assistance. Please call the Admission Office at if you have any questions., Grade, of (Name of Student) (Current School) has applied for admission to York Country Day School to enter grade beginning,20. I hereby request progress reports for the past three academic years, all standardized test scores, disciplinary history, and attendance records for my child be submitted directly to York Country Day School. Signed: Date : (Parent/Guardian)

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