* Required

I/We wish to apply for the admission of our child to The Mead School Beginningrequired (mm/dd/yyyy)

Please select the program for which you are applyingrequired

Child's Information

Child's Full Namerequired

Child's Preferred Name

Child's Date of Birthrequired (mm/dd/yyyy)

Gender*

Male Female Other

Gender

Child's Home Addressrequired

Apartment, Suite, Buliding

Cityrequired

Staterequired

Ziprequired

Child's Home Phonerequired

Present School of Applicantrequired

Current Grade of Applicantrequired

Student Race/Ethnicityrequired

Parent/Guardian Information

Parent/Guardian Name (A)required

Is Parent A's home address different from child's?*

Yes No

Parent A's Address

Apartment, Suite, Building

City

State

Zip (ex. 06108 or 06108-0809)

Cell Phonerequired

Email Addressrequired

Employerrequired

Position/Titlerequired

Nature of Businessrequired

Employer Addressrequired

Apartment, Suite, Building

Cityrequired

Staterequired

Ziprequired

Parent/Guardian Name (B)

Is Parent B's home address different from child's?

Yes No

Parent B's Address

Apartment, Suite, Building

City

State

Zip

Employer

Position/Title

Nature of Business

Employer Address

Apartment, Suite, Building

City

State

Zip

Additional Questions

How did you hear about The Mead School?

Why have you chosen The Mead School for your child?

Digital Signature

It is understood that this application is merely a request for admission. It is not binding on either the applicant or the school. It is further understood that this application authorizes the school to request my child's academic records and other pertinent information necessary for reaching an admissions decision.

The admission policy of The Mead School is to offer equal opportunity for admission to all qualified students without regard to race, national origin, or religious preference.

Namerequired

Date Pickerrequired (mm/dd/yyyy)

After submitting the application please mail $50 application fee (check made payable to The Mead School) to 1095 Riverbank Road, Stamford, CT 06903. Checks may also be dropped off in person at our front office.

Please send a confirmation email to the address below*: