Home >

Admission > Admission: Step by Step > Request Information

page tools :

Request Information

PARENT/GUARDIAN INFORMATION:

	Father/Guardian Prefix

	Father/Guardian Name

	Father/Guardian Cell Phone

	Mother/Guardian Prefix

	Mother/Guardian Name

	Mother/Guardian Cell Phone

STUDENT INFORMATION:

	Student First Name*

	Student Last Name*

	Student Middle Name

	Prefers to be Called

	Student Address Line 1*

	Student Address Line 2

	Student City*

	Student State*

	Student Zip Code*

	Student Phone Number*

	Student Email Address

	Male/Female*

	Date of Birth (mm/dd/yyyy)*

	Current Grade

	Entering Grade*

	Desired Year of Entry*

	Current School*

	School Type*

How did you first hear of our school?

	Word of Mouth
	Educational Consultant
	Placement Officer
	School Fair
	Advertisement
	Internet
	Friend
	Legacy
	Sibling
	Relative
	Coach
	Pingree Hockey Rink
	Pingree Summer Camp
	Soccer Tournament
	Prep@Pingree
	Pingree Website
	Other:

	Interests

If you would like a copy of this submission, please put your email address in the field below.

Please Note: Questions marked with an asterisk (*) are required.

SCHEDULE A VISIT

Please contact the

Admission office to

schedule a visit:

978 468.4415 ext. 262

____________________

Request Information

SCHEDULE A VISIT

Please contact the

Admission office to

schedule a visit:

978 468.4415 ext. 262

Click here to download

a copy of the

application

Click the image to read our latest issue of Highlander Happenings