Application Form

Date

Student's Name

Student's Birthday

Year Applying

2022-2023 2023-2024

2023-2024 Grade Applying

Pre-Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade

Want to apply for Financial Aid.

Yes No

Gender

Male Female Other

Student Lives with

Both Parents Mother Father Other

Parent/Guardian I Name

Address

Phone

This address will receive a confirmation email

Employer

Religious Affliation

Parent/Guardian II Name

Address

Phone

Employer

Religious Affliation

Siblings Names and Ages

Student's Information

Current School

Address

Phone

Has the student ever been tested (psychological, educational, speech therapy, etc.?)

Yes No

If you have an IEP please attach here.

Upload (8MB)

Is the student taking any medication on a regular basis?

Yes No

If yes, please specify:

Describe any illness, diseases or physical disabilities which would help us work more effectively with your child in the classroom or in the athletic program.

Student Ethnicity

Native American/Alaskan Native Asian Black/African American Hispanic/Latino Native Hawaiian/Pacific Islander White/Caucasian Other

Please tell us how you learned about Episcopal School of Nashville.

Episcopal School of Nashville admits students of any race, color, religion, gender national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. The school does not discriminate on the basis of race, color, religion, gender, national and ethnic origin in administration of its education and admission policies, scholarship and loan programs, athletic and other school-administered programs. I agree to submit information for admissions screening to Episcopal School of Nashville. I also verify that this application has been completed to the best of your ability and all necessary documents have been attached.

Yes No

Parent/Guardian I Signature (This serves as a legal digital signature.)

Parent Guardian II Signature (This serves as a legal digital signature.)

Application Fee (non-refundable)

Please contact the school if you need to pay by another means.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Application Form

Description

Please Fix the Following