Bpd Application

 

 

Application for Boarding Program for Day School Students Student Name

Student’s Address

Nickname Gender

M(

)

F(

)

Date of Birth (MM/DD/YYYY) City, Country of Birth Country of Citizenship Student’s E-mail Address Student’s Phone Number

Current School and 2 years previous

School Address Current Grade Application Grade If the student is repeating a grade, please explain. Father’s Name Mother’s Name Brothers’ or Sisters’ Names Parents’ Address With zip code Parents’ Phone Number Father: Parents’ Occupations Mother:

Lexington Prep School  265 Lowell St, Lexington, MA 02420 (781) 860‐7550  Fax (781) 860‐7560  www.lexingtonprep.com 

 

YES( ) Prefer religiously affiliated school?

 

NO ( )

No preference ( )

Religious preference (optional):

Gender choice:

Coed ( )

Girls only ( )

Boys only ( )

School size preference: large, medium, or small Type

Score

Test date

SSAT Test Scores If not taken yet, please list scheduled date if any

ISEE TOEFL SLEP

Extracurricular Activities/Interests

How many years, if any, in a US school system Describe English ability

Favorite subject Least favorite subject What are you looking for in your new school? What do you like or not like about your current school?

Lexington Prep School  265 Lowell St, Lexington, MA 02420 (781) 860‐7550  Fax (781) 860‐7560  www.lexingtonprep.com 

  Required Documents: Please provide the following documents with your application.

√ 

  Documents Copy of Transcripts SSAT, TOEFL Results Recommendation List of Activities and Awards Copy of Passport Picture Identification

X _____________________________ Student Signature

_____________________ Date

X _____________________________ Parent or Guardian Signature

_____________________ Date

Lexington Prep School  265 Lowell St, Lexington, MA 02420 (781) 860‐7550  Fax (781) 860‐7560  www.lexingtonprep.com