Boarding School Wayland Academy Admission
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APPLICATION FOR ADMISSION:
1.
* Year of Interest
2.
* Grade Applying To
9 10
11 12
3.
* Applying As
Boarding Day
Student Information
4.
* Name
5.
Preferred
6.
* Street
7.
* City
8.
* State
9.
* Zip
10.
* Country
11.
* Home Phone
12.
Fax
13.
Email
Place of Birth & Birthdate
14.
* City
15.
* State
16.
* Country
17.
* Month/Day/Year
18.
* Age
19.
* Social Security Number
20.
* Country of Citizenship
21.
Religious Preference (optional)
Current School & Address
22.
* Name
23.
* Street
24.
* City
25.
* State
26.
* Zip
27.
* Country
28.
* Grade
29.
* Guidance Counselor
30.
* Telephone
Family Information (Father)
31.
* Full Name
32.
* Home Address
33.
* City, State, Zip
34.
* Home Telephone
35.
Fax
36.
Email
37.
* Occupation/Title
38.
Business Telephone
39.
Secondary School
40.
College
41.
* Citizenship
Family Information (Mother)
42.
* Full Name
43.
* Home Address
44.
* City, State, Zip
45.
* Home Telephone
46.
Fax
47.
Email
48.
* Occupation/Title
49.
Business Telephone
50.
Secondary School
51.
College
52.
* Citizenship
Family Information (Brothers & Sisters)
53.
Name/Current Grade/School Attending
54.
Name/Current Grade/School Attending
55.
Name/Current Grade/School Attending
56.
Name/Current Grade/School Attending
57.
Name/Current Grade/School Attending
If parents are separated or divorced:
58.
To whom should correspondence be directed?
59.
Who has legal custody?
60.
With whom does applicant live?
International Students
Must provide name, address, and telephone number of contact person or guardian in the United States.
61.
Name
62.
Relationship
63.
Address
64.
City
65.
State
66.
Zip
67.
Country
68.
Home Phone
69.
Fax
70.
Email
Academic Information
71.
* Which subjects are of greatest interest to you?
On average, how many hours a day do you study:
72.
* In school
73.
* At home:
74.
* How would your teachers describe you as a student?
Extracurricular Activity Information
75.
List your extracurricular activities (athletics, awards, community involvement, hobbies, positions of leadership, special interests).
76.
Of all your activities, which is most important to you and why?
77.
If you have held a job, briefly describe it and indicate the hours per week and dates employed.
78.
* What is the most interesting place you have ever visited other than on vacation?
79.
* What one thing would you like to do for which you do not now have time?
80.
* Realizing you may well change your mind, what do you see yourself doing when you finish your education?
81.
(Boarding Students Only) Describe the type of roomate you would like to have at Wayland.
82.
* Which resources did you use to learn about Wayland? (1 required)
Friend/relative who attended Wayland Educational Consultant
Current Wayland Parents School Counselor
Boarding School Book/Directory/Guide Wayland Website
Other
83.
If you chose other, please list:
84.
* Applicant's Personal Statement
In this section, you can help us become acquainted with you in ways different from grades and test scores. We'd like you to demonstrate your ability to organize your thoughts and express yourself. In a few paragraphs below, answer one of the following questions:
  1. Of the qualities you posess, which one would you like people to admire most? Why?
  2. Describe an experience you've had in which you were uncertain of the right thing to do. How did you finally decide what to do?
  
Wayland Academy
101 North University Avenue
Beaver Dam, WI 53916
U.S.A.
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