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The Country School

Record Release Form

Record Release must be completed as part of the application process. Click here to download. Completed forms may be returned by mail or emailed to admission@thecountryschool.org.

Admissions Application

APPLICANT INFORMATION









PLEASE ATTACH PHOTOGRAPH HERE  (Optional)
Please attach a recent photograph of the candidate. This is optional and has no influence on the selection process of The Country School. The picture simply serves to help us associate your child with the application.

Max file size: 10 MB

FAMILY INFORMATION











































APPLICANT'S SIBLINGS































EDUCATIONAL INFORMATION AND BACKGROUND

(To be completed by the parent/guardian)

Please list in chronological order all of the schools attended by the applicant:

Please cite and explain any special circumstances which have affected your child's record (such as health/ medical, educational/special evaluations, tutoring, skipping or repeating a grade, disciplinary) and, when possible, provide us with all reports for complete explanation and understanding.

Why have you decided to apply to The Country School for your child?

You may have information about your child that would be helpful to the Admissions Committee in its evaluation of his or her candidacy. Please take this opportunity to share with us any of your thoughts about the applicant's background, strengths, weaknesses, and other information that might otherwise not come to our attention.

Would you be interested in:

How did you learn about The CountrySchool?

List any other schools to which you are applying: (Optional)

REFERENCES AND EDUCATIONAL RECORDS

We will be requesting copies of educational records of the applicant. In addition, we will be asking the applicant’s present teacher, as well as two additional teachers, for references. Please list the names of these people in the space below.

 
 

I certify that the information included on this application is true and complete. I understand that all admission materials are to remain confidential, not to be disclosed to anyone, including the candidate and his/her family, except as deemed advisable by the Director of Admission. 

Please indicate your digital signature by using the "/" character before and after your name. (e.g., /Leslie Smith/)

Please choose your preferred method for payment of the $50 Application Fee:

Please make checks payable to The Country School.

Once you click on the "Submit" button below, you will be able to enter your
credit card information using our secure server.
The Country School does not discriminate on the basis of sex, race, creed, handicap, or color in the administration of its admissions, educational, athletic policies, or tuition assistance programs.  All students are admitted equally to all opportunities generally available to students at the school.

Please provide an email address where we can send a link to your current form.

Email Address :

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© 2011 The Country School     PreSchool — Grade 8     341 Opening Hill Road     Madison, CT 06443     203 421_ 3113     Contact Us  Privacy  Site Map   facebook    twitter

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