misc_60758(miss hall)

Academic Year ______ - ______ for grade ❏ 9 ❏ 10 ❏ 11 ❏ 12 Please attach current photo ❏ Boarding Student ❏ Day Student ❏ Early Decision Candidate ❏ Financial Aid Candidate Student Information Full name of applicant Prefer to be called Home address Alternate address Applicant resides with Home telephone # Home fax # Place and date of birth Country of citizenship E-mail address Family Information ❏ Parents married ❏ Parents separated ❏ Parents divorced ❏ Other ❏ Parent 1 remarried ❏ Parent 2 remarried ❏ Parent 1 deceased ❏ Parent 2 deceased Name of parent 1 or guardian Step-parent (if applicable) College(s) attended and degrees earned Home address Home telephone # Business telephone # Fax # E-mail address Business or profession Title Company Address Name of parent 2 or guardian Step-parent (if applicable) College(s) attended and degrees earned Home address (if different from parent 1) Home telephone # Business telephone # Fax # E-mail address Business or profession Title Company Address 492 Holmes Road, Pittsfield, MA 01201 (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 e-mail: info@misshalls.org • www.misshalls.org Current Information (This page to be completed by parent or guardian) What are the applicant’s greatest academic and social strengths? . . . challenges? What are the applicant’s greatest social/emotional strengths? . . . challenges? What are you looking for in a new educational setting for the applicant? Please list any conditions that may limit the applicant’s full participation: Person responsible for fees Relationship to applicant Address to be used for billing Correspondence should be sent to: ❏ Parent 1 ❏ Parent 2 ❏ Both ❏ Other _______________________________________ (Please include address) (Please feel free to add any additional information on a separate sheet of paper.) I hereby apply for a place for ____________________________________________________________ at Miss Hall’s School for the year _______________, in grade _______________. Enclosed is the application fee. Date Signature of parent or guardian Miss Hall’s School does not discriminate on the basis of race, color, national or ethnic origins, sexual orientation, or religion in its policies and programs of admission, financial aid, instruction, athletics, or other campus administered activities. Thank you for completing this application. Miss Hall’s School Application for Admission Names of relatives or friends who previously attended or who now attend Miss Hall’s School: Name and class year Relationship Name and class year Relationship Please list your brothers and sisters: Name Age School now attending/has attended Name Age School now attending/has attended Name Age School now attending/has attended How did you become interested in Miss Hall’s School? (If an Educational Consultant or Independent School Directory, please name) To what other schools have you applied? ________________________________________________________________________ Current Academic Information ❏ Independent ❏ Public ❏ Parochial ❏ Home schooling ❏ Other ___________________________________ Current school Current grade Address Telephone # Fax # Dates of attendance Head of School/Principal Please list those individuals who will be submitting your recommendations: Current English Teacher Current Math Teacher Guidance Counselor I ❏ have taken ❏ plan to take the SSAT on (date) __________________________ I ❏ have taken ❏ plan to take the PSAT on (date) ___________________________ I ❏ have taken ❏ plan to take the SAT on (date) ___________________________ I ❏ have taken ❏ plan to take the TOEFL on (date) _________________________ Applicant’s Interests and Activities This portion of the Miss Hall’s application allows us to learn more about you as a person. By reading about your extracurricular activities, we will have a better understanding of who you are and what interests you. Please list those activities in which you are/have been involved. Please note level of participation, length of involvement, and any leadership positions held. Arts (visual and performing) Athletics Awards and distinctions Clubs and activities Community service Other interests and hobbies Names of relatives or friends who previously attended or who now attend Miss Hall’s School: Name and class year Relationship Name and class year Relationship Please list your brothers and sisters: Name Age School now attending/has attended Name Age School now attending/has attended Name Age School now attending/has attended How did you become interested in Miss Hall’s School? (If an Educational Consultant or Independent School Directory, please name) To what other schools have you applied? ________________________________________________________________________ Current Academic Information ❏ Independent ❏ Public ❏ Parochial ❏ Home schooling ❏ Other ___________________________________ Current school Current grade Address Telephone # Fax # Dates of attendance Head of School/Principal Please list those individuals who will be submitting your recommendations: Current English Teacher Current Math Teacher Guidance Counselor I ❏ have taken ❏ plan to take the SSAT on (date) __________________________ I ❏ have taken ❏ plan to take the PSAT on (date) ___________________________ I ❏ have taken ❏ plan to take the SAT on (date) ___________________________ I ❏ have taken ❏ plan to take the TOEFL on (date) _________________________ Applicant’s Interests and Activities This portion of the Miss Hall’s application allows us to learn more about you as a person. By reading about your extracurricular activities, we will have a better understanding of who you are and what interests you. Please list those activities in which you are/have been involved. Please note level of participation, length of involvement, and any leadership positions held. Arts (visual and performing) Athletics Awards and distinctions Clubs and activities Community service Other interests and hobbies Academic Year ______ - ______ for grade ❏ 9 ❏ 10 ❏ 11 ❏ 12 Please attach current photo ❏ Boarding Student ❏ Day Student ❏ Early Decision Candidate ❏ Financial Aid Candidate Student Information Full name of applicant Prefer to be called Home address Alternate address Applicant resides with Home telephone # Home fax # Place and date of birth Country of citizenship E-mail address Family Information ❏ Parents married ❏ Parents separated ❏ Parents divorced ❏ Other ❏ Parent 1 remarried ❏ Parent 2 remarried ❏ Parent 1 deceased ❏ Parent 2 deceased Name of parent 1 or guardian Step-parent (if applicable) College(s) attended and degrees earned Home address Home telephone # Business telephone # Fax # E-mail address Business or profession Title Company Address Name of parent 2 or guardian Step-parent (if applicable) College(s) attended and degrees earned Home address (if different from parent 1) Home telephone # Business telephone # Fax # E-mail address Business or profession Title Company Address 492 Holmes Road, Pittsfield, MA 01201 (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 e-mail: info@misshalls.org • www.misshalls.org Current Information (This page to be completed by parent or guardian) What are the applicant’s greatest academic and social strengths? . . . challenges? What are the applicant’s greatest social/emotional strengths? . . . challenges? What are you looking for in a new educational setting for the applicant? Please list any conditions that may limit the applicant’s full participation: Person responsible for fees Relationship to applicant Address to be used for billing Correspondence should be sent to: ❏ Parent 1 ❏ Parent 2 ❏ Both ❏ Other _______________________________________ (Please include address) (Please feel free to add any additional information on a separate sheet of paper.) I hereby apply for a place for ____________________________________________________________ at Miss Hall’s School for the year _______________, in grade _______________. Enclosed is the application fee. Date Signature of parent or guardian Miss Hall’s School does not discriminate on the basis of race, color, national or ethnic origins, sexual orientation, or religion in its policies and programs of admission, financial aid, instruction, athletics, or other campus administered activities. Thank you for completing this application. Miss Hall’s School Application for Admission Name of applicant Please answer one of the following questions (in your own handwriting). A. Describe an experience that changed your outlook on a particular place or thing. B. Whom do you admire the most (living, deceased, historical, fictional), and why? C. If you could pick an event in history to witness, what would it be and why? We strongly encourage you to continue your essay on a separate piece of paper. Date Signature of applicant Miss Hall’s School does not discriminate on the basis of race, color, national or ethnic origins, sexual orientation, or religion in its policies and programs of admission, financial aid, instruction, athletics, or other campus administered activities. 492 Holmes Road, Pittsfield, MA 01201 • (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 • e-mail: info@misshalls.org Miss Hall’s School Applicant’s Personal Essay Please complete the following sentences: When I am not in school I... My greatest talent is... When I am with my friends I... I am happiest when... The one thing I would change about myself is... What I like most about school is... Three adjectives that best describe me are... Applicant’s name Relationship to applicant? How long have you known the applicant? The candidate listed above has applied for admission to Miss Hall’s School, an all-girls private secondary school. Because personal recommendations are one of the most important criteria for admission, we would appreciate your time and specificity in completing this recommendation. This form will be kept completely confidential. Please release my daughter’s transcript Signature of parent or guardian Please rank the applicant in the following categories: No Basis Below Above Top for Judgment Average Average Average 10% Concern for others ❏ ❏ ❏ ❏ ❏ Creativity ❏ ❏ ❏ ❏ ❏ Integrity ❏ ❏ ❏ ❏ ❏ Leadership skills ❏ ❏ ❏ ❏ ❏ Level of maturity ❏ ❏ ❏ ❏ ❏ Originality of thought ❏ ❏ ❏ ❏ ❏ Resourcefulness ❏ ❏ ❏ ❏ ❏ Respect by adults ❏ ❏ ❏ ❏ ❏ Respect by peers ❏ ❏ ❏ ❏ ❏ Respect for adults ❏ ❏ ❏ ❏ ❏ Respect for peers ❏ ❏ ❏ ❏ ❏ Self-confidence ❏ ❏ ❏ ❏ ❏ Sense of humor ❏ ❏ ❏ ❏ ❏ Warmth of personality ❏ ❏ ❏ ❏ ❏ What do you think are the greatest strengths of the applicant? 492 Holmes Road, Pittsfield, MA 01201 • (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 • e-mail: info@misshalls.org Miss Hall’s School Personal Recommendation Guidance Counselor Ideally, what do you hope Miss Hall’s School will provide for the applicant? Please describe the relationship you have with the applicant. What about the applicant would make Miss Hall’s School a better place? Please take this opportunity to discuss the applicant and her potential at an all-girls boarding and day school. Feel free to add any additional information that could assist in our decision to accept the applicant. ❏ I recommend this applicant to Miss Hall’s School ❏ with strong reservation ❏ with reservation ❏ with some confidence ❏ with confidence ❏ with great enthusiasm ❏ I do not recommend this applicant to Miss Hall’s School. ❏ Please send me more information about Miss Hall’s School. Counselor’s name (please print) Telephone School name Address City State Zip Signature Date Applicant’s name In what course do you instruct the applicant? How long have you known the applicant? The candidate listed above has applied for admission to Miss Hall’s School, an all-girls private secondary school. Because teacher recommendations are one of the most important criteria for admission, we would appreciate your time and specificity in completing this recommendation. This form will be kept completely confidential. Please rank the applicant in the following categories: (6 being very high/effective, 1 being exceptionally low/ineffective). 1. Academic motivation 1 2 3 4 5 6 2. Class discussions 1 2 3 4 5 6 3. Creative writing ability 1 2 3 4 5 6 4. Exposition writing ability 1 2 3 4 5 6 5. Intellectual curiosity 1 2 3 4 5 6 6. Study habits 1 2 3 4 5 6 Please rank the applicant in the following categories: No Basis Below Above Top for Judgment Average Average Average 10% Concern for others ❏ ❏ ❏ ❏ ❏ Creativity ❏ ❏ ❏ ❏ ❏ Initiative ❏ ❏ ❏ ❏ ❏ Integrity ❏ ❏ ❏ ❏ ❏ Leadership skills ❏ ❏ ❏ ❏ ❏ Level of maturity ❏ ❏ ❏ ❏ ❏ Originality of thought ❏ ❏ ❏ ❏ ❏ Resourcefulness ❏ ❏ ❏ ❏ ❏ Respect by adults ❏ ❏ ❏ ❏ ❏ Respect by peers ❏ ❏ ❏ ❏ ❏ Respect for adults ❏ ❏ ❏ ❏ ❏ Respect for peers ❏ ❏ ❏ ❏ ❏ Self-confidence ❏ ❏ ❏ ❏ ❏ Sense of humor ❏ ❏ ❏ ❏ ❏ Warmth of personality ❏ ❏ ❏ ❏ ❏ Miss Hall’s School Teacher Recommendation Current English Teacher 492 Holmes Road, Pittsfield, MA 01201 • (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 • e-mail: info@misshalls.org What do you think are the greatest strengths of the applicant in your course of study? Please comment on the applicant’s performance compared to her ability. Is there an incident you could describe so that we can understand the applicant better? Ideally, what do you hope Miss Hall’s School will provide for the applicant? ❏ I recommend this applicant to Miss Hall’s School ❏ with strong reservation ❏ with reservation ❏ with some confidence ❏ with confidence ❏ with great enthusiasm ❏ I do not recommend this applicant to Miss Hall’s School. ❏ Please send me more information about Miss Hall’s School. Teacher’s name (please print) Telephone School name Address City State Zip Signature Date Applicant’s name In what course (Pre-algebra, Algebra 1, Geometry, etc.) do you instruct the applicant? How long have you known the applicant? The candidate listed above has applied for admission to Miss Hall’s School, an all-girls private secondary school. Because teacher recommendations are one of the most important criteria for admission, we would appreciate your time and specificity in completing this recommendation. This form will be kept completely confidential. Please rank the applicant in the following categories: (6 being very high/effective, 1 being exceptionally low/ineffective). 1. Academic motivation 1 2 3 4 5 6 2. Class discussions 1 2 3 4 5 6 3. Exposition writing ability 1 2 3 4 5 6 4. Intellectual curiosity 1 2 3 4 5 6 5. Study habits 1 2 3 4 5 6 Please rank the applicant in the following categories: No Basis Below Above Top for Judgment Average Average Average 10% Concern for others ❏ ❏ ❏ ❏ ❏ Creativity ❏ ❏ ❏ ❏ ❏ Initiative ❏ ❏ ❏ ❏ ❏ Integrity ❏ ❏ ❏ ❏ ❏ Leadership skills ❏ ❏ ❏ ❏ ❏ Level of maturity ❏ ❏ ❏ ❏ ❏ Originality of thought ❏ ❏ ❏ ❏ ❏ Resourcefulness ❏ ❏ ❏ ❏ ❏ Respect by adults ❏ ❏ ❏ ❏ ❏ Respect by peers ❏ ❏ ❏ ❏ ❏ Respect for adults ❏ ❏ ❏ ❏ ❏ Respect for peers ❏ ❏ ❏ ❏ ❏ Self-confidence ❏ ❏ ❏ ❏ ❏ Sense of humor ❏ ❏ ❏ ❏ ❏ Warmth of personality ❏ ❏ ❏ ❏ ❏ Miss Hall’s School Teacher Recommendation Current Mathematics Teacher 492 Holmes Road, Pittsfield, MA 01201 • (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 • e-mail: info@misshalls.org What do you think are the greatest strengths of the applicant in your course of study? Please comment on the applicant’s performance compared to her ability. Is there an incident you could describe so that we can understand the applicant better? Ideally, what do you hope Miss Hall’s School will provide for the applicant? ❏ I recommend this applicant to Miss Hall’s School ❏ with strong reservation ❏ with reservation ❏ with some confidence ❏ with confidence ❏ with great enthusiasm ❏ I do not recommend this applicant to Miss Hall’s School. ❏ Please send me more information about Miss Hall’s School. Teacher’s name (please print) Telephone School name Address City State Zip Signature Date Student Information Applicant’s name First language Other languages List your years of English language study, and identify the school(s) or English program(s) you have attended. School Dates of attendance School Dates of attendance Have you taken the SLEP: ❏ Yes ❏ No Date_______________________________ Total score______________ Have you taken the TOEFL: ❏ Yes ❏ No Date_______________________________ Total score______________ Part 1________ Part 2________ Part 3________ Test of written English________ Describe your strengths and weaknesses in English? Do you plan to graduate from Miss Hall's School? If this is not your plan, please explain. Do you plan to attend college in the United States? ❏ Yes ❏ No If not, please indicate your plans in the space below. Are there any specific requirements you must fulfill? Do you have family or close friends in the United States? ❏ Yes ❏ No Would you be able to spend the holidays and vacations with them? ❏ Yes ❏ No If yes, could you please list their names, phone numbers and addresses on the back of this form. If you do not, please realize that the final responsibility for vacation period rests with your family. If you have any questions or concerns about this form, please do not hesitate to contact us. 492 Holmes Road, Pittsfield, MA 01201 • (800) 233-5614 • (413) 499-1300 • fax (413) 448-2994 • e-mail: info@misshalls.org Miss Hall’s School International Student Supplement Application