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ARS Admission Worksheet

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					       The Alexander Robertson School
                                      Admission Worksheet

                    For School Year                       For Grade

   Name of Applicant                                      Male             Female
   Preferred Name                                         Date of Birth
   Present School                                         Years attended
   School Address
   School Phone, Fax and Email



Parent 1

Name                                               Occupation

Address                                            Employer

                                                   Work Address

Home Phone

Cell Phone                                         Work Phone

Home E-mail                                        Work E-mail


Parent 2

Name                                               Occupation

Address                                            Employer

                                                   Work Address

Home Phone

Cell Phone                                         Work Phone

Home E-mail                                        Work E-mail

   With whom does the applicant live? Circle all that apply:

   Mother           Father       Other (please specify)
Person(s) financially responsible for applicant:

Names and birthdates of applicant’s siblings

                                School                               Date of birth

                                School                               Date of birth

Are you applying for financial aid? Yes         No   If yes, we will send you a Financial Aid application packet.


How did you learn about The Alexander Robertson School?

The enclosed School Records Request Form should be sent directly to your child’s current
school.

You are welcome to send us any other information regarding your child or your family that you
think would be helpful to us. Please include a photograph of your child.

Please use this space to tell us about your child and what you are hoping to find at The
Alexander Robertson School.




Signature of Parent(s)/Guardian(s):                                                        Date:


The Alexander Robertson School does not discriminate on the basis of race, religion, gender, sexual
orientation, or national or ethnic origin in its admissions or employment policies.

                         The Alexander Robertson School
                             3 West 95th Street, New York, NY, 10025
                        Tel: 212-663-6441 Admissions: 212-663-2844
                            E-mail: admissions@alexanderrobertson.org

				
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posted:9/17/2012
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