General Information

Today's Date (mm/dd/yyyy)

For what school year are you applying?

Entering Graderequired

Student Applicant Information

Student Photo

Please attach the most recent school photo of your student via this file upload or send one in the mail.

Max file size: 10 MB

First Namerequired

Middle Name

Last Name

Nickname

Date of Birth (mm/dd/yyyy)

Gender

Male Female

Student Email

If applicable, please enter the student's email address using all lower case.

Family's Preferred Phone

Please use numbers only; no special characters.

Student's Address 1

City

State

Zip

Country

Family Information

Your Information

Prefix

First Namerequired

Last Name

Suffix

Relationship to Student

Email

Please use lower case only.

Primary Phone

Please use numbers only; no special characters.

Address

City

State

Zip

Country

Job Title

Employer

Parent/Guardian 2 Information

Prefix

First Name

Last Name

Suffix

Email

Primary Phone

Please use numbers only; no special characters.

Relationship to Student

Address

City

State

Zip

Country

Job Title

Employer

Sibling Information

Please list the name(s) and age(s) of this student's sibling(s).

With whom does the student applicant live?

Parents' Marital Status

Check all that apply

If parents are separated/divorced, which parent will assume financial responsibilty for the applicant?

Do you plan to apply for financial aid?

Yes No

Ethnicity (Optional)

We collect this information for statistical and reporting purposes. It is entirely optional.

School Information

Applicant's current school

Current Grade

School Address

City

State

Zip

Country

School Phone

Please use numbers only; no special characters.

References

Please list names of teachers you have asked to provide academic references. List two references if you are applying to Grades 1-4. List current math, English and science teachers if applying to grades 5-8.

Reference 1

Name

Please list the first and last name.

Subject and Grade Level

Email

Please use lowercase only.

Address, City, State, ZIP

Phone

Please include the area code. Use numbers only; no special characters.

Reference 2

Name

Please list the first and last name.

Subject and Grade Level

Email

Please use lowercase only.

Address, City, State, ZIP

Phone

Please include the area code. Use numbers only; no special characters.

Reference 3

Name

Please list the first and last name.

Subject and Grade Level

Email

Please use lowercase only.

Address, City, State, ZIP

Phone

Please include the area code. Use numbers only; no special characters.

Additional Information

Has this student applicant applied to Canterbury School before?

Yes No

When did this student apply to Canterbury School?

Has this student applicant visited Canterbury School before?

Yes No

When did this student visit Canterbury School?

Did someone recommend Canterbury School to you?

Yes No

Who recommended Canterbury School to you?

Do you have any relatives who have attended Canterbury School?

Yes No

Please list any relatives who have attended Canterbury School.

Name of Relative 1

Relationship to Applicant

Date of Attendance

Name of Relative 2

Relationship to Applicant

Date of Attendance

Name of Relative 3

Relationship to Applicant

Date of Attendance

Why have you chosen to apply?

List sports, hobbies, musical, artistic or other talents of the applicant and his/her time commitment to them.

If applicant requires special accommodations, please identify them.

Attach File

Max file size: 10 MB

If applicant has had aptitude/achievement testing or diagnostic evaluation other than at school, please attach the file or enclose a copy with your application fee, or indicate where we may write for full information

What would you like the admissions director to know that has not been covered in this application?

Application Fee and Payment

This application is a statement of parental intent, not a contract. A formal contract must be signed after the applicant is accepted for admission.

Tuition for the academic year is established by Feb. 1.
The contract is due 14 days after the date of issue and a FACTS account is required to make payment.
A $475 non-refundable deposit will be automatically deducted after the contract is submitted from your FACTS account. This deposit is part of the total tuition due.
This is a continuous enrollment contract therefore it will be the only time you complete a paper contract. Each subsequent year, there is an anniversary date of March 1, which is also considered an opt-out date should a family wish to withdraw their student(s). Otherwise you will be automatically enrolled for the following school year and the deposit will be deducted on March 12 of each year.
Malone Scholars Program participants, Canterbury Scholar Competition participants and 6th Grade Scholar Competition participants are exempt from this fee.

Select One*

Applying to Grades 1-8 : $35 application fee Fee Waived (Malone Scholar, Canterbury Scholar, Middle School Scholar Participants)