Admissions Referral Form

Your Name:

Your Affiliation to St. Timothy’s School:

 How do you know the student or family?

How may we contact you if we have questions?

 

Prospective Student Name:

Email Address:

Mailing Address:

Home Phone:

Current School:

Grade Now:    Grade Apply:    Year Apply:    Boarding/Day:

 

Parent/Guardian Name(s):

Email Address(es):

Cell Phone Number(s):

Mailing Address(es) if different from student’s:

Student’s Interests

Academic
Athletic
Fine Arts
Other/Extracurricular

Please send this family the Admissions Application Materials

Please send this family Financial Aid Application Materials

Please contact this family to schedule a tour and interview appointment

Other Request