Academy Request for Information

Source Campaign:

Student Information

Student First Name

Student Last Name

What is the student's current school?

Family Email

Pronouns:

Is your current school public or private?

Graduation Year:

Please indicate the 4 digit year your student will graduate high school.

Which Arts Department is the student most interested in at The Academy? Check all that apply.

DanceAnimation (Media Arts)Film (Media Arts)Writing (Media Arts)Music - VoiceMusic - InstrumentalTheatreMusical TheatreVisual Arts

Primary Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian relationship to prospective student.

Please describe the relationship the parent/guardian has with the student.

Parent/Guardian Phone

Personal Email

Street Address

City of Residence

State/Province

Postal Code

Questions & Comments

How did you first find out about The Academy?

Google SearchFacebookInstagramEncore Middle School MatineeSchool FairFamily and/or FriendPrevious Experience at The Academy (Attended Program at The Academy)Other

Who were you referred by?

Do you have additional comments or questions for admissions staff?

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Contact Information