Eagle Academy Enrollment Form (Printer Form)

Eagle Academy Enrollment Form ("Printer Form")

Use this form for student grades K-8

Questions regarding this form should be addressed to sherry.dingman@marist.edu or write to us at the address at the end of this form.

Please note that we have an alternate form that you can fill 
out online and have automatically e-mailed to us.

Instructions to Parent
Please print this form out from your browser, fill in with ink pen, and mail to 
Eagle Academy at the address at the bottom of this form. Please fill in all 
pertinent blanks. If you don't know some information or don't care to submit it 
at this time, omit it for now.

What type of application is this? Check one:
Please send me only information and recommendations: ______

  I've made my decision, please enroll this student: ______

                                              Other: ______ Describe: ______________________

____________________________________________________________________________________________

Student Information
Student Name

____________________________________________________________________
  Last                          First                       M.I.

 Date of Birth: ______________________    Sex: ______


Please describe the student's last academic experience. If s/he was
attending school, please give information that can include the following:
grade level, the positive and negative aspects of that experience, and 
what if anything you want to see changed.  If s/he has been home schooled, 
please tell us about curriculum used, topics studied, topics mastered at 
a satisfactory or better level, approximate grade levels in the various 
subjects, and any other information you think we should know.  Send a 
supplement on a separate sheet of paper as appropriate, or call us on the 
telephone (845) 575-3000 Ext. 2955.

Student's Last Academic Experience:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________




Address Information
Student Mailing Address:

____________________________________________________________________________________________

____________________________________________________________________________________________

City__________________________State or Prov.__________________Postal Code___________________

Student Shipping Address:

____________________________________________________________________________________________

____________________________________________________________________________________________

City__________________________State or Prov.__________________Postal Code___________________


Student e-mail Address: ______________________________________
Additional Information Concerning Student Name and Address, and Miscellaneous.
(Telephone number could be entered here, but its use would probably be very occasional.)

____________________________________________________________________________________________

____________________________________________________________________________________________

Parent and Student Guide Information
Parent Name

____________________________________________________________________
  Last                          First                       M.I.

Parent Relation to Student: ________________________________________________________________

____________________________________________________________________________________________


Additional Parent Information

Who is student's legal parent, and who will be monitoring student's 
academic work on the home front? 

____________________________________________________________________________________________

____________________________________________________________________________________________


If different from parent, how shall we communicate with this person or persons? 

____________________________________________________________________________________________

____________________________________________________________________________________________


Also, additional information concerning parents' name, address, e-mail address (if 
parent wants to keep mail and other communication with student separate from 
communication about student) and other information pertinent to this application:

____________________________________________________________________________________________

____________________________________________________________________________________________



For parent enrolling more than one student, duplicate additional parent 
information need only be entered once on one student's form.
          

Home Computing Environment InformationPlease describe computer system and availability for student:

Access (Describe the access student will have to the computer, e.g. s/he has own computer, so full access):

____________________________________________________________________________________________

____________________________________________________________________________________________



 Computer Type (Please check those that apply.): 
                        386: ____
                        486: ____
          Pentium or equiv.: ____
                        Mac: ____
                      Other: ____
            Processor speed: ____
              RAM (approx.): ____
                        4MB: ____
                        8MB: ____
                       16MB: ____
                       32MB: ____
                       64MB: ____
                      128MB: ____

 Hard Drive Space (approx.): ______________

 Available to Student 100MB: ____
                      200MB: ____
                      500MB: ____
                     1000MB: ____

                       More: ______________________________           

              CD-ROM drive?: ____
                   Printer?: ____
     Web browser installed?: ____

            Which browser? : ______________________________

   e-mail client installed?: ____

Does student possess any notable computer skills?  (E.g. ability to write 
with word processing program, use of image, paint, CAD, or draw program, 
etc.  Please describe: 


____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________




A very important requirement for admission to Eagle Academy is:
1. We need to have a sample of the student's communication skills 
to help us individualize their curriculum. Therefore we ask students 
to provide us with a short biographical sketch 1-2 pages in their
own penmanship. We ask parents to please resist the impulse to
improve on the students work by making corrections or suggestions.
If the student is enrolling in Level I they can still complete this
assignment be narrating to their parent about themselves and,
to whatever extent they can, writing a sentence or two.

2. The first short paragraph of the paper should be an explanation 
to Eagle Academy what the paper is, that is, the student is sending 
a biographical sketch to Eagle Academy as a requirement of admission.

3. The student should address an envelope to Eagle Academy for the 
paper, stamp the envelope, and see to the mailing of the paper to 
Eagle Academy at the address below. The parent may of course help 
the student with this task. (This may be the student's first 
experience with mailing something.)

Optional Items
Lastly, some optional items could be included, as follows:

1. A photograph of the student, with the parent's written permission 
to post the photo on an Eagle Academy Web page, so the students can 
"see each other."

2. A student's "online biographical sketch" to accompany the 
photo. Could be something like "Hi! I'm Jason Polander and I like 
lizards," or something more grand.

3. Examples of the student's prior academic work that can be spared, 
photocopies preferred. (I.e. these materials can not be depended on 
to be returned. None of these will show online unless the parent and 
student request and it's practical to place them online, such as a 
small artwork, short story (even if written by someone else, as long 
as it was written out or typed by student and attribution is given), 
student slogan, poem, or such.)


Write to Eagle Academy at:      Eagle Academy
      49 Violet Avenue
      Poughkeepsie, NY 12601
      (845) 575-3000 Ext. 2955
Eagle Academy Enrollment Form ("Printer Form")

Use this form for student grades K-8

Questions regarding this form should be addressed to sherry.dingman@marist.edu or write to us at the address at the end of this form.

Instructions to Parent

What type of application is this? Check one:

Student Information

Address Information

Additional Information Concerning Student Name and Address, and Miscellaneous.

Parent and Student Guide Information

Additional Parent Information

Home Computing Environment Information

A very important requirement for admission to Eagle Academy is:

Optional Items

Write to Eagle Academy at:

Questions regarding this form should be addressed to sherry.dingman@marist.edu or write to us at the address above.
