Eagle High Enrollment Form ("Printer Form")
Use this form for student grades 9-12
All 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 e-mailed to Eagle High automatically.
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 Information
Please 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 High 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 student's 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 High what the paper is, that is, the student is sending
a biographical sketch to Eagle High as a requirement of admission.
(It might help if the student realizes that he or she is applying for
admission, not just being entered by his or her parent.)
3. The student should address an envelope to Eagle High for the
paper, stamp the envelope, and see to the mailing of the paper to
Eagle High at the address below. The parent may of course help
the student with this task. (This could be the student's first
experience with mailing something!)
Optional Items
Lastly, a couple of 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 High Web page, so the students can
"see each other."
2. A student's "online biographical sketch" to accompany the
photo.
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 High at:
Eagle Academy
49 Violet Avenue
Poughkeepsie, NY 12601
(845) 575-3000 Ext. 2955
Questions regarding this form should be addressed to sherry.dingman@marist.edu or write to us at the address above.