Inquiry
indicates required fields
Student Information
Name
First
Last
Date of Birth
mm/dd/yyyy
Gender
Student Email:
Name of Current School
Current Grade in School
6th
7th
8th
9th
10th
11th
12th
Day or Boarding?
Day Student
Boarding Student
Grade applying for
8th
9th
10th
11th
12th
Year Applying For
2024/25
2025/26
2026/27
Applying for Financial Aid?
Yes
No
Household Information
Home Address
Parent/Guardian Information
Parent / Guardian Name
First
Last
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Email Address
Phone Number:
Cell
Home
Work
Type
Number
Additional Information
Favorite Subjects in School
Activities or Sports
How did you learn about Lincoln Academy?
Internet Search
Word of Mouth
Friends or relatives
School fair
Educational consultant
Other
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Do you have any questions about Lincoln Academy?