Inquiry Form – Jewell School

Admission & Inquiry

Students Name *

First

Middle

Last

Dropdown

Date of Birth

Current School Name

Entering Year

Entering Grade

Household Information: Is Address the Same as Student?

City

Parents Name *

First

Last

Parent Information: *

Relationship to Student

Address 1

State

Zip Code

Email *

Cell Phone *

Work Phone

Add Another Household

Add Another Household Information Here:

Did someone refer you to Jewell School?

How did you hear about Jewell School?

Please let us know the name of the turor or school that you heard about us from? *

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Why are you looking for a new school? *

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What have you seen or heard about Jewell School that makes you think it might be a good fit for your child? *

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Tell us 3 great things about your child *

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What does your child express about what is difficult at school? *

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Please list any additional comments or anything you would like us to know or consider at this time. *

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