Advisor Request Form

The Student Life Office and that of the Academic Dean encourage you to select for an advisor, an adult on campus with whom you have already established a meaningful relationship. Existing dorm and advisee commitments may limit the availability of some faculty members, so please be sure to consider and select your top FOUR choices below and make certain to follow up with that adult in person. You must fill out this form, EVEN IF YOU WISH TO REMAIN with your current advisor.

Your Name*
First Last
Your Email Address*
I am CURRENTLY in*
- 9th grade (2024)
- 10th grade (2023)
- 11th grade (2022)
Housing Status*
- I am a Boarder
- I am a Day Student
Your CURRENT advisor's name
First Last
FIRST Choice*
SECOND Choice*
THIRD Choice*
FOURTH Choice*
The above-named faculty members know my interest in being in their advisory group*
- YES
- NO, but I intend to reach out to them
I have contacted my parents/guardians about my advisor choice(s)*
- YES
- NO, but intend to
Notes:
CAPTCHA

7 Boyden Lane, PO Box 87, Deerfield, MA 01342

NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS: Deerfield Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.