Application for Off-Campus Study

Name*
First Last
Email*
I am applying for my _______ year.*
Applying to:*
Applying to:*
Applying to:*
I will be away for:
Application Deadline*
MM slash DD slash YYYY
After meeting with the Dean of Studies, please use Parchment to request that your official transcript be sent to SYA.
Please be advised that you should not request your transcript until after you have met with Lydia Hemphill, Dean of Studies.*
- I understand I should not request my transcript until after meeting with the Dean of Studies.
Please tell us why you are interested in this program.*
What classes do you intend to take during this program?*
Have you spoken to Lydia Hemphill, Dean of Studies?*
- Yes
- No

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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.