School Report – Deerfield Academy

submit a school report

Instructions

Your student is applying for admission to the summer program, EXP at Deerfield Academy. We appreciate you taking the time to fill out this form. Applications are reviewed as they are received, and we cannot render an admission decision until this form has been returned. The priority deadline for EXP applications is February 1st. Thank you for your help. Your information is a vital part of the admissions process. If you have questions, please contact the EXP program at (413) 774-1498 or by email.

Student Name(Required)

First Last

Family Email Address(Required)

Administrator Information

Administrator Name(Required)

Administrator Title

Administrator Email(Required)

Administrator Phone

School Name(Required)

Student Information

Has the student ever been dismissed, suspended, placed on probation, or received other disciplinary sanctions?(Required)

Yes

Incident Information(Required)

If you answered YES to the question above, please provide detailed information about the incident(s).

Has the student voluntarily withdrawn from school for an extended period of time for reasons other than health?(Required)

Yes

Incident Information(Required)

If you answered YES to the question above, please provide detailed information about the incident(s).

Transcript

In addition to answering the questions above, please upload the student’s transcript using the button below. Transcripts must be in Microsoft Word or PDFs.

Submit Transcript(Required)

Accepted file types: pdf, doc, docx, Max. file size: 8 MB.

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