Online Application

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STUDENT'S INFORMATION
First Name:
Middle Name:
Last Name:
Name Student Prefers:
Sex:	Male Female
Phone:
Date of Birth:
Street or Post Office Box:
City:
State:
Zip:
Email Address:
Currently Enrolled in Grade:
Applying for Grade:
for August of:

PARENT(S) OR GUARDIAN(S) Note: If separated or divorced, please list the name of the parent with whom the school should correspond.
Parent are:	Married Separated Divorced Widowed
Parent(s) or Guardian(s):

Father's Information
Father's Title and Full Name:
Check here if father's address is the same as applicant's
Address:
City:
State:
Zip:
Father's Email Address:
Father's Home Phone:

Father's Place of Employment:
Position:
Father's Business Address:
City:
State:
Zip:
Business Phone:
Father's Cell Phone:

Mother's Information
Mother's Title and Full Name:
Check here if mother's address is the same as applicant's
Address:
City:
State:
Zip:
Mother's Email Address:
Mother's Home Phone:

Mother's Place of Employment:
Position:
Mother's Business Address:
City:
State:
Zip:
Business Phone:
Mother's Cell Phone:

CURRENT SCHOOL
School Presently Attending:
Principal or Head:
Telephone Number:
Fax Number:
Mailing Address:
City:
State:
Zip:

Please give the following information on all siblings:
Sibling's Name:
Sex:	Male Female
Age:
School Presently Attending:

Sibling's Name:
Sex:	Male Female
Age:
School Presently Attending:

Sibling's Name:
Sex:	Male Female
Age:
School Presently Attending:

Sibling's Name:
Sex:	Male Female
Age:
School Presently Attending:

Sibling's Name:
Sex:	Male Female
Age:
School Presently Attending:

Please list the name and relationship of other family members who have attended or graduated from:
Porter-Gaud School:
Year:
Gaud School:
Year:
Porter Military Academy:
Year:

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In submitting this application, the student and parents or guardian recognize that Porter-Gaud has a relationship with the Episcopal Church and, therefore, offers a religious program including worship services required of all students; that specific clothing and grooming standards are expected of all students; and that certain standards of behavior are requried of all students. Porter-Gaud takes pride in its Honor Code by which the student pledges personal honesty in both act and word. The school is willing to accept only those who feel that they can endorse and live by this code.

Porter-Gaud does not discriminate on the basis of race, gender, color, national or ethnic origin in the administration of academic, scholarship, educational and athletic policies.

PLEASE SEND application fee ($75) to: Porter Gaud School ATTN: Eleanor Hurtes 300 Albemarle Rd. Charleston, SC 29407 Your application will be processed upon receipt of application fee...