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Application for Admission
Name*

Prefix
First
Last
Suffix
Preferred Name/Nickname
Gender*
Grade Applying For*
Academic Year*
Age*
Birthdate*

MM

DD

YYYY
Name of School most recently attended*
Dates of attendance*
Name of Head/Director
Phone
Applicant's Home Address*

Street Address
Address Line 2
City

State
Zip Code
Home Phone*
Primary Email*
Parents are*
Parent/Legal Guardian Information
Name*

Prefix
First
Last
Suffix
Primary Contact for Admissions Process
- Yes
- No
Home Address

Street Address
Address Line 2
City

State
Zip Code
Home Phone
Mobile Phone
Email
Employer
Job Title
Business Phone
College & Degree
Parent/Legal Guardian 2
Name

Prefix
First
Last
Suffix
Primary Contact for Admissions Process
- Yes
- No
Home Address

Street Address
Address Line 2
City

State
Zip Code
Home Phone
Mobile Phone
Email
Employer
Job Title
Business Phone
College & Degree
Why are you interested in Powhatan School for your child?
Please use this space to tell us more about your child
Please list the names and ages of applicant's brothers and sisters
If either parent or any sibling is an alumni of Powhatan School, please list their name
How did you hear about Powhatan School?*

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- Testimonial
  
  I send my children to Powhatan School to prepare them for the rigors of secondary and collegiate education. A love of reading, tenacity in approaching and solving problems, and necessary strong work habits are some of the tools that Powhatan provides. I feel confident that they educate the whole child with strong programs in the arts and athletics. As the parent of an eighth grader, I see the confidence on stage, in the classroom, and on the athletic field that sets our children apart from their peers. It is an investment that I am more than willing to make given the product offered.
  Powhatan School Parent
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  49 Powhatan Lane Boyce, VA 22620
  
  540-837-1009 Email Us
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Application for Admission