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| | | GRADES 6-12 P.O. Box 210 • Staunton, Virginia 24402 [email protected] P (540) 213-7774 F (540) 886-2275 APPLICATION & ADMISSIONS FORMS VAIS Accredited

Stuart Hall School Middle and Upper School Application

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Page 1: Stuart Hall School Middle and Upper School Application

| | |

GRADES 6-12

P.O. Box 210 • Staunton, Virginia [email protected] (540) 213-7774 • F (540) 886-2275

APPLICATION & ADMISSIONS FORMS

VAIS Accredited

Page 2: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org2 IMPORTANT INFORMATION

Stuart Hall School offers a rigorous and supportive coeducational academic program in the liberal arts and sciences for students from PreKindergarten through Grade 12. With respect for the development of each individual, the School is a community anchored in a multi-faceted core value:

Educating the Mind

Strengthening the Body

Renewing the Heart

Nurturing the Spirit

In the context of its Episcopal tradition, Stuart Hall School prepares boys and girls of all faiths for success in colleges and universities worldwide and for engaged, healthy lives of intellectual curiosity, responsible citizenship, creative expression, ethical leadership, and compassionate service.

OUR MISSION

TWO CAMPUSES, ONE SCHOOL

Verona, Virginia Staunton, VirginiaPreKindergarten - Grade 5 Grades 6-12

POLICY OF NON-DISCRIMINATION

Stuart Hall School does not discriminate on the basis of gender, race, creed, color, sexual orientation, or national or ethnic origin in its hiring procedures or in its administration of its educational policies, admissions, financial aid, or other social programs. It affords all faculty, staff, and students the rights and privileges that are generally made available at the School.

Page 3: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org TABLE OF CONTENTS 3

4 ADMISSION CHECKLIST

5 APPLICATION

7 PARENT/GUARDIAN QUESTIONNAIRE

9 APPLICANT’S PERSONAL STATEMENT

11 RECOMMENDATION: ENGLISH TEACHER

13 RECOMMENDATION: MATH TEACHER

15 TRANSCRIPT RELEASE FORM

CONTENTS

Page 4: Stuart Hall School Middle and Upper School Application

4 ADMISSION CHECKLIST STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

APPLICATION FOR ADMISSION

APPLICATION FEE $45.00 (Domestic) | $100 (International) Check payable to Stuart Hall School

PARENT/GUARDIAN QUESTIONNAIRE

APPLICANT’S PERSONAL STATEMENT

ENGLISH TEACHER RECOMMENDATION

MATH TEACHER RECOMMENDATION

TRANSCRIPT RELEASE FORM Please sign and give to current school

TESTING: Achievement (Stanford, Iowa Test, etc.), SSAT, PSAT, SAT or ACT, and Psycho-educational

TOEFL/IELTS/SSAT (International students)

CAMPUS VISIT (Day students in Grades 6-12) Boarding students are encouraged to visit, if possible.

INTERVIEW (Day students in Grades 9-12; all boarding students)

ADMISSION CHECKLIST

Page 5: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org APPLICATION 5 STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

APPLICATION FOR ADMISSION

STUDENT INFORMATION

FIRST MIDDLE LAST

STREET CITY STATE, ZIP

SCHOOL YEAR 20_____ - 20_____

DAY STUDENT

RESIDENT 5-DAY STUDENT RESIDENT 7-DAY STUDENT

INTERNATIONAL STUDENT PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

AFRICAN AMERICAN ASIAN AMERICAN CAUCASIAN NATIVE AMERICAN

LATINO/HISPANIC MIDDLE EASTERN MULTIRACIAL

DATE OF APPLICATION:

APPLICANT’S FULL NAME:

GENDER:

ADDRESS:

PHONE:

RACE:

EMAIL:

PREFERRED NAME: DATE OF BIRTH:

APPLICATION FOR GRADE:

OPTIONAL- USED FOR DIVERSITY STATISTICS ONLY:

FAMILY INFORMATION

FATHER MOTHER STEP FATHER STEP MOTHER OTHER:

MARRIED SINGLE SEPARATED DIVORCED WIDOWED OTHER

PARENT/GUARDIAN NAME : PARENT/GUARDIAN NAME :

ADDRESS:

RELATIONSHIP: RELATIONSHIP:

ADDRESS:

PHONE:

PARENTS/GUARDIANS ARE:

PERSON(S) RESPONSIBLE FOR TUITION AND FEES:

NAME OF RELATIVES CURRENTLY OR  FORMERLY AT STUART HALL:

NAMES, AGES, AND SCHOOLS ATTENDING OF  OTHER CHILDREN IN APPLICANT’S FAMILY:

IF PARENTS ARE DIVORCED OR SEPARATED, WHO IS THE CUSTODIAL PARENT?:

APPLICANT LIVES WITH:

PHONE:

EMAIL: EMAIL:

EDUCATION:EDUCATION:

OCCUPATION: OCCUPATION:

EMPLOYER: EMPLOYER:

WORK PHONE: WORK PHONE:

SELECT ALL THAT APPLY

LANGUAGES OTHER THAN ENGLISH SPOKEN AT HOME:

Page 6: Stuart Hall School Middle and Upper School Application

APPLICATION FOR ADMISSION, PAGE 2

EXTRA CURRICULAR AND PERSONAL ACTIVITIES

APPLICANT IS CURRENTLY ENROLLED IN GRADE:

CURRENT SCHOOL PHONE:

FORMER SCHOOL(S)/DATE(S) OF ATTENDANCE:

HOW DID YOU HEAR ABOUT STUART HALL?

OTHER SCHOOLS APPLICANT IS CONSIDERING?

HAS THE APPLICANT SKIPPED OR REPEATED A GRADE? PLEASE EXPLAIN.

DOES THE APPLICANT HAVE ANY HEALTH OR EMOTIONAL NEEDS? IS THE APPLICANT EXPERIENCING EMOTIONAL OR BEHAVIORAL  DIFFICULTY AT PRESENT?*

HAS THE APPLICANT EVER BEEN DISMISSED, ASKED TO WITHDRAW,  OR WITHDRAWN FROM SCHOOL FOR ANY REASON, INCLUDING  MEDICAL OR EMOTIONAL REASONS? PLEASE EXPLAIN THE CIRCUMSTANCES.

PLEASE ATTACH A SEPARATE SHEET LISTING YOUR PRINCIPAL EXTRACURRICULAR, COMMUNITY AND FAMILY ACTIVITIES, AND HOBBIES IN ORDER OF INTEREST TO YOU (SCHOOL, VOLUNTEER GROUPS, ATHLETICS, MUSIC, CAMPS, jOBS, ETC.). ALSO INCLUDE YEARS PARTICIPATED AND ANY AWARDS AND HONORS YOU HAVE RECEIVED.

CURRENT SCHOOL:

ARE YOU INTERESTED IN FINANCIAL AID?

CURRENT SCHOOL ADDRESS:

YES NO

*A full disclosure report is required. pleAse hAve the report sent to Admissions office. STUART HALL SCHOOL DOES NOT DISCRIMINATE ON THE BASIS OF GENDER, RACE, CREED, COLOR, SEXUAL ORIENTATION, OR NATIONAL OR ETHNIC ORIGIN IN ITS HIRING PROCEDURES OR IN ITS ADMINISTRATION OF ITS EDUCATIONAL POLICIES, ADMISSIONS, FINANCIAL AID, OR OTHER SOCIAL PROGRAMS. IT AFFORDS ALL FACULTY, STAFF, AND STUDENTS THE RIGHTS AND PRIVILEGES THAT ARE GENERALLY MADE AVAILABLE AT THE SCHOOL.

PLEASE RETURN THIS FORM TO STUART HALL SCHOOL • ADMISSIONS • PO BOX 210 • STAUNTON, VA 24402 • (540) 213-7774 • [email protected]

ADDITIONAL INFORMATION

Page 7: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

1. WHY DO YOU WISH FOR YOUR CHILD TO BE CONSIDERED FOR ADMISSION? 

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

2. WHAT ARE YOUR EXPECTATIONS FOR YOUR CHILD’S SCHOOL EXPERIENCE? 

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

3.  WHAT ROLE DO YOU PLAY IN YOUR CHILD’S EDUCATION?  

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

4. CHOOSE FIVE ADjECTIVES TO DESCRIBE YOUR CHILD.  

_____________________________________________________________________________________________

5.  DESCRIBE YOUR CHILD’S STRENGTHS.  

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

6. ARE THERE ANY AREAS IN WHICH YOUR CHILD WOULD NEED ADDITIONAL SUPPORT?

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

PARENT/GUARDIAN QUESTIONNAIREGRADES 6-12

PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

GENERAL INFORMATION

SIGNATURE___________________________________________________________________________________ DATE_____/_____/_____

PARENT QUES: GRADES 6-12 7

Page 8: Stuart Hall School Middle and Upper School Application

8 PARENT QUES: GRADES 6-12 STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

Page 9: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

NAME____________________________________________________________________________________ GRADE ___________ SIGNATURE________________________________________________________________________________ DATE_____/_____/_____ STUART HALL SCHOOL ADMITS STUDENTS OF ANY RACE, RELIGION, COLOR, NATIONAL OR ETHNIC ORIGIN TO ALL RIGHTSPRIVILEGES, PROGRAMS, AND ACTIVITIES GENERALLY ACCORDED OR MADE AVAILABLE TO STUDENTS AT THE SCHOOL.

PLEASE RETURN THIS FORM TO STUART HALL SCHOOL • ADMISSIONS • PO BOX 210 • STAUNTON, VA 24402 • (540) 213-7774 • [email protected]

WHAT INTERESTS YOU ABOUT THE SCHOOL? WHAT SPECIAL STRENGTHS AND CHARACTERISTICS WILL YOU BRING TO THE STUART HALL SCHOOL COMMUNITY? (PLEASE ATTACH ADDITIONAL SHEETS IF NECESSARY.)

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

GRADES 6-8: CHOOSE ONE OF THE FOLLOWING TOPICS AND WRITE AN ESSAY ON THE BACK OF THIS PAGE ANSWERING THE QUESTION COMPLETELY (PLEASE ATTACH EXTRA SHEETS IF NECESSARY). GRADES 9-12: GRADES 9-12 CHOOSE TWO OF THE FOLLOWING TOPICS AND WRITE A WELL PLANNED ESSAY (USING THE BACK OF THIS PAGE)FOR EACH TOPIC, ANSWERING THE QUESTION COMPLETELY (PLEASE ATTACH EXTRA SHEETS IF NECESSARY). 1. DESCRIBE A PERSON YOU ADMIRE AND EXPLAIN WHY.2. IDENTIFY THE GREATEST CHALLENGE YOU FACE IN YOUR LIFE AT THIS TIME AND EXPLAIN HOW YOU DEAL WITH IT.3. DESCRIBE WHAT YOU WOULD DO IF YOU WERE TRAPPED IN A LIBRARY FOR TWO HOURS.4. WRITE ABOUT A BOOK THAT MADE YOU THINK DIFFERENTLY ABOUT THE WORLD.

APPLICANT’S PERSONAL STATEMENT GRADES 6-12

PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

Please use your own handwriting. This section should be a sample of the applicant’s original work, with no assistance from a parent or teacher.

Page 10: Stuart Hall School Middle and Upper School Application

10 PERSONAL STATEMENT GRADES 6-12

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

Page 11: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org REC: ENGLISH 11

STUDENT NAME ________________________________________________________________________________________________________

ENGLISH TEACHER RECOMMENDATION GRADES 6-12

PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

The student above is a candidate for admission to Stuart Hall. Please complete this form to help us become better acquainted with the candidate. Please make your assessment of the applicant only in relation to other children of the same age. Your recommendation is confidential and will not be shared with the family. Thank you for your help. May someone from our School contact you to discuss your comments? YES NO

YOUR NAME: ____________________________________________________________________________________________________________

SCHOOL NAME AND ADDRESS: __________________________________________________________________________

PHONE: _______________________________________ EMAIL: _____________________________________________

SIGNATURE___________________________________________________________________________________ DATE_____/_____/_____

PLEASE RETURN THIS FORM TO STUART HALL SCHOOL • ADMISSIONS • PO BOX 210 • STAUNTON, VA 24402 • FAX (540) 886-2275 • [email protected]

HOW LONG HAVE YOU KNOWN THE APPLICANT?

IN WHAT COURSE(S) HAVE YOU TAUGHT THE APPLICANT?

APPLICANT’S GRADE IN YOUR COURSE(S)?

PRIMARY TYPES OF WRITING ASSIGNMENTS IN YOUR COURSE(S):

WHAT THREE WORDS COME TO MIND TO DESCRIBE THE APPLICANT?

WHAT ARE THE APPLICANT’S MAjOR STRENGTHS IN YOUR COURSE(S)?

WHAT ARE THE APPLICANT’S MAjOR WEAKNESSES IN YOUR COURSE(S)?

PLEASE ADVISE US OF ANY BEHAVIORAL PROBLEMS YOU HAVE EXPERIENCED WITH THIS STUDENT IN YOUR CLASSROOM.

IN WHAT OTHER CAPACITY, IF ANY, HAVE YOU KNOWN THE APPLICANT?

GENERAL INFORMATION

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

Page 12: Stuart Hall School Middle and Upper School Application

ENGLISH TEACHER RECOMMENDATION, GRADES 6-12, PAGE 2

ACADEMIC POTENTIAL

INDEPENDENT READER

AS A STUDENT

REACTION TO SETBACKS

READING COMPREHENSION

OVERALL

RESOURCEFULNESS/INITIATIVE

READING LEVEL

AS A PERSON

CONDUCT

VOCABULARY KNOWLEDGE

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

CREATIVITY

ABILITY TO WORK INDEPENDENTLY

EMOTIONAL STABILITY

SENTENCE STRUCTURE

ACCEPTANCE OF RESPONSIBILITY

GRAMMAR/MECHANICS

PERSONAL INTEGRITY

ORIGINALITY OF IDEAS

RELATIONSHIP TO ADULTS

ORGANIZATION OF IDEAS

ABILITY TO FOLLOW DIRECTIONS

ABILITY TO WORK WITH OTHERS

AVERAGE

AVERAGE

AVERAGE

FOR jUDGEMENT

FOR jUDGEMENT

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

ALL THINGS CONSIDERED, HOW WOULD YOU RATE THE APPLICANT:

SPECIFIC ENGLISH INFORMATION

GENERAL RATING

12 REC: ENGLISH

Page 13: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org REC: MATH 13 STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org

STUDENT NAME ________________________________________________________________________________________________________

MATH TEACHER RECOMMENDATION GRADES 6-12

PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

The student above is a candidate for admission to Stuart Hall. Please complete this form to help us become better acquainted with the candidate. Please make your assessment of the applicant only in relation to other children of the same age. Your recommendation is confidential and will not be shared with the family. Thank you for your help. May someone from our School contact you to discuss your comments? YES NO

YOUR NAME: ____________________________________________________________________________________________________________

SCHOOL NAME AND ADDRESS: __________________________________________________________________________

PHONE: _______________________________________ EMAIL: _____________________________________________

SIGNATURE___________________________________________________________________________________ DATE_____/_____/_____

HOW LONG HAVE YOU KNOWN THE APPLICANT?

IN WHAT COURSE(S) HAVE YOU TAUGHT THE APPLICANT?

APPLICANT’S GRADE IN YOUR COURSE(S)?

PRIMARY TYPES OF WRITING ASSIGNMENTS IN YOUR COURSE(S):

WHAT THREE WORDS COME TO MIND TO DESCRIBE THE APPLICANT?

WHAT ARE THE APPLICANT’S MAjOR STRENGTHS IN YOUR COURSE(S)?

WHAT ARE THE APPLICANT’S MAjOR WEAKNESSES IN YOUR COURSE(S)?

PLEASE ADVISE US OF ANY BEHAVIORAL PROBLEMS YOU HAVE EXPERIENCED WITH THIS STUDENT IN YOUR CLASSROOM.

IN WHAT OTHER CAPACITY, IF ANY, HAVE YOU KNOWN THE APPLICANT?

PLEASE RETURN THIS FORM TO STUART HALL SCHOOL • ADMISSIONS • PO BOX 210 • STAUNTON, VA 24402 • FAX (540) 886-2275 • [email protected]

GENERAL INFORMATION

Page 14: Stuart Hall School Middle and Upper School Application

MATH TEACHER RECOMMENDATION, GRADES 6-12, PAGE 2

ACADEMIC POTENTIAL

PROCEDURE SKILLS

AS A STUDENT

REACTION TO SETBACKS

NUMBER SENSE AND OPERATIONS

OVERALL

RESOURCEFULNESS/INITIATIVE

PROBLEM SOLVING SKILLS

AS A PERSON

CONDUCT

UNDERSTANDING OF PATTERNS & MATHEMATICAL RELATIONSHIPS

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

EXCELLENT GOOD AVERAGE BELOW POOR NO BASIS

CREATIVITY

ABILITY TO WORK INDEPENDENTLY

EMOTIONAL STABILITY

PROBABILITY

FLUENCY WITH FRACTIONS

FLUENCY WITH INTEGERS

ACCEPTANCE OF RESPONSIBILITY

ALGEBRA

GEOMETRIC CONCEPTS

PERSONAL INTEGRITY

DATA AND STATISTICS

FLUENCY WITH WHOLE NUMBERS

RELATIONSHIP TO ADULTS

MEASUREMENT CONCEPTS

FLUENCY WITH DECIMALS

ABILITY TO FOLLOW DIRECTIONS

ABILITY TO WORK WITH OTHERS

SPECIFIC MATH INFORMATION

AVERAGE

AVERAGE

AVERAGE

FOR jUDGEMENT

FOR jUDGEMENT

GENERAL RATING

ALL THINGS CONSIDERED, HOW WOULD YOU RATE THE APPLICANT:

FOR jUDGEMENT

Page 15: Stuart Hall School Middle and Upper School Application

STUART HALL SCHOOL • PO BOX 210 • Staunton, Virginia 24402 • (540) 213-7774 • stuarthallschool.org TRANSCRIPT 15

TO PARENTS/GUARDIANS

TO THE GUIDANCE COUNSELOR

TRANSCRIPT RELEASE

PO BOX 210 Staunton, Virginia 24402 (540) 213-7774 stuarthallschool.org

STUDENT NAME ________________________________________________________________________________________________________

SCHOOL NAME AND ADDRESS: __________________________________________________________________________

PRINCIPAL OR HEADMASTER: ___________________________________________________________________________ GUIDANCE COUNSELOR/OFFICE ADMINISTRATOR: _____________________________________________

Please review and complete the authorization below. Give this form to the office at your child’s school for processing. In accordance with federal regulations regarding the privacy rights of parents and students under the Family Educational Rights and Privacy Act of 1974, the undersigned hereby consents to the release of all educational records pertaining to the above named applicant to Stuart Hall School, including recommendations and other information that may be requested.

The student named above has applied for admission to Stuart Hall School.

Please send the following:

1. A transcript of the student’s record to date. Please include current grades and/or comments.

2. A copy of the student’s complete standardized test profile.

3. Any psychological or educational testing or evaluations.

4. Attendance Records

5. Discipline Records

If this student is admitted to Stuart Hall School, we will request a final transcript of the student’s record at the conclusion of the academic year. Please keep this authorization form for your files so that another form will not be necessary. Thank you for your cooperation and assistance.

SIGNATURE ___________________________________________________________________________________ DATE_____/_____/_____PARENT/GUARDIAN

Page 16: Stuart Hall School Middle and Upper School Application

TRANSPORTATION

P.O. Box 210 • Staunton, Virginia [email protected] P (540) 213-7774 • F (540) 886-2275 VAIS Accredited

| | |

Transportation Route

Veronalower school campus

Mount Crawford

Harrisonburg

Fisherville

Waynesboro

Stauntonmiddle andupper schoolcampus

11

Lexington

Students who live in the surrounding area can take advantage of bus routes from Harrisonburg, Lexington, and Waynesboro. Our routes run to the Lower School and Middle/Upper School campuses and a shuttle in between the two makes it easy for siblings of different ages to ride to school together. Our bus stops are in safe, public locations that are easily accessible to parents for drop-off and pick-up, and our bus fleet includes mini coaches that are comfortable for the rides to and from school. Our drivers are caring individuals who see stu-dents safely to their destinations and whose record of service is impeccable.

Transportation is provided at a fee, which varies depending on the route and frequency of travel. Centrally located routes are determined by the geographical placement of our families from year-to-year. Please inquire about stops close to your home. All transportation is managed by our Transportation Coordinator.