Online Admissions Application Student InformationName* First Last Preferred Gender* Birth Date* MM slash DD slash YYYY Applying for academic year*Please select one.2020-20212021-20222022-20232023-2024Entering Grade* 9 10 11 12 Applicant’s email address Applicant’s cell phoneParent 1 or guardian’s informationParent 1 or guardian’s name* First Last Parent 1 or guardian’s relationship to applicant Parent 1 or guardian’s mailing address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is your Address outside the United States?If you have a foreign address, please enter the complete address below. Note that you will still need to also fill out the required address in the US module above to submit the form.Parent 1 or guardian’s residential address (if different from mailing) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Occupation Business name and address Cell phoneHome phoneWork phoneParent 1 Email* Parent 2 or guardian’s informationParent 2 or guardian’s name First Last Parent 2 or guardian’s relationship to applicant Parent 2 or guardian’s mailing address (if different from Parent 1) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is your Address outside the United States?If you have a foreign address, please enter the complete address below. Note that you will still need to also fill out the required address in the US module above to submit the form.Occupation Business name and address Cell phoneHome phoneWork phoneEmail Family informationIf parents live separately, child lives with Parent 1 Parent 2 Both School correspondence should be addressed to Parent 1 Parent 2 Both Names and birth dates of other children in family Applicant informationSchool(s) applicant has attendedSchoolCity and StateDates attended Current or last grade attended Has the applicant received extracurricular tutoring or remedial help? Has the applicant received psychological counseling? Please explain. Has the applicant ever been suspended from or expelled from a school or school program? Does the applicant have any physical, physiological, or psychological conditions of which we should be aware? If yes, is the applicant currently taking any medication(s) for this condition? Will the applicant enroll in* German language study Spanish language study Does applicant play a musical instrument? If one or more, please list Please upload a writing sample (3MB limit)Please upload a writing sample—an essay or other written work—that the applicant completed as an assignment from his or her present or most recent school. Word, PDF or Text ONLY.Accepted file types: doc, docx, pdf, rtf, txt, Max. file size: 3 MB.Is the applicant’s family planning to apply for financial aid? Yes No How did you hear about our school? $80 non-refundable application fee*The Berkshire Waldorf High School 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. Amount: By checking this box, you agree to our Privacy Policy*View the Privacy Policy here. Opens in a new tab. Agree Select Payment Method*If paying by check, please make payable to Berkshire Waldorf High School and write "Application Fee" in the memo field. Check should be mailed to: Berkshire Waldorf High School P.O. Box 905 Great Barrington, MA 01230 Will Mail Check / Alternative Payment PayPal (Use Your Credit Card) Stripe (Credit Card) What Happens Next?After clicking the "Submit" button below, you will receive a confirmation message on this screen and also an email to the Parent 1 email address confirming a successful submission. The confirmation message and email will contain links to two additional forms that will need to be submitted and other information we need for the application process.Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Δ