Home
About MH-MA
Admissions
Academics
Athletics
Student Life
Parents
Giving
Alumni/Friends

Maur Hill - Mount Academy

Boarding Student Application

Applicant Information

Grade Applying For:

Desired Entry:

Entry Year:

Type:

First Name:

Middle Name:

Last Name:

Nickname:

Gender:

Age:

Date of Birth:

Student Email:

Religion:

Parish/Church:

Social Security #:

Ethnicity: (Hispanic or Latino)

Race:

Primary Contact Information:

Who Should be contacted regarding this application?

Primary Contact Name:

Phone:

Email:

How did you hear about Maur Hill - Mount Academy?

Family Information:

Check as applicable:

Lives with both Parents
Lives with Mother
Lives with Father
Lives with Guardian
Parents Divorced
Parents Separated
Mother Deceased
Father Deceased
Mother Remarried
Father Remarried
Other

Please us this to explain any special circumstances.

Names and ages of other children in family:

Father (Legal Guardian) Information

Full Name:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone:

Email:

Occupation

Employer:

Mother (Legal Guardian) Information

For information that is the same for Father and Mother, you may write "same" in the space where applicable.

Full Name:

Address Line 1

Address Line 2

City:

State:

Zip:

Phone:

Email:

Occupation:

Employer:

Present School:

School Name:

City:

State:

Grades Attended:

General Information

Does the applicant have any special learning, health, diet, or other specific considerations? If yes, please explain.

Has the applicant been in trouble in or outside of school?

If yes, please share.

Do you have any relatives or family friends that have attended Maur Hill, The Mount, or MH-MA?

Please share name(s) and when they attended:

Please use the space below to include any additional information.

I understand that any misstatement or omission of information made on this application or during the admissions process may result in the revocation of an offer of admissions and/or enrollment to, or involuntary withdraw of the above student from Maur Hill - Mount Academy.

If you press the "submit application" button and nothing happens, please scroll up and enter information in the required fields that were left blank or without a selection.

Powered By ChronoForms - ChronoEngine.com

Boarding Students

Why MH-MA
Inquire
Visit Campus
Refer A Student
Residency Life
Affording MH-MA
Application Process
Online Application
Admissions Video

Maur Hill - Mount Academy | 1000 Green Street | Atchison, Kansas 66002 | 913.367.5482 | 913.367.5096