Domestic Student | Wesley College Prep

Domestic Application for Admission

Student's First Name

Middle Name

Last Name

Gender

Male

Female

Current School

Current Grade

Student's Date of Birth

Place of Birth

Student's Phone Number

Student's Address

Father's Full Name

Father’s Employment – Name of Company

Mother's Full Name

Mother's Employment - Name of Company

Father’s Profession & Position

Mother’s Profession & Position

Father's Phone Number

Mother's Phone NUmber

If other, please state who child resides with:

Guardian’s Full Name

Guardian’s Employment – Name of Company

Guardian’s Email

Guardian’s Profession & Position

Guardian’s Phone Number

Guardian’s Address

I confirm that the information given in this form is true, complete and accurate.

Thanks for submitting!

WESLEY COLLEGE PREPARATORY SCHOOL