Inquire

For more information about admissions, please contact the Admission Office at 314.434.5141.

Student's Name

	First Name:*

	Last Name:*

	Nickname:

	Gender*

	Address:*

	City:*

	State:*

	Zip:*

	Phone Number (with area code):*

	Family E-Mail Address:*

	Current School:*

	Current Grade:*

	Year of Entry:*

Parents' Names

	Father

	First Name

	Last Name:

	Mother

	First Name:

	Last Name:

	Would you be interested in receiving information about need-based financial aid?

	Do you have any questions that we can answer for you right now?

Please Note: Questions marked with an asterisk (*) are required.

Whitfield School
175 South Mason Road • St. Louis, Missouri 63141
tel:314.434.5141 • fax:314.434.6193 • www.whitfieldschool.org