Applications for students applying to 1st grade and above must be accompanied by grade records from the student’s current school.

Each application for admission must be accompanied by an application fee of $75.00 which is non-refundable.

Filing of this application does not constitude admission to Hickory Day School. Required admissions testing and interviews will be arranged after the application, fee, and required records are received. Parents are responsible for having previous school records, health forms, and letters of recommendation sent to Hickory Day School. Satisfactory completion of the entire admissions procedures and notification of acceptance are required for admission.

Where parents share legal custody of the child named herein, unless otherwise dictated by a current and valid court order, both parents are required to sign this application indicating the agreement of the parents to enroll the child in HDS; failure to do so will be deemed an omission, which may result in the denial of this application. If a court order as referenced above is controlling, a copy of the court order shall be provided to HDS as part of the application.

It is understood that all information submitted as application for admissions will be viewed by members of the school’s Admissions Committee. It is further understood that omission or falsification of information on this application may be grounds for denial of a student’s application or for immediate dismissal of the student.

The admission policy is non-discriminatory with regard to sex, race, color, national origin, religion, height, weight, marital status, handicap, age, political affiliation, sexual orientation, gender identity, disability, or any other status covered by federal, state, or local law.

All applicants will be notified of the Admissions Committee decision by either email or telephone. Please provide your phone number and email address below. Contracts will be sent via US mail.

Name *
Address (Street, City, State, Zip)
Address (Street, City, State, Zip)
Should an opening become available mid-year, would you be interested in immediate enrollment?
Student lives with:
Name, home address, phone, email address
Name, home address, phone number, email address
*Any diagnosis of learning differences student has received *Any medication student takes in relation to learning or behavior *Any counseling/tutoring student receives for educational or behavioral issues
Has applicant been subject to any disciplinary action at previously attended schools?
(i.e., explusion, suspension, detention, etc.)
(Failure to disclose fully will result in immediate expulsion.)