Application for Admission

2012-2013 Academic Year - Phone: 732.513.5891

If you have any problems during the online application process, please email info@piacs.org.


Look up prior applications FOR RETURNING APPLICANTS

Student First Name:

Student Last Name:

Date of Birth (year-mm-dd) :

Application 2012-2013 Academic Year

Student's Name  ( * indicates a required field )
*First

Middle

*Last

*Birth Date

Gender F M

Name and City of Current School of Attendance

Current Grade (2011-2012)
Pre-K K 1 2

* Applying Grade (2012-2013)
K 1 2

School District of:
Princeton Regional
S. Brunswick
West Windsor-Plainsboro Regional
Other

Name of Parent/Guardian

Address
Street

City

Zip Code

Telephone
Home

Work

Cell

E-Mail

Name of Parent/Guardian

Address
Street

City

Zip Code

Telephone
Home

Work

Cell

E-Mail

Emergency Contact Information (in the event we cannot contact parents/guardians at above numbers)

Name

Telephone

Please list any siblings who are on the waiting list or applying for admission this year. Note: you must submit a separate application for each child applying this year.

Name
Current School/Grade

Name
Current School/Grade

Name
Current School/Grade


Note: All applications must be received by midnight of the end date of the current application period. If necessary, the admissions lottery will be held on the following Monday. Notification will be mailed within 10 days. All Information on this application will be treated as confidential.

PDF version of the application form. Apply by Fax: (800)269-8546.