Upper School | Admission Application Supplement Form

Applicant First Name *

Applicant Last Name *

Are you applying as a day student or boarding student? *

Contact Email *

Phone Number (ex. 954-456-6789) *

Street Address *

Street Address Line 2

City *

State

Zip Code *

Country of Residence (if outside of the US)

Date of Birth - Applicant * +

Grade level applying for - Applicant *

Does the applicant have a diagnosed learning difference? (Yes or No) If yes, please send 504/IEP/psycho-educational evaluation to admissions@nbps.org. *

Are you applying for the Lighthouse Point Academy (LPA)? This program is for students with diagnosed mild learning differences. (Yes/No) If yes, please send 504/IEP/psycho-educational evaluation to admissions@nbps.org. *

For BOARDING or DAY INTERNATIONAL students only: If English is not your primary language, do you have an English proficiency test result to provide (TOEFL, IELTS, etc)? (Yes/No) If yes, please send to admissions@nbps.org.

Ethnicity

Expected Starting Date *

What extracurricular/volunteer activities is the applicant involved in? *

For students applying to Grades 9 - 12, are you also applying to the Fine Arts Academy? (Yes/No)

For students applying to Grade 11 or Grade 12, are you also applying to the International Baccalaureate Diploma Program (IB)? (Yes/No)

Has the student been suspended or expelled? If yes, please provide explanation below. *

Explanation of suspension or expulsion.

For international students, would you require an I-20 from North Broward Prep? (Yes/No)

How did you hear about us?

Is there anything else you would like to tell us about your child's interests?