Busche Academy Application

School Application Form

Busche Academy is a private, coeducational boarding and day, college-preparatory school for students in Grades 6-12 and Postgraduates.
Student Name *

First Name Last Name
Age
Gender *

Male Female
Date of Birth *

Month Day Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Citizenship *
Please select your citizenship status.
Nationality (if Non-U.S.)
Please indicate which country student holds citizenship in if not from the U.S.
Require Student Visa to Attend School in the U.S.? *

No, I do not require a student visa Yes, I need to apply for a new student visa Yes, I need to transfer my student visa from another school in the U.S.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current Grade Level *
Grade Level Applying For *
School Term Applying For *
Student Type *

Day Student Boarding Student
Athletic Interest (if any)

Basketball Baseball Ice Hockey Volleyball Softball eSports Other
School Last Attended *
School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary *

First Name Last Name
Relationship to Student *
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Occupation
Parent/Guardian's Name - Secondary

First Name Last Name
Relationship to Student
Phone Number
Please enter a valid phone number.
Email
example@example.com
Occupation
File Upload

9th Grade Applicants should submit their grades from both the current and previous school year. 10th-12th Grade and PG Applicants should submit all previous high school grades. Letters of Recommendation are not required, but may be submitted if available.
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Health History
If the student has any allergies, please list them down below:
Does the student currently take any medications? If yes, please list them down below:
Was the student previously hospitalized or underwent any surgery?
Does the student have any medical conditions that you would like to declare?
Reminders
INTERVIEW. A school administrator will be in contact soon to conduct an interview (in-person or virtual) with the student as part of the application process.

SUPPORT. For any questions regarding our school or our admissions process, please contact us via email at info@buscheacademy.org. To schedule a call with us, please include your phone number and call availability in your email.
Parent/Guardian Signature *

Clear

New Student Application Fee *

Application Fee (Domestic Students) For students living in the United States, the fee is $25.

$ 25.00

Application Fee (International Students) For students living outside the United States, the fee is $50.

$ 50.00

Total

$ 0.00

Credit Card

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School Application Form

Parent/Guardian's Information

File Upload

Health History

Reminders

Credit Card