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 NameLast Name
Age
MaleFemale
Date of Birth*

MonthDayYear
Date
Student Phone Number
Please include country code if non-U.S. number
Student 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.
No, I do not require a student visaYes, I need to apply for a new student visaYes, I need to transfer my student visa from another school in the U.S.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Grade Level*
Grade Level Applying For*
School Term Applying For*
Day StudentBoarding Student
Academics

Grade 9-12 and PG students should submit all available high school grades
Transcript Upload
School Last Attended*
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Athletics
Athletic Program of Interest*
Team Name (if applicable)
Name and City/State of team you are playing for
Recommender or Agent (if applicable)
Person or Agency who recommended you to Busche
Parent/Guardian's Information
Parent/Guardian's Name - Primary*

First NameLast Name
Relationship to Student*
Parent 1 Phone Number*
Please include country code if non-U.S. number
Parent 1 Email*
example@example.com
Parent 1 Occupation
Parent/Guardian's Name - Secondary

First NameLast Name
Relationship to Student
Parent 2 Phone Number
Please include country code if non-U.S. number
Parent 2 Email
example@example.com
Parent 2 Occupation
Health History
Please list any allergies, dietary or religious restrictions the student has:
Please list any medications the student is currently taking or planning to take:
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 admin@buscheacademy.org. To schedule a call with us, please include your phone number and call availability in your email.
Parent/Guardian Signature*
Should be Empty:

School Application Form

Academics

Athletics

Parent/Guardian's Information

Health History

Reminders