The Harkness House Student Application

The Harkness House Student Application

Apply to join The Harkness House 2026-27 Inaugural High School Cohort!
Applicant's Name*

First NameMiddle NameLast Name

Parent/Guardian Section

This form is divided into Parent/Guardian and Student Applicant sections. The Parent/Guardian Section provides us with contact information for the adult(s) responsible for the decisions impacting the student's education. We also ask some information about your child as a student from your perspective. This information helps The Harkness House communicate clearly with all adults involved in supporting the student.
Your Name*

First NameLast Name
Parent/Guardian Address*

Street Address

Street Address Line 2
CityStateZip Code
Parent/Guardian Email*
example@example.com
Parent/Guardian Primary Phone*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Second Parent/Guardian Name*

First NameLast Name
Relationship to Student*
YesNo
Second Parent/Guardian Address*

Street Address

Street Address Line 2
CityStateZip Code
Second Parent/Guardian Email*
example@example.com
Second Parent/Guardian Primary Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1Parent/Guardian 2Other
Additional Family Notes (optional)
Please share any helpful context about communication preferences or shared responsibility.
Parent/Guardian Priorities and Perceptions

To be completed by the Parent/Guardian
Business ownershipDirect-to-workforceTradeschoolService/Military4-Year collegeLeave homeStart a familyFinancial independenceFulfilling workOther
Mathematics - PrealgebraMathematics - AlgebraMathematics - GeometryEnglish - ReadingEnglish - WritingEnglish - Creative WritingHistory - USHistory - WorldHistory - AncientHistory - GeneralScience - BiologyScience - PhysicsScience - ChemistryScience - GeneralCivics/GovernmentPoliticsEconomics/FinanceVisual artsPermorming artsPhysical educationHealth/WellnessSports/AthleticsOther
Why are you considering The Harkness House for your child?*
Choosing a school is like moving to a new home. Major moves can involve "push" (leaving a negative situation) and "pull" (being attracted to a new opportunity) factors. We want to know about yours, either or both.
Is there anything else you would like us to know?
Applicant Information

To be completed by the Parent/Guardian
Birthdate*

MonthDayYear
Date
2026-27 School Year Grade*
Please note, we are currently only enrolling for this the grades we currently offer (7-9) as we seek approval for our high school expansion (anticipated June 2026). Please select "Waitlist" if you want to stay informed of our opportunities in grades 6-12 going forward.
Schools and References

Please complete this information about the Applicant's educational background.
Current School Setting*
Name of School (optional)
Current Grade Level*
Or grade by age if home educated.
Reference Title (optional)
Upload Unofficial Transcript (optional)

Recommended but not required. We understand that students come from a home education background may not have transcript information. Please feel free to skip this upload.
Cancelof
Reference Organization*
Can not be a relative. Does not need to be a school official.
Reference Name*

First NameLast Name
Reference Relationship to Applicant*
Reference Email*
example@example.com
Reference Phone*
Please enter a valid phone number.Format: (000) 000-0000.
I give permission to contact my references.
Consent and Certification
How did you hear about The Harkness House?*
I consent
I agree
Date Signed*

MonthDayYear
Date
Electronic Signature*

Powered by Jotform SignClear

Student Applicant Section

The Student Application Section provides us information about prospective standards. We are familiar with working with students from a variety of educational backgrounds, and we do not set arbitrary minimum standards for admissions. Because we work with small groups of students on common goals, we are primarily looking to determine which students will be the best fit for our cohorts.
Preferred Name*
Mathematics Achievement*
Expected grade in mathematics curriculum
Language Arts Achievement*
Expected grade in language arts curriculum
Extracurricular, Leadership, Service, Research, and/or Work Interests*
Awards/Honors (optional)
Student Written Responses

We are looking for authentic student work. There are no length or quality requirements. These samples help us to organize our cohorts.
How do you handle conflict, accountability, and/or shared responsibilities?*
Pick one example from your life and be specific. This can be done in one sentence. Novelists take a whole books to do it. There is a whole spectrum of acceptable answers in between.
Describe a time you contributed positively to a community.*
"Community" can mean many things. Pick one example of community in your life and be specific. This can be done in one sentence. Novelists take a whole books to do it. There is a whole spectrum of acceptable answers in between.
Why are you applying to The Harkness House?*
Choosing a school is like moving to a new home. Major moves typically involve "push" (leaving a negative situation) and "pull" (being attracted to a new opportunity). We want to know about yours.
Handwritten Sample: What is the best flavor or ice cream and why?

Please take and upload a picture of a handwritten response. We teach cursive and print penmanship in our secondary program, and there is no minimum expectation here.
Cancelof
I agree
Date Signed*

MonthDayYear
Date
Electronic Signature*

Powered by Jotform SignClear
Should be Empty:

The Harkness House Student Application

Parent/Guardian Section

Parent/Guardian Priorities and Perceptions

Applicant Information

Schools and References

Consent and Certification

Student Applicant Section

Student Written Responses