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Elementary School Interest Form

Notre Dame Academy

Elementary School Interest Form

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Student Date of Birth*

Answer required for "Student Date of Birth"

Current School (if applicable)

Answer required for "Current School (if applicable)"

Applying for Grade*

Answer required for "Applying for Grade"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email*

Answer required for "Parent/Guardian Email"

Parent/Guardian Phone Number*

Number Required

Home Address*

Answer required for "Home Address"

Do you have any specific questions about Notre Dame Academy and/or the Elementary School enrollment process?

Answer required for "Do you have any specific questions about Notre Dame Academy and/or the Elementary School enrollment process?"

Would you like to speak with our Elementary School Admissions Counselor directly?

Answer required for "Would you like to speak with our Elementary School Admissions Counselor directly?"

Yes! Please call me to discuss using the phone number provided.

Yes! Please email me to discuss using the email address provided.

Please share how you heard about Notre Dame Academy*

Answer required for "Please share how you heard about Notre Dame Academy"

Social Media (Facebook, Instagram, LinkedIn)

Staten Island Advance / SILive.com

Word of Mouth

Family Member was/is a student at NDA

Confirmation Email

Answer required for "Confirmation Email"