Elementary School Interest Form

Notre Dame Academy

Admissions 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)"

Grade (as of September 2026)

Answer required for "Grade (as of September 2026)"

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

Grade Level Interest

Answer required for "Grade Level Interest"

Early Childhood Center (Pre-K3 - Grade 1)

Elementary School (Grade 2 - Grade 4)

Middle School (Grade 5 - Grade 8)

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.

Private Tours

Answer required for "Private Tours"

Please contact me about a private tour of Notre Dame Academy.

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

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

Please share how you heard about Notre Dame Academy (please check all that apply)*

Answer required for "Please share how you heard about Notre Dame Academy (please check all that apply)"

Word of Mouth

Local Business

Local School or Daycare

Staten Island Advance / SILive.com

Family Member was/is a student at NDA

Social Media (Facebook, Instagram, LinkedIn)

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