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A Nationally Recognized K-12 School for the Gifted Cincinnati, Ohio      Member of OAIS

Information Request Are you the guardian or prospective student? Guardian Information Name: Guardian's e-mail*: optional if the student's e-mail is entered below Student Information First name*: Middle name: Last name*: Student's e-mail*: optional if the guardian's e-mail is entered above Date of birth*: January February March April May June July August September October November December Gender female or male Country of citizenship United States of America other Please specify: Currently in grade* Preschool Kindergarten Not in school yet Seeking admission for grade Kindergarten Target start date Fall Spring Immediately Name of current school Type of school public   private   parochial   homeschool How did you hear about our school?     internet  family with a current student  family with a former student  newspaper  phone book  other From whom?  About the Student Please describe the academic, athletic, and extracurricular interests of the student. You may also want to mention the type of school or programs your family is seeking. (Note: there is room for about two to four sentences.) Home Contact Information Street address City State Zip code Phone number* Type of phone home work cell

8100 Cornell Road, Cincinnati, OH 45249   |   Phone: (513) 489-8940   |   Fax: (513) 489-8941   |   lmink@schillingschool.org